Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS
The hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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9 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $28.01 | $16.61 – $48.84 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $28.01 | $16.61 – $48.84 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 3 | $83.56 | $48.84 – $153.00 |
| 4 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $83.07 | $83.07 – $83.07 |
| 5 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $50.31 | $50.31 – $50.31 |
| 6 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 3 | $83.56 | $48.84 – $153.00 |
| 7 | SSM Health Care of Oklahoma, Inc Midwest City, OK fee schedule · outpatient | 1 | $74.90 | $74.90 – $74.90 |
| 8 | SSM Health Care of Oklahoma, Inc Oklahoma City, OK fee schedule · outpatient | 1 | $74.90 | $74.90 – $74.90 |
| 9 | St. Anthony Shawnee Hospital, Inc Seminole, OK fee schedule · outpatient | 1 | $74.90 | $74.90 – $74.90 |
← Payers reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7