21110
CPT/HCPCSApplication and removal of dental fixation device
Physician Fee Schedule
Facility
Medicare Payment
$357.26
Submitted Charge$2,151.50
Medicare Allowed$446.99
Providers41
Beneficiaries49
Total Services49
Office
Medicare Payment
$657.25
Submitted Charge$1,684.90
Medicare Allowed$831.37
Providers42
Beneficiaries1,343
Total Services1,813