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 Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $179.00 | $179.00 – $179.00 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $179.00 | $179.00 – $179.00 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $175.73 | $175.73 – $175.73 |
| 4 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $175.73 | $175.73 – $175.73 |
| 5 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $179.00 | $179.00 – $179.00 |
| 6 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $179.00 | $179.00 – $179.00 |
| 7 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $179.00 | $179.00 – $179.00 |
| 8 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $179.00 | $179.00 – $179.00 |
| 9 | WILLITS HOSPITAL INC Willits, CA fee schedule · outpatient | 1 | $179.00 | $179.00 – $179.00 |
← Payers reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7