Negotiated reimbursement rates for D9310 across 39 states, sourced from CMS Transparency in Coverage data. 299 rate records.
Consultation — Specialist/Dentist is a billing code used when a dentist provides a consultation to a patient, typically involving a specialist's expertise. This procedure is indicated when a patient requires specialized care or a second opinion on a dental issue. Documentation for this service should include the reason for the consultation, findings from the examination, and any recommendations made. Reimbursement for this code can vary widely among payors, with some insurance plans offering full coverage while others may have limitations or require prior authorization for specialist consultations.
Reimbursement rates for D9310 vary significantly by state, payor, and provider network. The national average negotiated rate is $79. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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