21080
CPT/HCPCSPreparation of permanent prosthesis to close mouth opening
Physician Fee Schedule
Facility
Medicare Payment
$1,056.52
Submitted Charge$7,520.40
Medicare Allowed$1,337.10
Providers25
Beneficiaries118
Total Services119
Office
Medicare Payment
$1,354.27
Submitted Charge$3,965.91
Medicare Allowed$1,706.60
Providers107
Beneficiaries561
Total Services642