Negotiated reimbursement rates for D0422 across 7 states, sourced from CMS Transparency in Coverage data. 44 rate records.
D0422 refers to a caries risk assessment for patients under the age of 6. This assessment involves evaluating a child's risk factors for developing dental caries, including dietary habits, oral hygiene practices, and family history. Clinical indications include preventive care and early intervention strategies. Documentation must include the assessment findings, risk factors identified, and any recommendations made to the caregiver. Reimbursement for this service can vary by payor, with some plans offering coverage as part of preventive care for young children. The average reimbursement for this code is approximately $62.
Reimbursement rates for D0422 vary significantly by state, payor, and provider network. The national average negotiated rate is $62. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
4+ more states available with Pro ↓