Negotiated reimbursement rates for D8660 across 30 states, sourced from CMS Transparency in Coverage data. 171 rate records.
D8660 refers to the Pre-Orthodontic Treatment Exam, a crucial step in the orthodontic process that involves a comprehensive evaluation of the patient's dental and orthodontic needs before initiating treatment. Clinical indications for this exam include assessing the need for orthodontic intervention, identifying potential issues, and formulating a treatment plan. Proper documentation is essential and should include clinical findings, diagnostic imaging, and a proposed treatment plan. Reimbursement for D8660 can vary by payor and state, with some insurance plans covering this exam while others may not. The average reimbursement for this procedure is approximately $243, but actual amounts can differ based on the provider's agreement with the insurance company.
Reimbursement rates for D8660 vary significantly by state, payor, and provider network. The national average negotiated rate is $243. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Colorado | $330 |
| Florida | $329 |
| Arizona | $306 |
| Washington | $305 |
| Wyoming | $305 |
| State | Avg Rate |
|---|---|
| Utah | $142 |
| California | $139 |
| Connecticut | $80 |
| Massachusetts | $51 |
| Indiana | $49 |