Which does not answer my question.
A carrier which shall remain nameless would tell us they reimbursed in the 90th percentile based on ADA pricing codes.
Problem with that is, there is no such thing as ADA pricing codes.
I have tried for some time to find out what carriers use to determine R&C and either no one knows or they just aren't talking.
From the link below, it looks like the ADA is forbidden by law from setting the pricing of dental services but they do a nationwide survey of dental service fees. There's a disclaimer on the link that says "The published survey data should not be interpreted as constituting a fee schedule in any way, and should not be used for that purpose. The ADA is forbidden by federal law to set or recommend fees. Dentists establish their own fees based on their individual practice and market considerations." My question would be why do the survey then?
I'll check with CUL and see what they get their data from.
Fees for Dental Procedures