Negotiated reimbursement rates for D2652 across 48 states, sourced from CMS Transparency in Coverage data. 633 rate records.
D2652 is the CDT code for a composite resin inlay that covers three or more surfaces of a tooth. This procedure is indicated for extensive decay or damage where a traditional filling would not provide adequate support. Proper documentation is crucial, including clinical notes that explain the extent of the decay, the condition of the tooth, and the rationale for selecting an inlay. When billing for D2652, it is important to provide comprehensive documentation, including radiographs and treatment notes. Reimbursement for this procedure can vary widely by payor and state, with some plans offering more favorable coverage for composite restorations than others. The average reimbursement for D2652 is around $508, but dental billing professionals should verify the specific coverage policies of each payor to ensure compliance and optimize reimbursement.
Reimbursement rates for D2652 vary significantly by state, payor, and provider network. The national average negotiated rate is $508. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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