Free Soft Tissue Graft (First Tooth) (D4277) in Maryland

Negotiated reimbursement rates for D4277 from CMS Transparency in Coverage data. Based on 22 rate records from 22 providers in Maryland.

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Average Negotiated Rate in Maryland
$793
22 rate records · 22 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4277 in Maryland. 21 provider records.

Provider City Rate Percentile
General DentistLaurel$944100th
Pediatric DentistChevy Chase$89595th
Pediatric DentistCrofton$89595th
General DentistRockville$89595th
Pediatric DentistCrofton$89595th
General DentistPotomac$89595th
Pediatric DentistPrincess Anne$89595th
General DentistBaltimore$89595th
Pediatric DentistLaurel$89595th
Pediatric DentistFulton$89595th
General DentistGambrills$89595th
Pediatric DentistPrincess Anne$85245th
PeriodontistBethesda$80441st
General DentistNorth Bethesda$75336th
General DentistSparks$72232nd
General DentistSparks$72232nd
General DentistPrincess Anne$69023rd
General DentistBaltimore$68418th
General DentistGaithersburg$51714th
General DentistTowson$4699th

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What is D4277?

Free Soft Tissue Graft (First Tooth) (CDT Code D4277) — These rates represent negotiated amounts between dental insurance payors and providers in Maryland as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4277

Maine
$1,087
11 records
New York
$1,017
23 records
New Hampshire
$987
12 records

45+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$895
Low
$436
High
$944
25th Percentile
$722
75th Percentile
$895
Data Points
22

Compare D4277 Rates Across All 48 States

Maine
$1,087
New York
$1,017
New Hampshire
$987
District of Columbia
$940
California
$840
New Jersey
$831
Georgia
$825
Indiana
$793
Maryland
$793
Connecticut
$778
Pennsylvania
$777
Virginia
$753
Florida
$734
Oregon
$728
Massachusetts
$721
West Virginia
$704
Delaware
$691
Alaska
$689
Wisconsin
$683
South Dakota
$682
Texas
$670
Michigan
$667
Mississippi
$661
Ohio
$659
Washington
$658
South Carolina
$646
North Carolina
$630
Nevada
$615
North Dakota
$612
Colorado
$610
Missouri
$607
Arizona
$586
Oklahoma
$584
New Mexico
$581
Rhode Island
$578
Illinois
$564
Tennessee
$552
Minnesota
$540
Kentucky
$536
Iowa
$532
Hawaii
$516
Utah
$514
Louisiana
$514
Idaho
$496
Kansas
$473
Alabama
$471
Nebraska
$409
Wyoming
$372
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