Bone Replacement Graft — Each Additional Site (D4264) in Georgia

Name: Bone Replacement Graft — Each Additional Site (D4264) Reimbursement Rates in Georgia — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: bone replacement graft each additional site cost, bone replacement graft each additional site reimbursement rate, D4264 PPO rate, bone replacement graft each additional site negotiated rate, D4264 fee schedule, dental bone replacement graft each additional site price, D4264 dental insurance rate

Negotiated reimbursement rates for D4264 from CMS Transparency in Coverage data. Based on 23 rate records from 23 providers in Georgia.

Average Negotiated Rate in Georgia

$185

23 rate records · 23 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4264 in Georgia. 22 provider records.

Provider	City	Rate	Percentile
Charles HatleyGeneral Dentist	Ft Gordon	$284	100th
Peyton HarrisOrthodontist	Acworth	$248	96th
Tracy DillonOral Surgeon	Atlanta	$238	91st
Jay PatelOral & Maxillofacial Surgery (MD)	Newnan	$224	87th
Desmond FosterGeneral Dentist	Lilburn	$224	87th
Shannon ParrisPediatric Dentist	Snellville	$224	87th
Vanessa ChinOrthodontist	Columbus	$224	87th
Justin GrimesOral Surgeon	Newnan	$224	87th
Tiffanie BrownGeneral Dentist	Watkinsville	$205	65th
Melissa ShawPediatric Dentist	Augusta	$205	65th
Michelle HarmonPediatric Dentist	Athens	$205	65th
Susan SwainGeneral Dentist	Cumming	$155	52nd
Obie BrannonGeneral Dentist	Cumming	$155	52nd
Ryan BrownGeneral Dentist	Cumming	$155	52nd
Lorraine LafontaineDental Public Health	Buford	$155	52nd
Susan KramerGeneral Dentist	Cumming	$155	52nd
Teresa EskerGeneral Dentist	Cumming	$155	52nd
Kevin ShortGeneral Dentist	Cumming	$155	52nd
Sidney HardenGeneral Dentist	Cumming	$155	52nd
Blake UpshawGeneral Dentist	Cumming	$155	52nd

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What is D4264?

Bone Replacement Graft — Each Additional Site (CDT Code D4264) — 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 D4264

North Dakota

$334

6 records

Nevada

$326

14 records

Colorado

$326

20 records

42+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$155

Low

$48

High

$284

25th Percentile

$155

75th Percentile

$224

Data Points

Compare D4264 Rates Across All 45 States

North Dakota

$334

Nevada

$326

Colorado

$326

Connecticut

$273

South Carolina

$256

Rhode Island

$254

New York

$237

District of Columbia

$235

Washington

$220

Maine

$215

Utah

$209

Hawaii

$197

Michigan

$192

Georgia

$185

Ohio

$182

Oregon

$175

Florida

$174

Arizona

$173

California

$166

Iowa

$160

Nebraska

$159

Minnesota

$159

Texas

$157

Kentucky

$150

Wisconsin

$144

West Virginia

$138

New Hampshire

$134

New Jersey

$132

Massachusetts

$132

Pennsylvania

$130

Virginia

$127

Indiana

$126

Illinois

$120

Idaho

$119

Missouri

$114

New Mexico

$111

North Carolina

$96

Kansas

$95

Delaware

$95

Maryland

$92

Louisiana

$83

Oklahoma

$82

Tennessee

$72

Wyoming

$64

Alabama

$50

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