Negotiated reimbursement rates for D9945 across 37 states, sourced from CMS Transparency in Coverage data. 387 rate records.
D9945 refers to the provision of a soft occlusal guard appliance that covers the full arch of teeth. This appliance is typically used to manage bruxism, alleviate jaw pain, and protect teeth from wear. Clinical indications for this procedure include patients exhibiting signs of teeth grinding or clenching, which can lead to temporomandibular joint disorders or other dental issues. When billing for this procedure, it is essential to document the patient's symptoms, the clinical rationale for the appliance, and any treatment plans. Reimbursement for D9945 can vary significantly by payor and state, with some insurance plans covering the full cost while others may only provide partial reimbursement or require prior authorization. The average reimbursement for this procedure is approximately $188, but dental billing professionals should verify specific coverage details with individual payors.
Reimbursement rates for D9945 vary significantly by state, payor, and provider network. The national average negotiated rate is $188. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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