3D Surface Scan — Post-Restorative (D0804) — National Rates

Negotiated reimbursement rates for D0804 across 3 states, sourced from CMS Transparency in Coverage data. 21 rate records.

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National Average Negotiated Rate
$93
21 rate records · 3 states
📊 Data updated monthly · Last refresh: March 2026

About D0804 — 3D Surface Scan — Post-Restorative

D0804 refers to a 3D surface scan performed post-restorative treatment. This procedure utilizes advanced imaging technology to create a three-dimensional representation of a patient's dental anatomy, which is particularly useful for assessing the success of restorations and planning further treatment if necessary. Clinical indications for this procedure include evaluating the fit and function of crowns, bridges, or other restorations. Documentation should include the reason for the scan, details of the restorative work performed, and any findings from the scan. Reimbursement for D0804 can vary significantly by payor and state, with some plans covering it under diagnostic imaging benefits, while others may consider it an adjunctive service with limited coverage. It's crucial to verify specific payor policies to ensure proper billing and maximize reimbursement potential.

Reimbursement rates for D0804 vary significantly by state, payor, and provider network. The national average negotiated rate is $93. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D0804

Nevada
$101
13 records
California
$82
2 records
Utah
$70
4 records

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Full National Breakdown

Median
$80
Low
$67
High
$128

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$101
California$82
Utah$70

↓ Bottom 5

StateAvg Rate
Nevada$101
California$82
Utah$70

All States — D0804 Average Rates

Nevada
$101
California
$82
Utah
$70
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$101$104$67$12813
California$82$82$80$832
Utah$70$70$70$704
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