Periodontal Scaling - Four+ Teeth Per Quadrant
Open-data reference.
About periodontal scaling - four+ teeth per quadrant
What it is: Deep cleaning per quadrant (gum disease)
What it costs: The national private-market average is $274 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation pushes this between $242 (lowest cost-of-living states) and $329 (highest). State Medicaid programs that cover periodontal scaling - four+ teeth per quadrant for adults reimburse an average of $142 (range $101–$190 across the 19 covering states). The highest-paying Medicaid programs are Alaska ($190), New York ($177), District of Columbia ($170), worth checking if you're comparing states for Medicaid access to this procedure.
(across covering states)
Periodontal Scaling - Four+ Teeth Per Quadrant cost by state
| State | Medicaid fee | Private estimate |
|---|---|---|
| Alaska | $190 | $296 |
| New York | $177 | $329 |
| District of Columbia | $170 | $326 |
| Minnesota | $166 | $282 |
| Connecticut | $154 | $306 |
| North Dakota | $154 | $258 |
| Massachusetts | $150 | $310 |
| Washington | $142 | $307 |
| California | $138 | $318 |
| New Jersey | $138 | $318 |
| Maryland | $137 | $309 |
| Oregon | $137 | $287 |
| Vermont | $136 | $280 |
| Iowa | $126 | $253 |
| Virginia | $126 | $286 |
| Rhode Island | $122 | $282 |
| New Hampshire | $119 | $294 |
| Michigan | $110 | $266 |
| Illinois | $101 | $280 |
| Hawaii | – | $318 |
| Colorado | – | $288 |
| Delaware | – | $281 |
| Maine | – | $279 |
| Nevada | – | $279 |
| Florida | – | $278 |
| Pennsylvania | – | $274 |
| Arizona | – | $271 |
| Utah | – | $270 |
| Texas | – | $270 |
| Wisconsin | – | $268 |
| Wyoming | – | $267 |
| Montana | – | $263 |
| Idaho | – | $262 |
| North Carolina | – | $260 |
| Georgia | – | $259 |
| New Mexico | – | $259 |
| Nebraska | – | $256 |
| South Carolina | – | $256 |
| Louisiana | – | $256 |
| Missouri | – | $256 |
| Ohio | – | $256 |
| Indiana | – | $255 |
| Kansas | – | $254 |
| Tennessee | – | $253 |
| Oklahoma | – | $251 |
| Kentucky | – | $249 |
| South Dakota | – | $248 |
| Arkansas | – | $246 |
| West Virginia | – | $246 |
| Alabama | – | $243 |
| Mississippi | – | $242 |
Analysis: how to think about periodontal scaling - four+ teeth per quadrant costs
The periodontics category spread for periodontal scaling - four+ teeth per quadrant (CDT D4341) runs 36% between the cheapest and priciest states in our 2024 dataset, and cost of living explains most of that gap, not procedure difficulty.
19 of 50 states reimburse adult Medicaid patients for this code, averaging $142 (about 52% of the private rate). Practices in the other 31 states have no Medicaid fee schedule entry for D4341, which is part of why Medicaid-accepting providers can be scarce for this procedure. Related: finding affordable dental care.
Related
Source: ADA HPI Survey of Dental Fees (2024). State Medicaid fee schedules (2026 Q1). Estimates, not quotes, see our disclaimer.