Negotiated reimbursement rates for D5820 across 46 states, sourced from CMS Transparency in Coverage data. 567 rate records.
D5820 refers to the provision of an interim partial upper denture, which serves as a temporary replacement for missing upper teeth. This procedure is clinically indicated for patients who need immediate restoration of function and aesthetics while awaiting a more permanent solution. Documentation should include the clinical justification for the interim denture, patient complaints, and treatment notes. Reimbursement for D5820 varies by payor and state, with some insurance plans providing coverage while others may not. The average reimbursement for this procedure is around $374, but dental billing professionals should verify the specifics of the patient's insurance coverage to ensure accurate billing and maximize reimbursement.
Reimbursement rates for D5820 vary significantly by state, payor, and provider network. The national average negotiated rate is $374. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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