Negotiated reimbursement rates for D2928 across 46 states, sourced from CMS Transparency in Coverage data. 469 rate records.
D2928 is used for the placement of a prefabricated porcelain or ceramic crown on a primary tooth. This procedure is typically indicated for primary teeth that have extensive decay or damage that cannot be restored with a filling. Documentation should include clinical notes detailing the condition of the tooth, the reason for crown placement, and any relevant radiographs. Reimbursement for this procedure can vary significantly by payor and state, with some plans offering higher reimbursements for pediatric dental services. The average reimbursement for this code is approximately $211, but dental billing professionals should confirm specific plan allowances and patient eligibility to ensure accurate billing.
Reimbursement rates for D2928 vary significantly by state, payor, and provider network. The national average negotiated rate is $211. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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