Negotiated reimbursement rates for D2790 across 46 states, sourced from CMS Transparency in Coverage data. 601 rate records.
D2790 denotes a full cast high noble metal crown, which is often used for posterior teeth requiring significant strength and durability. This type of crown is indicated for teeth that have undergone extensive restorative procedures or have significant structural loss. Clinical documentation should include a detailed assessment of the tooth's condition, treatment rationale, and any relevant radiographs. The average reimbursement for D2790 is around $782, but this can differ based on the insurance provider and the state in which the service is rendered. Some payors may have specific criteria for high noble metal crowns, including coverage limits or requiring prior authorization. Dental billing professionals must be diligent in understanding these nuances and ensuring that claims are supported by comprehensive documentation to avoid delays or denials in reimbursement.
Reimbursement rates for D2790 vary significantly by state, payor, and provider network. The national average negotiated rate is $782. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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