Periodontal Maintenance (D4910) in South Carolina

Name: Periodontal Maintenance (D4910) Reimbursement Rates in South Carolina — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: periodontal maintenance cost, periodontal maintenance reimbursement rate, D4910 PPO rate, periodontal maintenance negotiated rate, D4910 fee schedule, dental periodontal maintenance price, D4910 dental insurance rate, periodontal treatment cost

Negotiated reimbursement rates for D4910 from CMS Transparency in Coverage data. Based on 77 rate records from 77 providers in South Carolina.

Average Negotiated Rate in South Carolina

$95

77 rate records · 77 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4910 in South Carolina. 77 provider records.

Provider	City	Rate	Percentile
General Dentist	Columbia	$164	100th
Pelham Medical CenterDentist	Greer	$149	99th
Philip WitkinGeneral Dentist	Walterboro	$127	92nd
R Nicholas Cost Jr Dds PaGeneral Dentist	Laurens	$119	91st
Earl B Hartzog Dmd PaGeneral Dentist	Denmark	$110	90th
Riccobene & Associates Ccci, Dds, PcOral Surgeon	North Myrtle Beach	$109	87th
Lucia CovingtonOral Surgeon	Murrells Inlet	$100	86th
Sloan RehderOral Surgeon	Charleston	$99	84th
Brett ShigleyOral Surgeon	Charleston	$99	84th
Noel FullerEndodontist	Rock Hill	$99	84th
Prisma Health-UpstateDentist	Fountain Inn	$96	81st
Greenville Health SystemDentist	Seneca	$96	81st
Greenville Proaxis Therapy, LlcDentist	Greenville	$86	26th
Indian Land Oral & Facial Surgery LlcOral Surgeon	Fort Mill	$85	25th
Oral Surgery Of South Carolina LlcOral Surgeon	N Charleston	$85	25th
University Medical AssociatesOral & Maxillofacial Surgery (MD)	Charleston	$80	22nd
Self Regional HealthcareDentist	Greenwood	$68	21st
Oral & Maxillofacial Surgery (MD)	Rock Hill	$54	1st

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What is D4910?

Periodontal Maintenance (CDT Code D4910) — 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 D4910

Oregon

$146

7 records

New York

$146

14 records

Washington

$130

8 records

35+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$96

Low

$54

High

$164

25th Percentile

$86

75th Percentile

$96

Data Points

Compare D4910 Rates Across All 38 States

Oregon

$146

New York

$146

Washington

$130

Idaho

$130

South Dakota

$130

Nevada

$124

Connecticut

$121

California

$115

Utah

$113

Delaware

$112

New Hampshire

$110

New Jersey

$107

Texas

$107

Florida

$102

Indiana

$102

Minnesota

$101

Virginia

$100

Kentucky

$98

Massachusetts

$97

Maine

$97

North Carolina

$96

Ohio

$96

South Carolina

$95

Maryland

$95

Georgia

$92

North Dakota

$92

Arizona

$91

Hawaii

$90

Pennsylvania

$87

Oklahoma

$86

Tennessee

$79

Illinois

$79

Rhode Island

$68

Alabama

$67

Colorado

$63

Nebraska

$61

Louisiana

$59

Arkansas

$55

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