Negotiated reimbursement rates for D5140 across 50 states, sourced from CMS Transparency in Coverage data. 684 rate records.
D5140 refers to the immediate lower denture, which is similar to D5130 but specifically for the lower arch. This procedure is indicated for patients who have had their remaining lower teeth extracted and require a denture placed immediately to maintain function and aesthetics. Documentation should include a comprehensive treatment plan, clinical findings, and any relevant imaging that supports the need for the immediate denture. Reimbursement for D5140 varies by payor and state, with some insurance plans providing coverage while others may have restrictions or exclusions. The average reimbursement for this code is also around $1, indicating that additional costs may arise from related procedures or adjustments. Dental billing professionals should ensure they are aware of specific payor guidelines to facilitate proper billing and reimbursement.
Reimbursement rates for D5140 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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