Negotiated reimbursement rates for D5630 across 37 states, sourced from CMS Transparency in Coverage data. 342 rate records.
D5630 pertains to the repair or replacement of a broken clasp on a partial denture, billed per tooth. This procedure is clinically indicated when a clasp, which is essential for retention of the denture, is broken or compromised. Documentation should detail the condition of the clasp and the method of repair or replacement. Reimbursement rates for this code can vary widely among different insurance providers and states, with an average reimbursement of approximately $143.
Reimbursement rates for D5630 vary significantly by state, payor, and provider network. The national average negotiated rate is $143. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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