Negotiated reimbursement rates for D9128 across 21 states, sourced from CMS Transparency in Coverage data. 120 rate records.
D9128 refers to the procedure of metal-based temporization or splinting for a single tooth. This procedure is typically indicated for patients requiring temporary stabilization of a tooth or teeth due to trauma, extensive decay, or prior to definitive restorative treatment. Documentation for this procedure should include clinical notes detailing the reason for temporization, the materials used, and any relevant patient history. Billing for D9128 may vary by payor and state, with some insurance plans covering the procedure under specific circumstances while others may classify it as cosmetic, leading to denials. The average reimbursement for this procedure is around $43.
Reimbursement rates for D9128 vary significantly by state, payor, and provider network. The national average negotiated rate is $43. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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