Negotiated reimbursement rates for D0230 across 17 states, sourced from CMS Transparency in Coverage data. 146 rate records.
D0230 refers to each additional periapical X-ray film taken after the first. This code is used when multiple views are necessary to provide a comprehensive assessment of a patient's dental condition. Documentation should clearly indicate the reason for additional films and how they contribute to the diagnosis or treatment plan. Average reimbursement for D0230 is around $15, but this can vary by payor, with some insurers having specific limits on the number of films covered per visit.
Reimbursement rates for D0230 vary significantly by state, payor, and provider network. The national average negotiated rate is $15. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Connecticut | $25 |
| New York | $23 |
| Nevada | $22 |
| Maine | $19 |
| North Dakota | $18 |
| State | Avg Rate |
|---|---|
| Texas | $10 |
| Kansas | $7 |
| Nebraska | $6 |
| Florida | $5 |
| Iowa | $5 |