Negotiated reimbursement rates for D9997 across 1 states, sourced from CMS Transparency in Coverage data. 5 rate records.
D9997 is used for Dental Case Management, By Report, which involves comprehensive documentation and reporting of a patient's dental care plan and progress. This procedure is indicated when a detailed assessment is required for complex cases, treatment planning, or coordination of care among multiple providers. Documentation must be thorough, including treatment history, diagnostic findings, and recommendations. Reimbursement for D9997 averages about $97, but it can vary significantly based on the payor and state, with some insurers requiring pre-authorization or specific documentation to qualify for reimbursement.
Reimbursement rates for D9997 vary significantly by state, payor, and provider network. The national average negotiated rate is $97. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| New York | $88 |
| State | Avg Rate |
|---|---|
| New York | $88 |