Negotiated reimbursement rates for D6097 across 49 states, sourced from CMS Transparency in Coverage data. 777 rate records.
D6097 refers to an abutment-supported retainer for a removable prosthesis. This procedure is indicated when a removable dental prosthesis is supported by an abutment attached to an implant. Documentation for billing should include the patient's treatment plan, the type of prosthesis being used, and any relevant clinical notes. Reimbursement for D6097 can vary by payor and state, with an average reimbursement of approximately $926. Some insurance plans may have specific guidelines regarding coverage for removable prostheses supported by implants, which can impact reimbursement. Dental billing professionals should ensure they understand the nuances of each payor's policy to maximize claims success.
Reimbursement rates for D6097 vary significantly by state, payor, and provider network. The national average negotiated rate is $926. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
46+ more states available with Pro ↓