Negotiated reimbursement rates for D6210 across 46 states, sourced from CMS Transparency in Coverage data. 1100 rate records.
D6210 refers to a bridge pontic made from cast high noble metal, which is typically used to replace a missing tooth in a dental bridge. Clinical indications for this procedure include the need for a durable and aesthetically pleasing solution for tooth replacement, particularly in areas where strength and longevity are critical. Documentation for billing should include the patient's dental history, the rationale for the bridge placement, and any relevant radiographs. Reimbursement for D6210 can vary significantly by payor and state, with some insurance plans covering a portion of the cost while others may have restrictions or higher patient out-of-pocket expenses. Average reimbursement is around $732, but dental billing professionals should verify specific plan details for accurate claims submission.
Reimbursement rates for D6210 vary significantly by state, payor, and provider network. The national average negotiated rate is $732. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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