D0330
CPT/HCPCSPanoramic radiographic image
Physician Fee Schedule
Facility
Medicare Payment
$33.76
Submitted Charge$130.09
Medicare Allowed$42.37
Providers8
Beneficiaries11
Total Services11
Office
Medicare Payment
$41.17
Submitted Charge$166.40
Medicare Allowed$51.67
Providers14
Beneficiaries20
Total Services20