Negotiated reimbursement rates for D9972 across 48 states, sourced from CMS Transparency in Coverage data. 1085 rate records.
External Bleaching, coded as D9972, refers to the process of whitening teeth using bleaching agents applied to the entire arch. This procedure is indicated for patients seeking to improve the color of their teeth due to intrinsic or extrinsic stains. Documentation should include the patient's dental history, the shade of teeth before treatment, and the materials used. This procedure is often covered by dental insurance, but reimbursement can vary widely depending on the payor and state regulations. Average reimbursement for D9972 is approximately $542, but some plans may classify it as cosmetic and deny coverage. Always confirm coverage details with the patient's insurance provider before proceeding.
Reimbursement rates for D9972 vary significantly by state, payor, and provider network. The national average negotiated rate is $542. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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