21079
CPT/HCPCSImpression and custom preparation of temporary oral prosthesis
Physician Fee Schedule
Facility
Medicare Payment
$896.55
Submitted Charge$7,323.15
Medicare Allowed$1,133.31
Providers31
Beneficiaries84
Total Services91
Office
Medicare Payment
$1,128.94
Submitted Charge$2,546.77
Medicare Allowed$1,422.48
Providers101
Beneficiaries665
Total Services766