Distal/Proximal Wedge Procedure (D4274) in California

Negotiated reimbursement rates for D4274 from CMS Transparency in Coverage data. Based on 83 rate records from 82 providers in California.

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Average Negotiated Rate in California
$210
83 rate records · 82 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4274 in California. 80 provider records.

Provider City Rate Percentile
Oral SurgeonSan Fernando$375100th
OrthodontistFort Irwin$30399th
Oral & Maxillofacial Surgery (MD)Palo Alto$30298th
General DentistSan Jose$30298th
General DentistSan Francisco$28195th
Oral SurgeonLos Angeles$27894th
EndodontistSan Francisco$26893rd
General DentistRancho Mirage$26292nd
EndodontistCupertino$25490th
Oral SurgeonCastro Valley$24889th
Dental LabGlendale$24688th
Pediatric DentistWest Covina$24587th
General DentistRancho Cucamonga$24186th
Oral SurgeonLafayette$23284th
Oral SurgeonStockton$23284th
EndodontistBeverly Hills$23284th
Dental LabTorrance$23081st
General DentistArtesia$23081st
General DentistMontebello$23081st
Oral SurgeonLos Angeles$23081st

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What is D4274?

Distal/Proximal Wedge Procedure (CDT Code D4274) — 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 D4274

Connecticut
$475
5 records
Maine
$408
2 records
Florida
$395
26 records

40+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$188
Low
$144
High
$375
25th Percentile
$188
75th Percentile
$228
Data Points
83

Compare D4274 Rates Across All 43 States

Connecticut
$475
Maine
$408
Florida
$395
North Dakota
$385
Georgia
$381
Nevada
$357
South Carolina
$352
New York
$325
West Virginia
$309
Utah
$308
Virginia
$284
Massachusetts
$265
Indiana
$257
Michigan
$248
Colorado
$244
Maryland
$244
New Jersey
$243
Washington
$240
Wisconsin
$239
Pennsylvania
$231
Missouri
$227
Arizona
$221
Minnesota
$220
California
$210
Ohio
$210
New Mexico
$201
Illinois
$195
Kansas
$188
Hawaii
$184
Louisiana
$179
Texas
$179
North Carolina
$176
Kentucky
$166
Alabama
$157
Oklahoma
$154
Puerto Rico
$146
Mississippi
$142
Tennessee
$140
Idaho
$138
Arkansas
$137
Wyoming
$117
Iowa
$114
Nebraska
$112
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