Rates› California› D4910

Periodontal Maintenance (D4910) in California

Negotiated reimbursement rates for D4910 from CMS Transparency in Coverage data. Based on 26 rate records from 26 providers in California.

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Average Negotiated Rate in California
$115
26 rate records · 26 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4910 in California. 24 provider records.

Provider City Rate Percentile
General DentistSan Jose$156100th
Oral & Maxillofacial Surgery (MD)Palo Alto$156100th
Oral SurgeonLos Angeles$14492nd
General DentistSanta Barbara$14088th
Oral SurgeonSan Francisco$13885th
EndodontistCupertino$13381st
Oral SurgeonStockton$12977th
Oral SurgeonLafayette$12977th
Oral SurgeonVentura$12465th
Oral SurgeonVentura$12465th
General DentistSalida$12158th
General DentistSan Jose$11754th
Oral SurgeonLos Angeles$11754th
EndodontistLa Crescenta$11754th
PeriodontistNorth Hollywood$11754th
Pediatric DentistSan Diego$11138th
General DentistFremont$10335th
General DentistRedwood City$10335th
General DentistLaguna Beach$9127th
PeriodontistCamarillo$9023rd

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What is D4910?

Periodontal Maintenance (CDT Code D4910) — 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 D4910

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

35+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$117
Low
$58
High
$156
25th Percentile
$94
75th Percentile
$129
Data Points
26

Compare D4910 Rates Across All 38 States

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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