Rates› South Carolina› D4275

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

Negotiated reimbursement rates for D4275 from CMS Transparency in Coverage data. Based on 21 rate records from 21 providers in South Carolina.

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Average Negotiated Rate in South Carolina
$509
21 rate records · 21 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4275 in South Carolina. 20 provider records.

Provider City Rate Percentile
Oral SurgeonGreenville$1,040100th
Oral SurgeonFort Mill$91495th
Oral SurgeonN Charleston$91495th
Oral SurgeonNorth Myrtle Beach$77686th
General DentistLaurens$73581st
General DentistColumbia$72376th
Oral SurgeonChapin$71671st
General DentistWalterboro$70567th
DentistSimpsonville$67962nd
Oral & Maxillofacial Surgery (MD)Charleston$52557th
Oral SurgeonCharleston$41652nd
Oral & Maxillofacial Surgery (MD)Rock Hill$35748th
General DentistClover$25343rd
General DentistGreenville$24338th
General DentistSpartanburg$24338th
Dental LabSpartanburg$24338th
General DentistSpartanburg$24338th
Dental LabGreenville$24338th
General DentistGreenville$24338th
Dental LabSpartanburg$24338th

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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 South 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
$416
Low
$243
High
$1,040
25th Percentile
$243
75th Percentile
$723
Data Points
21

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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