Negotiated reimbursement rates for D6205 across 15 states, sourced from CMS Transparency in Coverage data. 72 rate records.
D6205 refers to the procedure for a bridge pontic made from indirect composite or resin materials. This is a component of a fixed dental prosthesis that replaces missing teeth and is anchored to adjacent teeth. Clinical indications include the need for tooth replacement due to loss from decay, trauma, or periodontal disease. Documentation should include the clinical rationale for the bridge, the materials used, and any relevant patient history. Reimbursement for this procedure can vary significantly based on the insurance provider and state regulations, with some payors having specific guidelines for coverage. The average reimbursement for this code is around $609.
Reimbursement rates for D6205 vary significantly by state, payor, and provider network. The national average negotiated rate is $609. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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