Non-Autogenous Connective Tissue Graft (Each Add'l) (D4285) in Arizona

Name: Non-Autogenous Connective Tissue Graft (Each Add'l) (D4285) Reimbursement Rates in Arizona — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: non-autogenous connective tissue graft (each add'l) cost, non-autogenous connective tissue graft (each add'l) reimbursement rate, D4285 PPO rate, non-autogenous connective tissue graft (each add'l) negotiated rate, D4285 fee schedule, dental non-autogenous connective tissue graft (each add'l) price, D4285 dental insurance rate

Negotiated reimbursement rates for D4285 from CMS Transparency in Coverage data. Based on 26 rate records from 26 providers in Arizona.

Average Negotiated Rate in Arizona

$161

26 rate records · 26 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4285 in Arizona. 25 provider records.

Provider	City	Rate	Percentile
Barry UldriksonGeneral Dentist	Kingman	$258	100th
Mindy BuoncristianiEndodontist	Oro Valley	$226	96th
Kristen BenesOrthodontist	Peoria	$211	92nd
Miran HoGeneral Dentist	Mesa	$158	88th
Walter PlunkettGeneral Dentist	Mesa	$158	88th
Trevor LinesGeneral Dentist	Maricopa	$158	88th
Richard HuynhGeneral Dentist	Mesa	$158	88th
Lily ChenGeneral Dentist	Mesa	$158	88th
Jade KandolaGeneral Dentist	Mesa	$158	88th
Siqiang RongGeneral Dentist	Queen Creek	$158	88th
Leigh MeschGeneral Dentist	Peoria	$158	88th
Isaac ArakakiGeneral Dentist	Mesa	$158	88th
Sergio GarciaGeneral Dentist	Mesa	$158	88th
Vincent ChenGeneral Dentist	Mesa	$158	88th
Sarah CarneyGeneral Dentist	Phoenix	$158	88th
Chiamaka EgbudiweGeneral Dentist	Mesa	$158	88th
Sophia SaylorGeneral Dentist	Mesa	$158	88th
Lana KayataGeneral Dentist	Mesa	$158	88th
Jinna ImGeneral Dentist	Phoenix	$158	88th
Hillary KohGeneral Dentist	Prescott Valley	$158	88th

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What is D4285?

Non-Autogenous Connective Tissue Graft (Each Add'l) (CDT Code D4285) — These rates represent negotiated amounts between dental insurance payors and providers in Arizona as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4285

New York

$573

21 records

Nevada

$371

16 records

Pennsylvania

$355

8 records

41+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$158

Low

$112

High

$258

25th Percentile

$158

75th Percentile

$158

Data Points

Compare D4285 Rates Across All 44 States

New York

$573

Nevada

$371

Pennsylvania

$355

South Carolina

$310

New Hampshire

$283

Maine

$280

California

$215

Michigan

$202

Oregon

$198

Colorado

$196

Connecticut

$192

Virginia

$185

Washington

$184

Alaska

$175

Nebraska

$174

Arkansas

$173

New Jersey

$171

Florida

$168

Missouri

$167

Wisconsin

$167

Georgia

$166

Arizona

$161

Illinois

$159

New Mexico

$158

Ohio

$149

Mississippi

$147

Rhode Island

$145

Massachusetts

$144

Kentucky

$141

Maryland

$141

Indiana

$139

Texas

$136

Hawaii

$129

Tennessee

$127

North Carolina

$121

Alabama

$116

Minnesota

$114

Idaho

$109

Iowa

$107

Utah

$107

Montana

$106

Kansas

$103

Louisiana

$100

North Dakota

$97

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