D4212HCPCS Level IISave

D4212 - Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth

HCPCS Level II section: Dental Procedures (CDT / HCPCS D)

Medicare Physician Fee Schedule

Facility

Medicare Payment

$777.27

Submitted Charge$2,425.02
Medicare Allowed$999.84
Providers1
Beneficiaries19
Total Services27

Source: CMS Medicare Physician & Other Practitioners public use file (national averages). Amounts are averages across providers, not a fee schedule lookup for a specific locality.