Special Stain (Not Part of Routine) (D0476) in California

Name: Special Stain (Not Part of Routine) (D0476) Reimbursement Rates in California — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: special stain (not part of routine) cost, special stain (not part of routine) reimbursement rate, D0476 PPO rate, special stain (not part of routine) negotiated rate, D0476 fee schedule, dental special stain (not part of routine) price, D0476 dental insurance rate

Negotiated reimbursement rates for D0476 from CMS Transparency in Coverage data. Based on 5 rate records from 5 providers in California.

Average Negotiated Rate in California

$36

5 rate records · 5 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D0476 in California. 5 provider records.

Provider	City	Rate	Percentile
Sergio AyalaGeneral Dentist	Vista	$37	100th
David ParkGeneral Dentist	Rancho Cordova	$37	100th
Qussay Al KaisseyGeneral Dentist	El Cajon	$37	100th
Conan TengGeneral Dentist	Long Beach	$37	100th
Kambiz KhalilinejadGeneral Dentist	Downey	$30	20th

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What is D0476?

Special Stain (Not Part of Routine) (CDT Code D0476) — These rates represent negotiated amounts between dental insurance payors and providers in California as reported in CMS Transparency in Coverage machine-readable files.

Top States for D0476

South Carolina

$95

1 records

New York

$82

1 records

California

$36

5 records

0+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$37

Low

$30

High

$37

25th Percentile

$37

75th Percentile

$37

Data Points

Compare D0476 Rates Across All 3 States

South Carolina

$95

New York

$82

California

$36

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