Negotiated reimbursement rates for D9970 across 34 states, sourced from CMS Transparency in Coverage data. 180 rate records.
D9970 refers to enamel microabrasion, a cosmetic dental procedure used to improve the appearance of teeth by removing superficial stains and imperfections. Clinical indications include intrinsic stains, discoloration, or enamel irregularities that affect the aesthetic quality of the teeth. Documentation for billing should include the patient's dental history, the specific areas treated, and the expected outcomes. Reimbursement for enamel microabrasion averages around $45, but this can vary based on the patient's insurance plan and state guidelines. Some plans may consider this a cosmetic procedure and may not provide coverage, so verifying benefits is essential.
Reimbursement rates for D9970 vary significantly by state, payor, and provider network. The national average negotiated rate is $45. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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