40840
CPT/HCPCSRepair to increase depth of front portion of mouth
Physician Fee Schedule
Facility
Medicare Payment
$303.12
Submitted Charge$3,218.35
Medicare Allowed$381.25
Providers79
Beneficiaries148
Total Services163
Office
Medicare Payment
$492.49
Submitted Charge$1,520.09
Medicare Allowed$618.01
Providers10
Beneficiaries13
Total Services13