Negotiated reimbursement rates for D6720 across 50 states, sourced from CMS Transparency in Coverage data. 733 rate records.
D6720 is the CDT code for a bridge retainer made from resin with high noble metal. This procedure is indicated for patients needing a durable and aesthetically pleasing option for fixed partial dentures. Clinical documentation should include details about the patient's oral health, the rationale for using high noble metal, and any relevant imaging studies. When billing for D6720, it is crucial to provide comprehensive clinical notes to justify the use of high noble metal, as reimbursement can vary widely among payors and states. The average reimbursement for this procedure is approximately $733, but some insurance plans may have specific criteria that must be met for approval. Understanding the nuances of each payor's policy can help dental professionals optimize their billing processes.
Reimbursement rates for D6720 vary significantly by state, payor, and provider network. The national average negotiated rate is $733. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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