41899
CPT/HCPCSOther procedure on teeth and gums
Physician Fee Schedule
Facility
Medicare Payment
$80.06
Submitted Charge$843.76
Medicare Allowed$100.34
Providers175
Beneficiaries305
Total Services743
Office
Medicare Payment
$92.15
Submitted Charge$507.07
Medicare Allowed$116.50
Providers59
Beneficiaries81
Total Services187