Surgical Revision (Failed Previous Graft Site) (D4268) in California

Negotiated reimbursement rates for D4268 from CMS Transparency in Coverage data. Based on 13 rate records from 13 providers in California.

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Average Negotiated Rate in California
$593
13 rate records · 13 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4268 in California. 11 provider records.

Provider City Rate Percentile
General DentistLake Forest$642100th
Oral SurgeonRiverside$642100th
Oral SurgeonLa Quinta$642100th
EndodontistSanta Ana$642100th
EndodontistPorter Ranch$642100th
General DentistLa Verne$642100th
Oral SurgeonFresno$642100th
PeriodontistIrvine$642100th
General DentistOxnard$48931st
General DentistSan Diego$47815th
General DentistEscondido$47815th

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What is D4268?

Surgical Revision (Failed Previous Graft Site) (CDT Code D4268) — 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 D4268

California
$593
13 records
Pennsylvania
$586
1 records
Washington
$489
1 records

12+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$642
Low
$478
High
$642
25th Percentile
$489
75th Percentile
$642
Data Points
13

Compare D4268 Rates Across All 15 States

California
$593
Pennsylvania
$586
Washington
$489
South Carolina
$432
Virginia
$393
New York
$382
Indiana
$355
Nevada
$338
District of Columbia
$327
New Jersey
$327
Kentucky
$302
Connecticut
$254
Michigan
$254
Nebraska
$254
Texas
$232
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