2024 data Public-data reference. official source

Gingivectomy or Gingivoplasty - Four+ Teeth

Open-data reference.

CDT D4210 Periodontics · typical chair time: 60 min

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.

$449
National avg. private cost
$231
Avg. Medicaid reimbursement
(across covering states)
19/51
States covering this procedure
36%
Max state spread (private)
New York$538District of Columbia$534California$520New Jersey$519Hawaii$519Massachusetts$507Maryland$506Washington$502Connecticut$501Alaska$484
Top 10 states: Gingivectomy or Gingivoplasty - Four+ Teeth private cost vs national average

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

Compare across all procedures

Read our methodology - how this data is sourced, computed, and verified.

Source: ADA HPI Survey of Dental Fees (2024). State Medicaid fee schedules (2026 Q1). Estimates, not quotes, see our disclaimer.

Frequently asked questions

How much does gingivectomy or gingivoplasty - four+ teeth cost in the United States?
The national private-market average for gingivectomy or gingivoplasty - four+ teeth (CDT D4210) is approximately $449 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation runs from $396 (lowest cost-of-living states) to $538 (highest).
Does Medicaid cover gingivectomy or gingivoplasty - four+ teeth?
19 state Medicaid programs cover gingivectomy or gingivoplasty - four+ teeth for adults, with average reimbursement of $231 (range $164-$309). Coverage varies by state, see the per-state table on this page.
Data compiled and verified by the PlainDentalCost team.