40845
CPT/HCPCSComplex repair to increase depth of mouth
Physician Fee Schedule
Facility
Medicare Payment
$586.53
Submitted Charge$4,481.55
Medicare Allowed$735.13
Providers153
Beneficiaries475
Total Services516
Office
Medicare Payment
$635.56
Submitted Charge$1,874.39
Medicare Allowed$798.25
Providers10
Beneficiaries75
Total Services105