Rates› Missouri› D4210

Gingivectomy/Gingivoplasty — 4+ Teeth (Per Quad) (D4210) in Missouri

Negotiated reimbursement rates for D4210 from CMS Transparency in Coverage data. Based on 47 rate records from 47 providers in Missouri.

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Average Negotiated Rate in Missouri
$491
47 rate records · 47 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4210 in Missouri. 45 provider records.

Provider City Rate Percentile
OrthodontistLees Summit$673100th
OrthodontistLees Summit$673100th
OrthodontistJoplin$61296th
General DentistSaint Louis$59894th
Oral SurgeonCreve Coeur$59894th
Oral SurgeonBelton$59894th
Oral & Maxillofacial Surgery (MD)Saint Louis$59894th
Oral SurgeonSaint Louis$59894th
Pediatric DentistDes Peres$59894th
Pediatric DentistArnold$59894th
General DentistBlue Springs$53379th
General DentistBlue Springs$53379th
DentistLexington$53379th
General DentistBlue Springs$53379th
General DentistKansas City$53379th
General DentistBlue Springs$53379th
General DentistBlue Springs$53379th
General DentistSaint Louis$52264th
General DentistWebb City$51562nd
General DentistWebb City$51562nd

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What is D4210?

Gingivectomy/Gingivoplasty — 4+ Teeth (Per Quad) (CDT Code D4210) — These rates represent negotiated amounts between dental insurance payors and providers in Missouri as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4210

Wisconsin
$526
14 records
Kentucky
$519
10 records
New Hampshire
$519
3 records

47+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$485
Low
$144
High
$673
25th Percentile
$480
75th Percentile
$533
Data Points
47

Compare D4210 Rates Across All 50 States

Wisconsin
$526
Kentucky
$519
New Hampshire
$519
Maine
$504
Missouri
$491
Alaska
$480
Oregon
$471
Nevada
$464
Delaware
$435
New York
$432
Massachusetts
$430
Michigan
$424
New Jersey
$420
Georgia
$412
Washington
$411
District of Columbia
$408
Connecticut
$407
California
$406
Ohio
$404
New Mexico
$402
Maryland
$396
Louisiana
$391
Hawaii
$384
Pennsylvania
$381
Arizona
$380
Texas
$366
Colorado
$366
Mississippi
$362
South Carolina
$356
Oklahoma
$351
Florida
$333
Indiana
$332
Illinois
$320
Utah
$316
Kansas
$312
Tennessee
$308
Arkansas
$292
Virginia
$272
Minnesota
$270
Alabama
$265
Idaho
$263
Rhode Island
$262
North Carolina
$250
North Dakota
$245
Puerto Rico
$244
Iowa
$229
Wyoming
$220
West Virginia
$197
Nebraska
$191
South Dakota
$149
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