Rates› New York› D4277

Free Soft Tissue Graft (First Tooth) (D4277) in New York

Negotiated reimbursement rates for D4277 from CMS Transparency in Coverage data. Based on 23 rate records from 23 providers in New York.

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Average Negotiated Rate in New York
$1,017
23 rate records · 23 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4277 in New York. 21 provider records.

Provider City Rate Percentile
EndodontistFort Drum$2,100100th
EndodontistLiverpool$2,100100th
EndodontistLiverpool$2,100100th
EndodontistLiverpool$2,100100th
EndodontistLiverpool$2,100100th
Pediatric DentistManhasset$1,01074th
Dental LabBrooklyn$89670th
Pediatric DentistBrooklyn$89565th
Oral & Maxillofacial Surgery (MD)Brooklyn$85861st
Oral SurgeonNew York$69357th
Dental LabNew York$68952nd
OrthodontistWoodside$68848th
Oral SurgeonMineola$61943rd
Oral SurgeonMineola$61943rd
Dental LabManhasset$56235th
Dental LabBronx$56235th
General DentistBillings$55826th
General DentistBuffalo$55122nd
Dental LabFlushing$50517th
General DentistCanandaigua$44813th

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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 New York 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
$689
Low
$226
High
$2,100
25th Percentile
$560
75th Percentile
$1,555
Data Points
23

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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