Negotiated reimbursement rates for D6212 across 49 states, sourced from CMS Transparency in Coverage data. 610 rate records.
D6212 refers to a bridge pontic made from cast noble metal, which offers a balance between strength and aesthetic appeal. This procedure is indicated when a patient needs a reliable tooth replacement that is more aesthetically pleasing than base metal but less expensive than high noble options. Documentation should include clinical justification for the material choice and any relevant patient history. Reimbursement for D6212 can differ widely among payors and states, with an average reimbursement of about $697. Dental billing professionals should be aware of the specific guidelines and limitations set by each insurance plan to ensure proper claims processing.
Reimbursement rates for D6212 vary significantly by state, payor, and provider network. The national average negotiated rate is $697. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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