Negotiated reimbursement rates for D2712 across 46 states, sourced from CMS Transparency in Coverage data. 493 rate records.
D2712 refers to a ¾ indirect resin crown, which is indicated for teeth that need substantial restoration but still have enough remaining structure to support a partial crown. This procedure is often chosen for its aesthetic qualities and durability. Documentation should include a thorough clinical evaluation, detailing the tooth's condition and the reason for opting for a ¾ crown instead of a full crown. Reimbursement for D2712 varies by payor and state, with some insurance plans offering different rates for partial versus full crowns. Dental billing professionals should verify coverage details and may need to obtain pre-authorization to ensure proper reimbursement.
Reimbursement rates for D2712 vary significantly by state, payor, and provider network. The national average negotiated rate is $313. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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