Negotiated reimbursement rates for D2783 across 49 states, sourced from CMS Transparency in Coverage data. 718 rate records.
D2783 is the CDT code for a ¾ porcelain/ceramic crown, designed for aesthetic restoration of teeth that are visible in the smile zone. These crowns are often indicated for teeth that have moderate to severe decay or structural damage but still have sufficient tooth structure remaining. The clinical documentation should include a thorough examination report, radiographs, and a description of the tooth's condition, along with the treatment plan. The average reimbursement for this procedure is approximately $781, but this can vary based on the patient's insurance plan and geographic location. Some payors may have specific guidelines regarding the use of porcelain/ceramic crowns, including limitations on coverage for certain teeth or conditions. It is essential for dental billing professionals to stay informed about these variations and to ensure that all claims are submitted with accurate coding and supporting documentation to facilitate timely reimbursement.
Reimbursement rates for D2783 vary significantly by state, payor, and provider network. The national average negotiated rate is $781. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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