Gingivectomy or Gingivoplasty - Four+ Teeth
Open-data reference.
About gingivectomy or gingivoplasty - four+ teeth
What it is: Surgical removal of inflamed gum tissue
What it costs: The national private-market average is $449 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation pushes this between $396 (lowest cost-of-living states) and $538 (highest). State Medicaid programs that cover gingivectomy or gingivoplasty - four+ teeth for adults reimburse an average of $231 (range $164–$309 across the 19 covering states). The highest-paying Medicaid programs are Alaska ($309), New York ($288), District of Columbia ($277), worth checking if you're comparing states for Medicaid access to this procedure.
(across covering states)
Gingivectomy or Gingivoplasty - Four+ Teeth cost by state
| State | Medicaid fee | Private estimate |
|---|---|---|
| Alaska | $309 | $484 |
| New York | $288 | $538 |
| District of Columbia | $277 | $534 |
| Minnesota | $271 | $461 |
| Connecticut | $252 | $501 |
| North Dakota | $252 | $421 |
| Massachusetts | $244 | $507 |
| Washington | $231 | $502 |
| California | $225 | $520 |
| New Jersey | $225 | $519 |
| Maryland | $223 | $506 |
| Oregon | $223 | $469 |
| Vermont | $222 | $458 |
| Iowa | $206 | $414 |
| Virginia | $206 | $467 |
| Rhode Island | $199 | $461 |
| New Hampshire | $195 | $481 |
| Michigan | $180 | $435 |
| Illinois | $164 | $458 |
| Hawaii | – | $519 |
| Colorado | – | $470 |
| Delaware | – | $460 |
| Maine | – | $456 |
| Nevada | – | $456 |
| Florida | – | $455 |
| Pennsylvania | – | $447 |
| Arizona | – | $443 |
| Utah | – | $442 |
| Texas | – | $442 |
| Wisconsin | – | $439 |
| Wyoming | – | $437 |
| Montana | – | $431 |
| Idaho | – | $429 |
| North Carolina | – | $425 |
| Georgia | – | $424 |
| New Mexico | – | $423 |
| Nebraska | – | $419 |
| South Carolina | – | $419 |
| Louisiana | – | $419 |
| Missouri | – | $419 |
| Ohio | – | $419 |
| Indiana | – | $417 |
| Kansas | – | $415 |
| Tennessee | – | $414 |
| Oklahoma | – | $410 |
| Kentucky | – | $408 |
| South Dakota | – | $406 |
| Arkansas | – | $403 |
| West Virginia | – | $403 |
| Alabama | – | $397 |
| Mississippi | – | $396 |
Analysis: how to think about gingivectomy or gingivoplasty - four+ teeth costs
The periodontics category spread for gingivectomy or gingivoplasty - four+ teeth (CDT D4210) 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 $231 (about 52% of the private rate). Practices in the other 31 states have no Medicaid fee schedule entry for D4210, 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.