Negotiated reimbursement rates for D0220 across 23 states, sourced from CMS Transparency in Coverage data. 209 rate records.
D0220 is the code for the first periapical X-ray film, which captures detailed images of the tooth roots and surrounding bone structure. This procedure is often used when a dentist suspects issues such as decay, infection, or other dental concerns. Proper documentation should include the clinical rationale for the X-ray and any findings. Reimbursement for D0220 averages $18, but payor policies can differ, with some requiring additional justification for imaging based on clinical necessity.
Reimbursement rates for D0220 vary significantly by state, payor, and provider network. The national average negotiated rate is $18. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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