21076
CPT/HCPCSPreparation of temporary prosthesis to close an opening in mouth
Physician Fee Schedule
Facility
Medicare Payment
$501.86
Submitted Charge$4,249.48
Medicare Allowed$638.29
Providers35
Beneficiaries73
Total Services76
Office
Medicare Payment
$681.58
Submitted Charge$3,169.78
Medicare Allowed$862.14
Providers37
Beneficiaries91
Total Services94