Negotiated reimbursement rates for D1310 across 28 states, sourced from CMS Transparency in Coverage data. 145 rate records.
Nutritional Counseling for Dental Caries involves providing patients with guidance on dietary choices that can impact their oral health, particularly in relation to caries development. This service is indicated for patients with a high risk of dental caries or those seeking to improve their overall oral health through dietary changes. Documentation should include a detailed account of the counseling session, specific dietary recommendations made, and the patient's understanding of the information provided. Reimbursement rates for this service can vary widely among payors, with some plans offering coverage while others may not. The average reimbursement for this procedure is around $36.
Reimbursement rates for D1310 vary significantly by state, payor, and provider network. The national average negotiated rate is $36. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| North Dakota | $69 |
| Nevada | $57 |
| South Carolina | $52 |
| New Jersey | $50 |
| New York | $46 |
| State | Avg Rate |
|---|---|
| Massachusetts | $18 |
| Kentucky | $18 |
| Iowa | $15 |
| Nebraska | $15 |
| Rhode Island | $14 |