Deep Cleaning — Several Teeth Per Section

Hawaii rates for HCPCS D4341

A deep cleaning procedure that removes plaque and tartar from below the gumline and smooths the tooth root surface, done to treat gum disease, covering several teeth in one section of the mouth. It goes deeper than a routine cleaning, which only cleans above and slightly below the gumline. Local numbing is typically used since it reaches below the gum tissue.

Rates data updated October 2026.

How much rates vary

Professionalmedian $100 · 10th to 90th $98 to $129

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $128.82	Professional	None	$97.72	$100.00	$128.82