Negotiated reimbursement rates for D4274 across 43 states, sourced from CMS Transparency in Coverage data. 504 rate records.
D4274 is the code for a Distal/Proximal Wedge Procedure, which is performed to gain access to the tooth roots for scaling and root planing or to improve the contour of the gingiva. Clinical indications include periodontal disease or the need for improved access during surgical procedures. Documentation should include clinical notes detailing the need for the procedure and any related periodontal measurements. Reimbursement rates can differ widely among payors, with some states having specific guidelines for coverage. The average reimbursement for this procedure is around $272.
Reimbursement rates for D4274 vary significantly by state, payor, and provider network. The national average negotiated rate is $272. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
40+ more states available with Pro ↓