Negotiated reimbursement rates for D3430 across 42 states, sourced from CMS Transparency in Coverage data. 354 rate records.
D3430 refers to a retrograde filling procedure performed on a tooth root. This treatment is indicated when conventional endodontic therapy has failed or when there is a need to seal the root canal from the apex due to an apical lesion. Proper documentation is essential, including pre-operative radiographs, notes on the indication for the procedure, and post-operative follow-up. Reimbursement for this code can vary significantly by payor and state; some insurance plans may cover a portion of the cost while others may classify it as a non-covered service. The average reimbursement for this procedure is around $173, but dental billing professionals should verify individual plan specifics for accurate billing.
Reimbursement rates for D3430 vary significantly by state, payor, and provider network. The national average negotiated rate is $173. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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