Negotiated reimbursement rates for D2664 across 49 states, sourced from CMS Transparency in Coverage data. 758 rate records.
D2664 represents an onlay procedure using composite or resin material that covers four or more surfaces of a tooth. This procedure is indicated for extensive decay or damage where a traditional filling is insufficient. Proper documentation should include a comprehensive clinical assessment, detailing the tooth involved, surfaces treated, and justification for the onlay approach. Reimbursement for D2664 can differ widely among payors and states, with some insurers offering higher rates for composite onlays due to their aesthetic appeal. Dental billing professionals should confirm coverage specifics and may need to secure pre-approval to ensure appropriate reimbursement.
Reimbursement rates for D2664 vary significantly by state, payor, and provider network. The national average negotiated rate is $628. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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