Gingival Irrigation — Per Quadrant (D4921) in New York

Negotiated reimbursement rates for D4921 from CMS Transparency in Coverage data. Based on 10 rate records from 10 providers in New York.

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Average Negotiated Rate in New York
$56
10 rate records · 10 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4921 in New York. 9 provider records.

Provider City Rate Percentile
EndodontistLiverpool$75100th
EndodontistLiverpool$75100th
EndodontistLiverpool$75100th
EndodontistLiverpool$75100th
EndodontistFort Drum$75100th
Dental LabBrooklyn$3440th
General DentistNew York$3030th
General DentistNew York$3030th
General DentistForest Hills$1210th

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What is D4921?

Gingival Irrigation — Per Quadrant (CDT Code D4921) — 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 D4921

Hawaii
$76
1 records
California
$69
53 records
Washington
$58
2 records

22+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$75
Low
$12
High
$75
25th Percentile
$31
75th Percentile
$75
Data Points
10

Compare D4921 Rates Across All 25 States

Hawaii
$76
California
$69
Washington
$58
New York
$56
Connecticut
$54
Nevada
$41
Wisconsin
$40
Colorado
$40
Utah
$35
Pennsylvania
$34
Georgia
$33
North Carolina
$29
Texas
$28
Louisiana
$25
Massachusetts
$25
Virginia
$24
New Jersey
$23
Michigan
$22
Minnesota
$21
Missouri
$19
Alabama
$19
Maryland
$18
Kentucky
$14
Ohio
$14
Illinois
$8
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