Negotiated reimbursement rates for D2430 across 44 states, sourced from CMS Transparency in Coverage data. 612 rate records.
D2430 refers to a gold foil restoration on three surfaces of a posterior tooth. This procedure is indicated for teeth that require a robust and durable restoration due to extensive decay or structural damage. Documentation should include a comprehensive evaluation of the tooth, the surfaces treated, and the materials used in the restoration process. When billing for D2430, dental professionals should be aware that reimbursement can differ widely among payors and states, with some insurance plans offering better coverage for gold restorations compared to other materials. The average reimbursement for this code is approximately $457, but actual payments may vary based on the specifics of the patient's insurance plan and the provider's contractual arrangements.
Reimbursement rates for D2430 vary significantly by state, payor, and provider network. The national average negotiated rate is $457. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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