Negotiated reimbursement rates for D2160 across 42 states, sourced from CMS Transparency in Coverage data. 532 rate records.
The CDT code D2160 is designated for an amalgam filling procedure that restores a primary or permanent tooth with three surfaces affected by decay. This procedure is necessary when the decay is more extensive, requiring a larger restoration to ensure the tooth's structural integrity and functionality. Documentation should include detailed clinical notes, radiographic evidence of decay, and any previous treatments performed on the tooth. Reimbursement for D2160 typically averages around $158, but this can vary widely depending on the insurance provider and state regulations. Some payors may have specific criteria for coverage, which can affect the reimbursement amount.
Reimbursement rates for D2160 vary significantly by state, payor, and provider network. The national average negotiated rate is $158. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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