Negotiated reimbursement rates for D9946 across 20 states, sourced from CMS Transparency in Coverage data. 97 rate records.
D9946 describes the provision of a hard occlusal guard appliance for a partial arch. This type of appliance is often used for patients who require targeted protection for specific teeth or areas of the mouth. Indications for this procedure include localized bruxism or trauma to certain teeth. Proper documentation is crucial, including the patient's dental history, clinical findings, and the specific areas being treated. Billing for D9946 may differ based on the patient's insurance plan and geographic location, with some payors offering comprehensive coverage while others may impose limitations. The average reimbursement for this procedure is around $313, but dental billing professionals should always confirm the specifics of the patient's plan to ensure accurate billing and maximize reimbursement.
Reimbursement rates for D9946 vary significantly by state, payor, and provider network. The national average negotiated rate is $313. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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