Negotiated reimbursement rates for D2420 across 46 states, sourced from CMS Transparency in Coverage data. 509 rate records.
D2420 is the CDT code for a gold foil restoration involving two surfaces. This procedure is indicated for posterior teeth that have extensive decay or damage, where a strong and aesthetic restoration is required. Proper documentation should include a detailed assessment of the tooth, the surfaces involved, and the materials utilized. When billing for D2420, it's essential to understand that reimbursement rates can vary significantly based on the patient's insurance plan and geographical location. Some payors may have specific guidelines regarding the coverage of gold restorations, which can impact the reimbursement amount. The average reimbursement for this procedure is around $349, but actual payments may vary depending on the provider's agreements with the insurance companies.
Reimbursement rates for D2420 vary significantly by state, payor, and provider network. The national average negotiated rate is $349. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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