Negotiated reimbursement rates for D1110 across 29 states, sourced from CMS Transparency in Coverage data. 740 rate records.
D1110 represents adult prophylaxis, commonly known as a dental cleaning. This procedure involves the removal of plaque, tartar, and stains from the teeth to prevent periodontal disease and cavities. Clinical indications for adult prophylaxis include routine maintenance for patients with healthy gums or those with a history of periodontal disease who require regular cleanings. Documentation should include the patient's oral health status, the extent of cleaning performed, and any additional treatments provided during the visit. Reimbursement for D1110 typically varies by payor and state, with many insurance plans covering it as part of preventive care. However, frequency limitations may apply, so it's important to be aware of each payor's specific guidelines to ensure appropriate billing and reimbursement.
Reimbursement rates for D1110 vary significantly by state, payor, and provider network. The national average negotiated rate is $117. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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