Negotiated reimbursement rates for D2394 across 46 states, sourced from CMS Transparency in Coverage data. 470 rate records.
D2394 is the CDT code for a composite filling involving four or more surfaces in a posterior tooth. This procedure is indicated for extensive decay or damage that necessitates a larger restoration to maintain tooth structure and function. Documentation should include a thorough examination of the tooth, the surfaces treated, and the materials used for the restoration. When billing for D2394, dental professionals should be aware that reimbursement rates can vary widely among different payors and states. Some insurance plans may have specific limitations on the number of surfaces they will reimburse, which can affect the overall payment. The average reimbursement for this procedure is around $217, but actual payments may be influenced by the patient's specific insurance coverage and the provider's agreements with the insurance company.
Reimbursement rates for D2394 vary significantly by state, payor, and provider network. The national average negotiated rate is $217. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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