00170
CPT/HCPCSAnesthesia for other procedure on mouth
Physician Fee Schedule
Facility
Medicare Payment
$113.54
Submitted Charge$1,480.61
Medicare Allowed$148.69
Providers19,328
Beneficiaries24,040
Total Services35,104
Office
Medicare Payment
$95.00
Submitted Charge$1,104.87
Medicare Allowed$135.81
Providers485
Beneficiaries832
Total Services1,186