Negotiated reimbursement rates for D0461 across 23 states, sourced from CMS Transparency in Coverage data. 139 rate records.
Pulp Vitality Test — Multiple Teeth is similar to the standard pulp vitality test but assesses multiple teeth in one visit. This procedure is particularly useful in cases where multiple teeth are suspected to have pulp issues. Clinical indications include patients with widespread dental pain or trauma. Documentation should include the teeth tested, the methods used, and the results for each tooth. Average reimbursement for this procedure is around $31, but variability exists among payors, with some offering bundled rates for multiple tests performed in a single appointment.
Reimbursement rates for D0461 vary significantly by state, payor, and provider network. The national average negotiated rate is $31. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
20+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| North Dakota | $62 |
| New York | $56 |
| Michigan | $44 |
| Massachusetts | $43 |
| New Jersey | $42 |
| State | Avg Rate |
|---|---|
| North Carolina | $19 |
| Pennsylvania | $17 |
| New Hampshire | $15 |
| South Carolina | $15 |
| Missouri | $14 |