Negotiated reimbursement rates for D2630 across 48 states, sourced from CMS Transparency in Coverage data. 621 rate records.
D2630 refers to a porcelain or ceramic inlay that covers three or more surfaces of a tooth. This procedure is indicated for teeth with significant decay or structural compromise where a filling is insufficient. Documentation must include clinical findings, radiographic evidence, and a comprehensive treatment plan that justifies the use of an inlay. The average reimbursement for D2630 is approximately $646, but this can vary based on the patient's insurance plan and state regulations. Some payors may have specific criteria for coverage, and reimbursement may differ for inlays placed on posterior teeth versus anterior teeth. It is essential to confirm coverage details with the patient's insurance provider to ensure appropriate billing and reimbursement.
Reimbursement rates for D2630 vary significantly by state, payor, and provider network. The national average negotiated rate is $646. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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