Negotiated reimbursement rates for D0150 across 29 states, sourced from CMS Transparency in Coverage data. 483 rate records.
D0150 represents a comprehensive oral evaluation for new or established patients. This thorough assessment includes a complete review of the patient's dental and medical history, a full examination of the oral cavity, and may involve diagnostic imaging. Documentation must be detailed, capturing all findings and any treatment recommendations. Reimbursement for D0150 is generally favorable, but it can vary by payor, with some plans imposing frequency limits on how often this evaluation can be billed. Dental billing professionals should be aware of these limitations and ensure that documentation supports the necessity of the evaluation.
Reimbursement rates for D0150 vary significantly by state, payor, and provider network. The national average negotiated rate is $107. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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