Negotiated reimbursement rates for D2791 across 49 states, sourced from CMS Transparency in Coverage data. 746 rate records.
D2791 refers to a full cast base metal crown, which is typically used for posterior teeth that require a strong and durable restoration. These crowns are often indicated for teeth that have undergone significant decay or trauma. Proper clinical documentation is essential, including a detailed examination of the tooth, radiographs, and a treatment plan outlining the need for the crown. The average reimbursement for D2791 is approximately $672, but variations can occur based on the patient's insurance plan and state regulations. Some payors may have specific guidelines regarding base metal crowns, including limitations on coverage or specific requirements for documentation. It is crucial for dental billing professionals to be aware of these variations and to ensure that all claims are submitted with the necessary supporting documentation to facilitate prompt reimbursement.
Reimbursement rates for D2791 vary significantly by state, payor, and provider network. The national average negotiated rate is $672. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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