Rates› Georgia› D4212

Gingivectomy/Gingivoplasty (Restorative, Per Tooth) (D4212) in Georgia

Negotiated reimbursement rates for D4212 from CMS Transparency in Coverage data. Based on 15 rate records from 15 providers in Georgia.

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Average Negotiated Rate in Georgia
$136
15 rate records · 15 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4212 in Georgia. 12 provider records.

Provider City Rate Percentile
OrthodontistCumming$18793rd
OrthodontistFairburn$17687th
Oral SurgeonConyers$16580th
Oral SurgeonStone Mountain$16073rd
General DentistSandy Springs$12567th
General DentistConyers$12567th
General DentistAlpharetta$12567th
General DentistStone Mountain$12567th
General DentistWoodstock$12567th
General DentistGriffin$12567th
General DentistFt Gordon$10213th
General DentistFort Benning$607th

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What is D4212?

Gingivectomy/Gingivoplasty (Restorative, Per Tooth) (CDT Code D4212) — These rates represent negotiated amounts between dental insurance payors and providers in Georgia as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4212

Maine
$346
3 records
Delaware
$243
2 records
New York
$232
13 records

44+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$125
Low
$60
High
$199
25th Percentile
$125
75th Percentile
$162
Data Points
15

Compare D4212 Rates Across All 47 States

Maine
$346
Delaware
$243
New York
$232
Alaska
$232
New Jersey
$223
Connecticut
$214
Wisconsin
$209
New Mexico
$206
California
$204
Indiana
$190
Ohio
$190
Pennsylvania
$180
Colorado
$180
Arizona
$180
Maryland
$179
Michigan
$176
North Dakota
$162
Puerto Rico
$160
New Hampshire
$158
North Carolina
$150
Florida
$145
District of Columbia
$145
Illinois
$145
West Virginia
$142
Georgia
$136
Idaho
$134
Virginia
$133
Rhode Island
$130
Massachusetts
$126
Arkansas
$120
Texas
$120
South Carolina
$120
Missouri
$116
Washington
$110
Wyoming
$109
Minnesota
$107
Kentucky
$100
Utah
$94
Louisiana
$88
Tennessee
$85
Hawaii
$84
Nevada
$79
Mississippi
$76
Nebraska
$74
Alabama
$71
Kansas
$64
Iowa
$63
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