Negotiated reimbursement rates for D3431 across 48 states, sourced from CMS Transparency in Coverage data. 623 rate records.
D3431 describes biologically-based root treatment, which involves the use of materials that promote healing and regeneration of dental pulp tissue. This procedure is indicated for cases where traditional root canal therapy is not viable, and there is a need for a more biologically compatible approach. Documentation should include detailed clinical notes, radiographs, and a treatment plan outlining the rationale for using biologically-based materials. Reimbursement rates for D3431 can vary widely depending on the insurance provider and state regulations, with an average reimbursement of approximately $286. Dental billing professionals should ensure that they check the specific coverage policies of the patient's insurance plan to maximize reimbursement.
Reimbursement rates for D3431 vary significantly by state, payor, and provider network. The national average negotiated rate is $286. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
45+ more states available with Pro ↓