Periodontal Maintenance (D4910) — National Rates

Negotiated reimbursement rates for D4910 across 38 states, sourced from CMS Transparency in Coverage data. 553 rate records.

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National Average Negotiated Rate
$146
553 rate records · 38 states
📊 Data updated monthly · Last refresh: March 2026

About D4910 — Periodontal Maintenance

Periodontal Maintenance is a procedure performed to maintain the health of patients with a history of periodontal disease. It typically follows active periodontal therapy and involves scaling and root planing, along with patient education on maintaining oral hygiene. Documentation should include the patient's periodontal history, the date of the last active treatment, and any changes in periodontal status. Average reimbursement for this procedure is around $146, but it can vary by payor, with some plans offering more comprehensive coverage for patients with ongoing periodontal issues.

Reimbursement rates for D4910 vary significantly by state, payor, and provider network. The national average negotiated rate is $146. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4910

Oregon
$146
7 records
New York
$146
14 records
Washington
$130
8 records

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Full National Breakdown

Median
$127
Low
$38
High
$360

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Oregon$146
New York$146
Washington$130
Idaho$130
South Dakota$130

↓ Bottom 5

StateAvg Rate
Alabama$67
Colorado$63
Nebraska$61
Louisiana$59
Arkansas$55

All States — D4910 Average Rates

Oregon
$146
New York
$146
Washington
$130
Idaho
$130
South Dakota
$130
Nevada
$124
Connecticut
$121
California
$115
Utah
$113
Delaware
$112
New Hampshire
$110
New Jersey
$107
Texas
$107
Florida
$102
Indiana
$102
Minnesota
$101
Virginia
$100
Kentucky
$98
Massachusetts
$97
Maine
$97
North Carolina
$96
Ohio
$96
South Carolina
$95
Maryland
$95
Georgia
$92
North Dakota
$92
Arizona
$91
Hawaii
$90
Pennsylvania
$87
Oklahoma
$86
Tennessee
$79
Illinois
$79
Rhode Island
$68
Alabama
$67
Colorado
$63
Nebraska
$61
Louisiana
$59
Arkansas
$55
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Oregon$146$149$130$1497
New York$146$153$57$22014
Washington$130$130$90$1498
Idaho$130$130$130$1301
South Dakota$130$130$130$1301
Nevada$124$130$98$1394
Connecticut$121$121$114$1282
California$115$117$58$15626
Utah$113$113$94$1322
Delaware$112$112$112$1121
New Hampshire$110$110$110$1109
New Jersey$107$106$78$1758
Texas$107$90$83$1757
Florida$102$108$82$11937
Indiana$102$107$92$1073
Minnesota$101$101$67$1352
Virginia$100$100$79$1222
Kentucky$98$100$90$1004
Massachusetts$97$97$66$1109
Maine$97$97$97$975
North Carolina$96$83$79$1273
Ohio$96$101$70$1186
South Carolina$95$96$54$16477
Maryland$95$93$71$12511
Georgia$92$92$87$974
North Dakota$92$74$57$1624
Arizona$91$91$91$915
Hawaii$90$90$90$901
Pennsylvania$87$72$72$1757
Oklahoma$86$86$62$1102
Tennessee$79$86$58$9012
Illinois$79$79$79$794
Rhode Island$68$68$68$682
Alabama$67$65$65$755
Colorado$63$38$38$1105
Nebraska$61$61$46$745
Louisiana$59$59$59$591
Arkansas$55$55$55$551
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