70300

CPT/HCPCS

X-ray of teeth, 1 view

Physician Fee Schedule

Facility

Medicare Payment

$4.04

Submitted Charge$26.32
Medicare Allowed$5.07
Providers17
Beneficiaries31
Total Services31
Office

Medicare Payment

$10.18

Submitted Charge$30.44
Medicare Allowed$13.57
Providers75
Beneficiaries308
Total Services383