41874
CPT/HCPCSReshaping of tooth socket
Physician Fee Schedule
Facility
Medicare Payment
$115.80
Submitted Charge$1,045.64
Medicare Allowed$145.11
Providers72
Beneficiaries101
Total Services206
Office
Medicare Payment
$196.78
Submitted Charge$479.44
Medicare Allowed$246.90
Providers11
Beneficiaries11
Total Services14