Negotiated reimbursement rates for D4355 across 39 states, sourced from CMS Transparency in Coverage data. 747 rate records.
Full Mouth Debridement is a procedure aimed at removing plaque and calculus from the entire mouth, typically performed when a patient has not had a cleaning in a long time. This procedure is clinically indicated when there is a significant buildup of deposits that may hinder a thorough periodontal evaluation. Documentation for billing should include a detailed clinical note explaining the necessity of the debridement, any periodontal disease present, and the patient's oral hygiene status. Reimbursement for this procedure can vary significantly by payor and state, with average reimbursements around $219. Some insurance plans may cover this procedure under preventive services, while others may classify it differently, affecting patient out-of-pocket costs.
Reimbursement rates for D4355 vary significantly by state, payor, and provider network. The national average negotiated rate is $219. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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