benchmark_treatment_plan

io.github.tresor4k/realdentalcosts-mcp · Verify this server

Use this when the user has a treatment plan or quote from a US dentist (CDT codes such as D2740, or procedure names, with quantities and quoted amounts) and wants to know where each line sits. For each line, returns the state cash band (observed or estimated badge) and where the quoted amount falls in it, what Medicaid paid per claim line (T-MSIS p25 / median / p75) and the official Medicaid fee schedule with its age scope (children_only or not_verified: context only), plus the state's adult Medicaid rule and numbered sources. quoted_usd is the line total as quoted. Codes billed as parts of one job are summed into a bundle and compared with its band only when the bundle is complete: implant (D6010 + D6056 or D6057 + one crown on the implant: D6058-D6067, D6082-D6084, D6086-D6088, D6094 or D6097), full dentures (D5110 + D5120), veneer (D2962), All-on-4 per arch (D6114 or D6115); a partial bundle returns partial_quote with what the band includes, and a single arch or partial denture gets no verdict; a bridge on implants (D6068-D6079, D6098, D6099, D6120-D6123, D6194, D6195) or a temporary implant crown (D6085) returns no_band. Pass city for the published single-implant city average. Phrasings: "my dentist wrote D2740 and D4341 x4 on the plan, is that in line for Arizona", "go through this dental estimate line by line", "¿es razonable este presupuesto dental en Nevada?", "revisa mi plan de tratamiento con códigos CDT". Every figure carries its source URL and period; a missing cell returns status no_source_at_this_level with the next level up. Medicaid amounts are what Medicaid paid per claim line (T-MSIS), not what a patient is charged. No personal data (age, ZIP, name, insurer) is requested or stored. Do not use for: diagnosis, treatment choice, a named insurer's plan price, dentist recommendations, countries other than the US and Canada. Observed market research, not a quote, not medical, coding or insurance advice.