Scaling — Generalized Moderate/Severe Gingivitis (D4346) — National Rates

Negotiated reimbursement rates for D4346 across 39 states, sourced from CMS Transparency in Coverage data. 272 rate records.

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National Average Negotiated Rate
$74
272 rate records · 39 states
📊 Data updated monthly · Last refresh: March 2026

About D4346 — Scaling — Generalized Moderate/Severe Gingivitis

D4346 is the code for scaling in the presence of generalized moderate or severe gingivitis. This procedure is indicated for patients exhibiting signs of gingival inflammation without significant attachment loss. Documentation should include clinical observations, gingival measurements, and a treatment plan. When billing, it is important to note the generalized nature of the gingivitis and any previous treatments. Reimbursement for D4346 varies among payors, with some insurers covering it more readily than others. The average reimbursement for this procedure is approximately $74, but it is advisable to check specific payor guidelines for coverage details.

Reimbursement rates for D4346 vary significantly by state, payor, and provider network. The national average negotiated rate is $74. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4346

North Dakota
$157
2 records
Nevada
$130
22 records
Oregon
$122
1 records

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Full National Breakdown

Median
$67
Low
$31
High
$224

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$157
Nevada$130
Oregon$122
Utah$103
New York$102

↓ Bottom 5

StateAvg Rate
Alabama$43
Nebraska$42
Oklahoma$42
Arkansas$39
Iowa$31

All States — D4346 Average Rates

North Dakota
$157
Nevada
$130
Oregon
$122
Utah
$103
New York
$102
Washington
$92
Pennsylvania
$90
Hawaii
$82
Colorado
$81
New Mexico
$80
New Jersey
$80
California
$77
Connecticut
$76
District of Columbia
$74
Texas
$72
Ohio
$67
Arizona
$66
Florida
$65
Virginia
$60
Maryland
$58
Missouri
$55
South Carolina
$54
North Carolina
$53
Massachusetts
$52
Maine
$51
New Hampshire
$51
Illinois
$50
Rhode Island
$49
Idaho
$48
Louisiana
$46
Kentucky
$46
Indiana
$45
Georgia
$44
Tennessee
$44
Alabama
$43
Nebraska
$42
Oklahoma
$42
Arkansas
$39
Iowa
$31
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$157$157$139$1752
Nevada$130$126$115$15822
Oregon$122$122$122$1221
Utah$103$122$66$1223
New York$102$67$31$22429
Washington$92$95$82$1003
Pennsylvania$90$46$44$2244
Hawaii$82$82$82$821
Colorado$81$82$78$823
New Mexico$80$82$66$827
New Jersey$80$87$67$905
California$77$80$51$10248
Connecticut$76$76$67$842
District of Columbia$74$74$74$741
Texas$72$65$31$1155
Ohio$67$67$67$671
Arizona$66$73$44$734
Florida$65$74$31$814
Virginia$60$60$50$692
Maryland$58$50$50$7610
Missouri$55$55$55$552
South Carolina$54$44$41$14034
North Carolina$53$53$44$638
Massachusetts$52$51$51$6814
Maine$51$51$51$511
New Hampshire$51$51$51$511
Illinois$50$50$44$572
Rhode Island$49$49$49$491
Idaho$48$48$48$481
Louisiana$46$46$46$461
Kentucky$46$46$44$465
Indiana$45$45$45$451
Georgia$44$44$44$446
Tennessee$44$44$44$441
Alabama$43$43$43$4323
Nebraska$42$42$33$522
Oklahoma$42$42$42$421
Arkansas$39$39$39$391
Iowa$31$31$31$311
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