Negotiated reimbursement rates for D1351 across 23 states, sourced from CMS Transparency in Coverage data. 214 rate records.
D1351 involves the application of dental sealants on a per-tooth basis, primarily used to prevent caries in children and adolescents. Clinically, this procedure is indicated for patients with deep pits and fissures on their molars, particularly those who are cavity-prone. Documentation should include the tooth surfaces treated and the materials used. Reimbursement for D1351 can vary significantly by payor and state, with some insurance plans offering full coverage for preventive services while others may impose limits. The average reimbursement for this procedure is approximately $66.
Reimbursement rates for D1351 vary significantly by state, payor, and provider network. The national average negotiated rate is $66. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
20+ more states available with Pro ↓