Negotiated reimbursement rates for D0602 across 23 states, sourced from CMS Transparency in Coverage data. 228 rate records.
D0602 is used for caries risk assessment in patients identified as moderate risk. This assessment considers various factors, including oral hygiene, diet, and medical history, to determine the likelihood of future caries development. Clinical indications for this procedure include the need for tailored preventive strategies and patient education. Proper documentation is essential, detailing the assessment results and recommendations. The average reimbursement for D0602 is around $23, but this can vary significantly by payor and state regulations. Some payors may have specific guidelines for coverage, so dental billing professionals should verify these details to ensure appropriate reimbursement.
Reimbursement rates for D0602 vary significantly by state, payor, and provider network. The national average negotiated rate is $23. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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