Rates› Pennsylvania› D4240

Gingival Flap Surgery — 4+ Teeth (Per Quad) (D4240) in Pennsylvania

Negotiated reimbursement rates for D4240 from CMS Transparency in Coverage data. Based on 18 rate records from 18 providers in Pennsylvania.

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Average Negotiated Rate in Pennsylvania
$540
18 rate records · 18 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4240 in Pennsylvania. 18 provider records.

Provider City Rate Percentile
General DentistExton$709100th
Oral SurgeonGreensburg$64194th
Pediatric DentistPhiladelphia$61989th
Pediatric DentistPhiladelphia$61989th
Pediatric DentistPhiladelphia$61989th
Pediatric DentistWest Grove$61989th
General DentistWyndmoor$61989th
Pediatric DentistPhiladelphia$61989th
General DentistPhiladelphia$61989th
Pediatric DentistPhiladelphia$61989th
Oral SurgeonBethlehem$58344th
Pediatric DentistBreinigsville$53639th
General DentistEaston$53639th
General DentistBala Cynwyd$44428th
General DentistWest Chester$36722nd
Oral SurgeonPittsburgh$34117th
General DentistDuncansville$31711th
General DentistBraddock$2856th

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What is D4240?

Gingival Flap Surgery — 4+ Teeth (Per Quad) (CDT Code D4240) — These rates represent negotiated amounts between dental insurance payors and providers in Pennsylvania as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4240

District of Columbia
$784
2 records
New Hampshire
$707
6 records
Oregon
$686
2 records

46+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$619
Low
$285
High
$709
25th Percentile
$467
75th Percentile
$619
Data Points
18

Compare D4240 Rates Across All 49 States

District of Columbia
$784
New Hampshire
$707
Oregon
$686
Missouri
$599
Massachusetts
$592
Delaware
$586
Maine
$565
Nevada
$558
Utah
$558
California
$552
Michigan
$550
North Dakota
$545
Arizona
$541
Pennsylvania
$540
South Dakota
$532
Indiana
$528
New York
$521
Colorado
$515
Connecticut
$510
Virginia
$510
New Jersey
$506
Ohio
$498
West Virginia
$494
Wisconsin
$479
Georgia
$467
Washington
$466
Florida
$460
Rhode Island
$453
South Carolina
$449
Texas
$449
Illinois
$437
Maryland
$434
Kentucky
$434
Oklahoma
$429
Louisiana
$417
New Mexico
$407
Kansas
$398
Tennessee
$386
Mississippi
$386
Minnesota
$356
North Carolina
$340
Arkansas
$333
Idaho
$310
Alabama
$307
Hawaii
$272
Montana
$265
Iowa
$260
Nebraska
$248
Wyoming
$234
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