Negotiated reimbursement rates for D6090 across 4 states, sourced from CMS Transparency in Coverage data. 32 rate records.
D6090 is the code for the repair of an implant-supported prosthesis, which is billed 'by report.' This procedure is indicated when an existing implant-supported prosthesis requires repair due to damage or failure. Documentation must clearly outline the nature of the repair, including photographs, clinical notes, and any relevant radiographs. Since this procedure is billed by report, the reimbursement can vary significantly based on the complexity of the repair and the specific payor's policies, with an average reimbursement of approximately $289. Dental billing professionals should prepare detailed reports to justify the repair and ensure compliance with any payor requirements.
Reimbursement rates for D6090 vary significantly by state, payor, and provider network. The national average negotiated rate is $289. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
1+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| Pennsylvania | $890 |
| New York | $825 |
| California | $300 |
| South Carolina | $85 |
| State | Avg Rate |
|---|---|
| Pennsylvania | $890 |
| New York | $825 |
| California | $300 |
| South Carolina | $85 |