Rates› California› D4920

Unscheduled Dressing Change (D4920) in California

Negotiated reimbursement rates for D4920 from CMS Transparency in Coverage data. Based on 34 rate records from 34 providers in California.

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Average Negotiated Rate in California
$80
34 rate records · 34 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4920 in California. 29 provider records.

Provider City Rate Percentile
General DentistSan Jose$109100th
Oral & Maxillofacial Surgery (MD)Palo Alto$109100th
Oral SurgeonSanta Barbara$10694th
OrthodontistRedlands$10191st
Dental LabSan Diego$9988th
EndodontistCentury City$9485th
Oral SurgeonDaly City$9382nd
Oral SurgeonNovato$9179th
EndodontistSacramento$8976th
Oral SurgeonRoseville$8976th
Oral SurgeonRocklin$8976th
EndodontistNorth Hills$8976th
EndodontistRocklin$8976th
Pediatric DentistLos Angeles$8859th
EndodontistLa Mesa$8456th
Oral SurgeonSan Diego$8456th
Pediatric DentistFremont$8350th
EndodontistBakersfield$7747th
Oral SurgeonPasadena$7747th
PeriodontistWoodland Hills$7747th

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What is D4920?

Unscheduled Dressing Change (CDT Code D4920) — 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 D4920

Washington
$123
5 records
Michigan
$120
1 records
Minnesota
$109
4 records

29+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$84
Low
$36
High
$109
25th Percentile
$68
75th Percentile
$89
Data Points
34

Compare D4920 Rates Across All 32 States

Washington
$123
Michigan
$120
Minnesota
$109
Pennsylvania
$102
Oregon
$101
Wisconsin
$97
Arizona
$93
New Hampshire
$90
California
$80
Virginia
$77
Florida
$76
Massachusetts
$75
Illinois
$75
New Jersey
$74
Utah
$73
South Carolina
$73
Iowa
$72
Missouri
$71
North Carolina
$66
Indiana
$66
Ohio
$60
New York
$56
Connecticut
$54
Colorado
$54
Maryland
$52
Texas
$51
Georgia
$45
Nevada
$45
Kentucky
$45
Tennessee
$39
Wyoming
$29
Kansas
$28
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