Rates› Virginia› D4921

Gingival Irrigation — Per Quadrant (D4921) in Virginia

Negotiated reimbursement rates for D4921 from CMS Transparency in Coverage data. Based on 11 rate records from 11 providers in Virginia.

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Average Negotiated Rate in Virginia
$24
11 rate records · 11 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4921 in Virginia. 9 provider records.

Provider City Rate Percentile
Pediatric DentistVirginia Beach$27100th
General DentistChesapeake$2591st
Pediatric DentistNewport News$2591st
Pediatric DentistNorth Chesterfield$2591st
Pediatric DentistVirginia Beach$2591st
Pediatric DentistNewport News$2591st
Dental LabRichmond$2591st
PeriodontistReston$2418th
General DentistManassas$159th

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What is D4921?

Gingival Irrigation — Per Quadrant (CDT Code D4921) — These rates represent negotiated amounts between dental insurance payors and providers in Virginia as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4921

Hawaii
$76
1 records
California
$69
53 records
Washington
$58
2 records

22+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$25
Low
$15
High
$27
25th Percentile
$25
75th Percentile
$25
Data Points
11

Compare D4921 Rates Across All 25 States

Hawaii
$76
California
$69
Washington
$58
New York
$56
Connecticut
$54
Nevada
$41
Wisconsin
$40
Colorado
$40
Utah
$35
Pennsylvania
$34
Georgia
$33
North Carolina
$29
Texas
$28
Louisiana
$25
Massachusetts
$25
Virginia
$24
New Jersey
$23
Michigan
$22
Minnesota
$21
Missouri
$19
Alabama
$19
Maryland
$18
Kentucky
$14
Ohio
$14
Illinois
$8
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