Non-Autogenous Connective Tissue Graft (First Tooth) (D4275) in North Carolina

Negotiated reimbursement rates for D4275 from CMS Transparency in Coverage data. Based on 26 rate records from 26 providers in North Carolina.

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Average Negotiated Rate in North Carolina
$267
26 rate records · 26 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4275 in North Carolina. 25 provider records.

Provider City Rate Percentile
General DentistGreenville$438100th
Pediatric DentistRocky Mount$38096th
General DentistRaleigh$36492nd
General DentistRaleigh$36492nd
General DentistDurham$34985th
General DentistSalisbury$33481st
General DentistCharlotte$25377th
General DentistCharlotte$25377th
General DentistCharlotte$25377th
General DentistCharlotte$25377th
General DentistMorganton$25377th
General DentistCharlotte$25377th
General DentistMarvin$25377th
General DentistRaleigh$24850th
General DentistCary$23842nd
Dental Public HealthSylva$22138th
General DentistAsheville$22138th
General DentistAsheville$22138th
General DentistArden$22138th
General DentistWaynesville$22138th

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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 North Carolina 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
$250
Low
$215
High
$438
25th Percentile
$221
75th Percentile
$253
Data Points
26

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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