Scaling and Root Planing — 4+ Teeth (Per Quad) (D4341) — National Rates

Negotiated reimbursement rates for D4341 across 47 states, sourced from CMS Transparency in Coverage data. 514 rate records.

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National Average Negotiated Rate
$228
514 rate records · 47 states
📊 Data updated monthly · Last refresh: March 2026

About D4341 — Scaling and Root Planing — 4+ Teeth (Per Quad)

D4341 is the code for scaling and root planing for four or more teeth per quadrant. This procedure is indicated for patients with moderate to severe periodontal disease, where deep cleaning is necessary to remove plaque and calculus from below the gum line. Documentation must include periodontal charting, clinical findings, and a treatment plan. When billing, it is crucial to provide details on the extent of periodontal disease and the areas treated. Reimbursement for D4341 varies widely among payors, with some offering higher rates for comprehensive periodontal treatment. The average reimbursement for this procedure is around $228.

Reimbursement rates for D4341 vary significantly by state, payor, and provider network. The national average negotiated rate is $228. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4341

Vermont
$248
1 records
Oregon
$232
8 records
Maine
$232
2 records

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Full National Breakdown

Median
$160
Low
$36
High
$1,076

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Vermont$248
Oregon$232
Maine$232
Nevada$231
Alaska$209

↓ Bottom 5

StateAvg Rate
Idaho$117
Nebraska$112
Kansas$110
Tennessee$101
Wyoming$93

All States — D4341 Average Rates

Vermont
$248
Oregon
$232
Maine
$232
Nevada
$231
Alaska
$209
Connecticut
$203
New York
$202
California
$196
Florida
$195
New Mexico
$192
New Hampshire
$191
District of Columbia
$190
North Dakota
$188
Wisconsin
$186
Massachusetts
$180
South Carolina
$178
North Carolina
$175
Colorado
$172
Washington
$172
Georgia
$171
Virginia
$168
Ohio
$166
Missouri
$164
Hawaii
$160
Alabama
$157
Rhode Island
$154
Illinois
$152
Indiana
$151
Michigan
$150
Arizona
$150
Louisiana
$148
Texas
$146
Mississippi
$146
Kentucky
$145
Utah
$144
Oklahoma
$143
New Jersey
$139
Delaware
$137
Maryland
$137
Arkansas
$131
Pennsylvania
$125
Minnesota
$123
Idaho
$117
Nebraska
$112
Kansas
$110
Tennessee
$101
Wyoming
$93
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Vermont$248$248$248$2481
Oregon$232$232$232$2328
Maine$232$232$226$2372
Nevada$231$216$139$31617
Alaska$209$198$198$2414
Connecticut$203$217$115$2485
New York$202$185$85$46013
California$196$206$85$27151
Florida$195$189$110$25831
New Mexico$192$192$163$2234
New Hampshire$191$191$132$2502
District of Columbia$190$202$115$2533
North Dakota$188$170$103$3094
Wisconsin$186$186$176$1952
Massachusetts$180$154$154$25411
South Carolina$178$160$92$31925
North Carolina$175$171$116$2789
Colorado$172$153$114$27816
Washington$172$186$116$2133
Georgia$171$191$105$1949
Virginia$168$157$116$24011
Ohio$166$171$116$21119
Missouri$164$172$106$2074
Hawaii$160$149$108$2233
Alabama$157$157$157$1572
Rhode Island$154$154$154$1541
Illinois$152$124$116$20412
Indiana$151$151$98$2042
Michigan$150$150$114$1862
Arizona$150$158$113$1736
Louisiana$148$157$100$1576
Texas$146$148$116$18924
Mississippi$146$146$146$1461
Kentucky$145$143$98$1816
Utah$144$144$133$1552
Oklahoma$143$113$113$2789
New Jersey$139$116$105$18815
Delaware$137$137$137$1371
Maryland$137$115$115$27813
Arkansas$131$131$102$1602
Pennsylvania$125$116$116$21543
Minnesota$123$123$123$12314
Idaho$117$114$108$16510
Nebraska$112$112$112$1123
Kansas$110$106$106$1399
Tennessee$101$98$98$1187
Wyoming$93$93$93$931
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