Negotiated reimbursement rates for D9410 across 43 states, sourced from CMS Transparency in Coverage data. 438 rate records.
D9410 is used for house or extended care facility calls, which are necessary when a patient is unable to visit the dental office due to medical conditions or disabilities. Clinical indications for this code include providing dental care in nursing homes or other long-term care facilities. Documentation should include the patient's condition, the necessity of the visit, and the services rendered. Reimbursement for D9410 varies widely by payor, with some insurers covering the full fee while others may impose limits or require additional documentation to justify the visit.
Reimbursement rates for D9410 vary significantly by state, payor, and provider network. The national average negotiated rate is $118. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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