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Insurance Codes

Common Codes used at RCFD

Dental CodeDescription
D0100-D0999 Diagnostic Codes
D0150 Comprehensive oral evaluation- new or established patient
D0140 Limited oral evaluation - problem focused
D0120 Periodic Oral Evaluation
D0274 Bitewings - Four Films
D0272 Bitewings - Two Films
D0220 Intraoral - periapical first film
D0230 Intraoral - periapical each additional radiographic image
D0330 Panoramic radiographic image
D1110 Adult Prophylaxis
D1120 Child Prophylaxis
D1206 Topical application of fluoride varnish
D2000-D2999 Restorative Codes
D2330 Anterior Composite 1 surface
D2331 Anterior Composite 2 surfaces
D2332 Anterior Composite 3 surfaces
D2335 Anterior Composite 4 or more surfaces
D2391 Posterior Composite 1 surface
D2392 Posterior Composite 2 surfaces
D2393 Posterior Composite 3 surfaces
D2394 Posterior Composite 4 or more surfaces
D2140 Amalgam 1 surface
D2150 Amalgam 2 surfaces
D2160 Amalgam 3 surfaces
D2161 Amalgam 4 or more surfaces
D2740 Crown - porcelain/ceramic substrate
D2750 Crown-porcelain fused to high noble metal
D2790 Crown - full cast high noble metal
D2950 Core buildup, including any pins
D2954 Prefabricated post and core in addition to crown (always with RCT tooth)
D3000-D3999 Endodontic Codes
D3320 Bicuspid root canal
D3310 Anterior Root Canal
D3330 Endodontic therapy, molar (excluding final restoration)
D4000-D4999 Periodontic Codes
D4341 Periodontal Scaling and Root Planing - 4 or more teeth per quadrant
D4342 Periodontal Scaling and Root Planing - 1-3 teeth per quadrant
D4346 Scaling in presence of generalized moderate or severe gingival inflammation - full mouth, after oral evaluation
D4355 Full Mouth Debridement to enable comprehensive evaluation and diagnosis
D4910 Periodontal Maintenance
D5000-D5899 Removable Prosthodontics
D5110 Complete Maxillary Denture
D5120 Complete Mandibular Denture
D5130 Immediate Upper Denture
D5140 Immediate Lower Denture
D5211 Maxillary Partial Denture (Resin Base)
D5212 Mandibular Partial Denture (Resin Base)
D5213 Maxillary Partial Denture (Cast Metal Framework)
D5214 Mandibular Partial Denture (Cast Metal Framework)
D6000-D6199 Implant Services
D6010 Surgical placement of implant body
D6057 Custom fabricated abutment - includes placement
D6058 Abutment supported porcelain/ceramic crown
D6200-6999 Fixed Prosthodontics
D6740 Retainer Crown - Porcelain/Ceramic
D6245 Full Porcelain/Ceramic Pontic
D6075 Implant supported retainer for ceramic FPD
D7000-D7999 Oral and Maxillofacial Surgery
D7140 Simple extraction
D7210 Surgical extraction
D7953 Bone replacement graft for ridge preservation - per site
D9230 Inhalation of nitrous oxide/analgesia
D9944 Occlusal Guard Hard appliance full arch
1SAVE Annual Premium Savings Plan
2SAVE Annual Premium Perio Savings Plan
CHECK Follow-up
CHX Chlorhexidine
CLINP Clinpro 5000
PASTE Opalesence Whitening Toothpaste
DELIV Deliver Denture/Partial
DELRT Deliver Retainer
DEN2 Impressions
DEN3 Wax Rims
DEN4 Set teeth in wax
GOSMP Go Sample - 1 Tray
GOWHT Go Whitening Take Home Kit - 10 Trays
BOOST Opalesence In-Office Whitening
OBDC Oral B Daily Clean Bundle
OBGX Oral B Genius X Bundle
OBIO Oral B IO Series 6 Bundle
ORTH Deliver Ortho Retainer
LAB Reimpress/Send Back to Lab
RCT2 Finish Root Canal
REDO Redo Crown/Bridge
REDOD Redo Denture
REDOF Redo Filling
REDOP Redo Post
SEAT Seat Crown/Bridge
SEND Send crown back to lab
WHITE Refill Bleaching Tube
NGDEL Deliver Nightguard
D8704 Replace Lost or Broken Retainer - Mandibular
D8703 Replace Lost or Broken Retainer - Maxillary
Created by: richlandcreek
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