Negotiated reimbursement rates for D5720 across 46 states, sourced from CMS Transparency in Coverage data. 588 rate records.
D5720 refers to the procedure of rebasing an upper partial denture. This process involves replacing the base material of the denture to improve fit and comfort for the patient. Clinical indications for this procedure typically include changes in the patient's oral anatomy, such as bone resorption or soft tissue changes, which can lead to an ill-fitting denture. Proper documentation is essential, including the patient's history, clinical findings, and any adjustments made during the procedure. Reimbursement for D5720 can vary significantly by payor and state, with average reimbursements around $364, but some plans may cover less or require prior authorization.
Reimbursement rates for D5720 vary significantly by state, payor, and provider network. The national average negotiated rate is $364. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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