Negotiated reimbursement rates for D3120 across 32 states, sourced from CMS Transparency in Coverage data. 167 rate records.
D3120 is the code for an indirect pulp cap, which is performed when there is a deep carious lesion close to the pulp but without direct exposure. This procedure aims to preserve the vitality of the pulp by placing a protective material over the remaining dentin. Clinical indications include cases where the risk of pulp exposure is high, and the dentist aims to manage the carious lesion conservatively. Documentation for D3120 should include clinical findings, the rationale for the indirect cap, and follow-up plans. Reimbursement for this procedure varies by payor and state, with an average reimbursement of approximately $43. It is essential for dental practices to check with insurance companies for specific coverage policies related to indirect pulp capping.
Reimbursement rates for D3120 vary significantly by state, payor, and provider network. The national average negotiated rate is $43. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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