Scaling and Root Planing — 1–3 Teeth (Per Quad) (D4342) — National Rates

Negotiated reimbursement rates for D4342 across 43 states, sourced from CMS Transparency in Coverage data. 247 rate records.

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National Average Negotiated Rate
$108
247 rate records · 43 states
📊 Data updated monthly · Last refresh: March 2026

About D4342 — Scaling and Root Planing — 1–3 Teeth (Per Quad)

D4342 refers to scaling and root planing for one to three teeth per quadrant. This procedure is indicated for localized areas of periodontal disease where targeted treatment is required. Documentation should include clinical findings, periodontal measurements, and the specific teeth treated. When billing, it is essential to clearly indicate the rationale for the limited scaling and root planing. Reimbursement for D4342 can vary by insurance provider and state, with an average reimbursement of about $108. Some payors may have specific criteria for coverage, so it is important to verify benefits beforehand.

Reimbursement rates for D4342 vary significantly by state, payor, and provider network. The national average negotiated rate is $108. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4342

North Dakota
$198
2 records
Colorado
$159
10 records
Alaska
$149
1 records

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Full National Breakdown

Median
$106
Low
$19
High
$300

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$198
Colorado$159
Alaska$149
Indiana$138
New Jersey$130

↓ Bottom 5

StateAvg Rate
Nebraska$61
Iowa$59
Arkansas$58
Wyoming$57
Kansas$53

All States — D4342 Average Rates

North Dakota
$198
Colorado
$159
Alaska
$149
Indiana
$138
New Jersey
$130
New Hampshire
$128
Louisiana
$128
Maine
$128
South Carolina
$127
Connecticut
$126
California
$125
Massachusetts
$123
Florida
$119
Nevada
$119
Georgia
$119
Illinois
$114
North Carolina
$114
Wisconsin
$113
Washington
$112
District of Columbia
$111
New York
$106
Missouri
$104
Maryland
$103
Ohio
$103
Minnesota
$99
Virginia
$93
Kentucky
$92
Michigan
$92
Arizona
$91
Texas
$90
Tennessee
$82
Hawaii
$77
Pennsylvania
$71
West Virginia
$70
Rhode Island
$68
Alabama
$68
Vermont
$65
Oklahoma
$62
Nebraska
$61
Iowa
$59
Arkansas
$58
Wyoming
$57
Kansas
$53
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$198$198$198$1982
Colorado$159$165$101$16710
Alaska$149$149$149$1491
Indiana$138$146$110$1583
New Jersey$130$130$123$1362
New Hampshire$128$124$124$1588
Louisiana$128$128$128$1281
Maine$128$128$125$1312
South Carolina$127$120$46$21713
Connecticut$126$126$100$1532
California$125$129$83$16724
Massachusetts$123$124$100$1587
Florida$119$130$91$16512
Nevada$119$114$98$1514
Georgia$119$117$97$15816
Illinois$114$128$82$1465
North Carolina$114$114$95$1332
Wisconsin$113$120$99$1203
Washington$112$112$112$1121
District of Columbia$111$111$111$1111
New York$106$87$65$30013
Missouri$104$107$36$1418
Maryland$103$111$76$1269
Ohio$103$120$36$12110
Minnesota$99$127$43$1277
Virginia$93$95$79$958
Kentucky$92$82$80$1153
Michigan$92$92$92$921
Arizona$91$91$91$918
Texas$90$94$65$1054
Tennessee$82$82$82$821
Hawaii$77$77$77$771
Pennsylvania$71$72$65$7210
West Virginia$70$70$70$702
Rhode Island$68$68$68$681
Alabama$68$64$64$737
Vermont$65$65$65$655
Oklahoma$62$62$62$621
Nebraska$61$61$55$672
Iowa$59$36$36$1988
Arkansas$58$58$58$581
Wyoming$57$57$57$571
Kansas$53$53$53$531
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