Rates› New York› D4275

Non-Autogenous Connective Tissue Graft (First Tooth) (D4275) in New York

Negotiated reimbursement rates for D4275 from CMS Transparency in Coverage data. Based on 20 rate records from 20 providers in New York.

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Average Negotiated Rate in New York
$516
20 rate records · 20 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4275 in New York. 19 provider records.

Provider City Rate Percentile
EndodontistLatham$1,889100th
OrthodontistBronx$80095th
OrthodontistBronx$80095th
General DentistNew York$64985th
General DentistNew York$64985th
General DentistNew York$64985th
General DentistFlushing$49770th
Pediatric DentistEast Patchogue$47365th
General DentistBrooklyn$42660th
General DentistIrving$42255th
Dental LabNew York$42255th
General DentistNewburgh$38945th
General DentistHoosick Falls$33840th
General DentistGranville$33840th
General DentistBinghamton$27030th
Dental LabYonkers$26725th
General DentistBath$25915th
General DentistNew York$25410th
General DentistBrooklyn$2535th

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What is D4275?

Non-Autogenous Connective Tissue Graft (First Tooth) (CDT Code D4275) — These rates represent negotiated amounts between dental insurance payors and providers in New York as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4275

Washington
$634
5 records
Nevada
$614
17 records
Oregon
$592
2 records

45+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$422
Low
$253
High
$1,889
25th Percentile
$269
75th Percentile
$649
Data Points
20

Compare D4275 Rates Across All 48 States

Washington
$634
Nevada
$614
Oregon
$592
Texas
$546
District of Columbia
$546
Florida
$543
New Hampshire
$524
North Dakota
$517
New York
$516
South Carolina
$509
Georgia
$483
Alabama
$483
Massachusetts
$481
Delaware
$478
Oklahoma
$476
Michigan
$470
Virginia
$436
California
$430
Maine
$424
Alaska
$406
Missouri
$406
Indiana
$398
Hawaii
$394
Arizona
$387
New Jersey
$375
West Virginia
$375
Kansas
$369
Connecticut
$368
Minnesota
$368
Pennsylvania
$346
Maryland
$345
Utah
$341
Ohio
$338
Nebraska
$325
New Mexico
$324
Colorado
$314
Mississippi
$300
Rhode Island
$295
Illinois
$284
Wisconsin
$283
Arkansas
$277
Louisiana
$273
North Carolina
$267
Tennessee
$266
Kentucky
$262
Idaho
$244
Iowa
$224
South Dakota
$207
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