Negotiated reimbursement rates for D9920 across 36 states, sourced from CMS Transparency in Coverage data. 392 rate records.
D9920 refers to behavior management by report, which is utilized in pediatric dentistry to manage patients who exhibit anxiety or behavioral issues during treatment. This procedure is clinically indicated when a patient requires additional support to ensure a successful dental visit. Documentation must include a detailed report of the behavior observed, strategies employed, and the outcome of the visit. Reimbursement for this service can vary, with some payors recognizing it as a necessary part of care for children, leading to an average reimbursement of around $100. State regulations and individual payor policies can significantly affect coverage.
Reimbursement rates for D9920 vary significantly by state, payor, and provider network. The national average negotiated rate is $100. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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