Negotiated reimbursement rates for D9933 across 7 states, sourced from CMS Transparency in Coverage data. 26 rate records.
D9933 involves the cleaning and inspection of fixed appliances, such as braces or other orthodontic devices. This procedure is indicated for patients undergoing orthodontic treatment to maintain oral hygiene and monitor the condition of the appliances. Proper documentation should include details of the appliance, any issues noted during the inspection, and the patient's treatment progress. Average reimbursement for this service is approximately $58, but it can vary widely depending on the insurance plan and state regulations. Some payors may have specific guidelines for coverage, which can impact the reimbursement amount and the patient's financial responsibility.
Reimbursement rates for D9933 vary significantly by state, payor, and provider network. The national average negotiated rate is $58. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| California | $72 |
| Nevada | $71 |
| Arizona | $67 |
| Indiana | $33 |
| Ohio | $33 |
| State | Avg Rate |
|---|---|
| Arizona | $67 |
| Indiana | $33 |
| Ohio | $33 |
| Wisconsin | $32 |
| Florida | $17 |