Negotiated reimbursement rates for D1517 across 46 states, sourced from CMS Transparency in Coverage data. 725 rate records.
D1517 is a code for a fixed bilateral space maintainer for the mandibular arch. This device is used to maintain space for permanent teeth when primary teeth are lost prematurely. Clinical indications include the loss of multiple primary teeth, which can lead to shifting of adjacent teeth and potential malocclusion. When billing for D1517, it is essential to provide comprehensive documentation, including the patient's dental history, clinical findings, and any necessary radiographs. The average reimbursement for this procedure is around $357, but it can vary by payor and state. Some insurance companies may have specific guidelines regarding coverage, while others might impose limitations based on the patient's age or the number of maintainers previously provided.
Reimbursement rates for D1517 vary significantly by state, payor, and provider network. The national average negotiated rate is $357. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
43+ more states available with Pro ↓