Rates› South Carolina› D4210

Gingivectomy/Gingivoplasty — 4+ Teeth (Per Quad) (D4210) in South Carolina

Negotiated reimbursement rates for D4210 from CMS Transparency in Coverage data. Based on 22 rate records from 22 providers in South Carolina.

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Average Negotiated Rate in South Carolina
$356
22 rate records · 22 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4210 in South Carolina. 21 provider records.

Provider City Rate Percentile
General DentistColumbia$550100th
General DentistBamberg$53995th
General DentistColumbia$52886th
DentistSimpsonville$50082nd
DentistTega Cay$46877th
Oral SurgeonMurrells Inlet$42273rd
DentistMount Pleasant$40768th
Oral SurgeonChapin$40664th
Oral SurgeonNorth Charleston$36559th
General DentistBeaufort$32955th
OrthodontistMoncks Corner$31250th
Oral SurgeonGreenville$29345th
General DentistLaurens$29041st
General DentistSummerville$28332nd
Oral SurgeonFort Mill$28127th
General DentistColumbia$26923rd
Oral SurgeonN Charleston$25518th
Oral & Maxillofacial Surgery (MD)Charleston$22514th
Oral & Maxillofacial Surgery (MD)Rock Hill$1539th
Oral SurgeonEasley$1255th

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What is D4210?

Gingivectomy/Gingivoplasty — 4+ Teeth (Per Quad) (CDT Code D4210) — These rates represent negotiated amounts between dental insurance payors and providers in South Carolina as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4210

Wisconsin
$526
14 records
Kentucky
$519
10 records
New Hampshire
$519
3 records

47+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$320
Low
$125
High
$550
25th Percentile
$282
75th Percentile
$456
Data Points
22

Compare D4210 Rates Across All 50 States

Wisconsin
$526
Kentucky
$519
New Hampshire
$519
Maine
$504
Missouri
$491
Alaska
$480
Oregon
$471
Nevada
$464
Delaware
$435
New York
$432
Massachusetts
$430
Michigan
$424
New Jersey
$420
Georgia
$412
Washington
$411
District of Columbia
$408
Connecticut
$407
California
$406
Ohio
$404
New Mexico
$402
Maryland
$396
Louisiana
$391
Hawaii
$384
Pennsylvania
$381
Arizona
$380
Texas
$366
Colorado
$366
Mississippi
$362
South Carolina
$356
Oklahoma
$351
Florida
$333
Indiana
$332
Illinois
$320
Utah
$316
Kansas
$312
Tennessee
$308
Arkansas
$292
Virginia
$272
Minnesota
$270
Alabama
$265
Idaho
$263
Rhode Island
$262
North Carolina
$250
North Dakota
$245
Puerto Rico
$244
Iowa
$229
Wyoming
$220
West Virginia
$197
Nebraska
$191
South Dakota
$149
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