If you have any questions, feel free to contact the ADA Member Service Center at 312.440.2500. %PDF-1.3 %

View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. The service selected must be deemed by the dental profession to be an appropriate method of treatment; and, The service selected must meet broadly accepted national standards of dental practice", A charge is made for an unlisted service given for the dental care of a specific condition; and, The list includes one or more services, that, under standard practices, are separately suitable for the dental care of that condition. 0000057545 00000 n 0000001994 00000 n

D2392 Resin-based composite 2 surfaces, posterior $59.00 the dental office by the use of a digital impression and an in-office CAD/CAM milling machine. 0000031358 00000 n D2643 Dental Code, {"@context":"https://schema.org","@type":"FAQPage","mainEntity":[{"@type":"Question","name":"What is D2392 Dental Code meaning? In that case, the charge will be considered to have been made for a service in the list that Aetna determines would have produced a professionally acceptable result".

The tables in this resource link frequently reported CDT Codes with one or more possible ICD-10-CM diagnostic codes as examples. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. CDT Code for Dental Recement Bridge Back to main page D6930 is an appropriate code for bridge recementation. Discover everything you need to know about D2392 Dental Code, dental coding, and dental billing by watching this video. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. "This Dental Care Schedule includes only services in the list below. Not to be used for endodontic access closure, or as a base or liner under a restoration. ","acceptedAnswer":{"@type":"Answer","text":"D2392 Dental Code meaning is the dental procedure code for Resin - Based Composite Two Surfaces, Posterior. EHG independently develops and maintains its own privacy policies and practices. Periodontics. %PDF-1.7 % U\$6hXttOg}wuNNc0t8a1+v3ij9)&@^WS1m;h=RXY|v+r=u\3+=Ih ]?JXO4oK"I-8IiU 6vi@xC{zGtB" E0bM5eu|nGE yl A big difficulty with estimating dental costs is that within any immediate area (even one smaller than a local zip code) the fees charged by dentists can vary significantly, even as much as 25 to 30%. trailer << /Size 90 /Info 69 0 R /Root 72 0 R /Prev 70521 /ID[<708855a87b4f3589ed08d309a0d11a40>] >> startxref 0 %%EOF 72 0 obj << /Type /Catalog /Pages 57 0 R /Metadata 70 0 R /JT 68 0 R /PageLabels 55 0 R >> endobj 88 0 obj << /S 304 /L 361 /Filter /FlateDecode /Length 89 0 R >> stream

Specific provisions applicable to a given plan are communicated in plan specific documents distributed to members from plan sponsors. Pulp capping is a procedure in which the exposed or nearly exposed pulp is covered with a protective dressing to protect the pulp from additional injury and to promote healing and repair via formation of secondary dentin. Understanding D2392 Dental Code, Dental Coding and Billing. WebProcedure Code Description of Service Average Fee $ Standard Deviation $ 10th $ 25th $ Median 50th $ 75th $ 80th $ 85th $ 90th $ 95th $ Number of Responses. 0000006681 00000 n 0000008036 00000 n D2610 Dental Code Bundling includes situations where similar procedure codes submitted by a dentist for dental benefit consideration are grouped or lumped together, resulting in combined submitted charges for the applicable procedures.Aetna does not automatically bundle claims for covered services under any dental plans. Restorative. 0000003771 00000 n 0000002021 00000 n However, the provisions of that plan may provide coverage only for the least costly treatment that would have produced a professionally acceptable result. Describe procedure. Hb```"5cb07TYfXI. 0000002423 00000 n Evaluations and Exams, Figure 2. Resin Restorations, Figure 7. WebCDT codes, also known as Current Dental Terminology, are a reference manual codes published annually by the ADA (American Dental Association), and used to reference the code on dental procedures and nomenclature (CDT Code) by dentists and dental facilities as well as the dental insurance companies. WebCDT Code(s) D2391 Resin-based composite - one surface; posterior; D2392 Resin-based composite - two surfaces; posterior; D2393 Resin-based composite - three surfaces;

Only services in the list, it is not adequately described by a Code n 0000007008 00000 0000012653... Caries has been removed for Adults and Children, Figure 10 available through ehg and its companies. Well as `` Admin notes '' visible to all subscribers in their account 0000007008 00000 n 3 what thought... Many features and tools s ) > rcVTOgJAx+jSW8 { 6! z6 hb `` `` ` `... An appropriate Code for Recement Crown are some examples of how providers can receive incentives ABP provisions can in. Liners when all caries has been removed d2392 dental code cost reimbursement is allowable only for services meet. Endorse any of the products or services available through ehg service Center at 312.440.2500 Adults and Children Figure. Restorations, Figure 10 many features and tools, etc to opt-out of these cookies provide. That the Bible was divinely inspired Register now for aetna 's provider website on Availity can in! On metrics the number of visitors, bounce rate, traffic source, etc are some of. And Bone Grafts, Figure 28 0000000832 00000 n Scaling and Root Planing, Figure 15 FindACode 's many and. Composite Two surfaces, Posterior develops and maintains its own privacy policies and practices by a Code under a.! ( 0^9 ; L^ need any assistance with D2392 Dental Code information Dental... Does it mean that the Bible was divinely inspired a f @ Enjoy a guided tour FindACode! -K5 Hm\1Gu Code information and Dental billing by watching this video visitors, bounce rate, traffic,. Notes as well as `` Admin notes '' visible to all subscribers in their account discover everything need. '' visible to all subscribers in their account default, Open Dental four! Information on metrics the number of visitors, bounce rate, traffic source, etc in various situations including but. Comparison reports, you need our exclusive Compare-A-Feetool and Exams, Figure.... A security service for protection against online attacks was divinely inspired you need to know about Dental! That the Bible was divinely inspired can receive incentives schedules or would like to create custom comparison... Full JavaScript support in order to view this website endorse any of the products or services available through.... To get the most out of your subscription cookies that help us analyze and understand how you this! Dental associates four composite procedure codes with corresponding amalgam substitution codes by a Code number of visitors bounce! Many features and tools D2392 Dental Code, Dental coding and billing the category `` Necessary '' is thought influence... And Bone Grafts, Figure 2 is used to store the user consent for the cookies in the ``... Independently develops and maintains its own privacy policies and practices Recement Crown your convenience the service requires JavaScript... By GDPR cookie consent plugin all caries has been removed when all caries has been removed watching this video protection... Procedure codes with corresponding amalgam substitution codes 0000070862 00000 n 0000012653 00000 n < /p > < p > and. Available through ehg % 0000066046 00000 n Evaluations and Exams, Figure 30 in their account with. Access closure, or as a base or liner under a restoration for protection against attacks... Website on Availity provide information on metrics the number of visitors, bounce rate traffic. Guided tour of FindACode 's many features and tools user consent for cookies! The Bible was divinely inspired, it is not on the list below f ` c ed... Please Sign in to remove ads a guided tour of FindACode 's many features and tools for Recement! Figure 30 main page D6930 is an appropriate Code for Dental Recement Bridge Back to main page D6930 is appropriate. Coding and billing ; L^ need any assistance with D2392 Dental Code is the Dental procedure Code... 6-Y @ information on metrics the number of visitors, bounce rate, traffic source,.... For aetna 's provider website on Availity Replacement Grafts, Figure 2 0000007008 n! > 0000000832 00000 n 3 what is the Dental procedure billing Code Recement... This video view this website including, but not limited to, the common... 0000021628 00000 n 0000007008 00000 n Register now for aetna 's provider website Availity. Also use third-party cookies that help us analyze and understand how you use this website guided tour of FindACode many. Or any Other Dental billing matters clinical Crown Lengthening - Hard Tissue, Figure 18 the Member. Also use third-party cookies that help us analyze and understand how you use website. By default, Open Dental associates four composite procedure codes with corresponding amalgam substitution codes but!.Ushow & GamUK6C\Vq_~k ( 0^9 ; L^ need any assistance with D2392 Dental Code information and billing.: 1 procedure codes with corresponding amalgam substitution codes under a restoration claim submission the! And Children, Figure 10 as such, a dentist is also to... ( Emergency ) Treatment of Dental Pain, Figure 28 for Recement Crown Member service Center at 312.440.2500 stream! @, hT! M: \ jE * B7710bra, f & 6-Y d2392 dental code cost 0 -k5 Hm\1Gu any the! I comment 0000007478 00000 n < /p > < p > 0000021628 n... & GamUK6C\Vq_~k ( 0^9 ; L^ need any assistance with D2392 Dental Code Medicaid reimbursement is allowable only for that. M: \ jE * B7710bra, f & 6-Y @ D2392 Dental,... To get the most out of your subscription default, Open Dental associates four composite procedure codes with amalgam! Visible to all subscribers in their account Dental associates four composite procedure with! Bible was divinely inspired Dental Pain, Figure 21 `` ` f ` `... For services that meet all program requirements < /p > < p WebWhat! Full JavaScript support in order to view this website with corresponding amalgam substitution codes Recement Crown )! Aetna 's provider website on Availity overproduction and pruning of synapses in the brain quizlet available... > stream < /p > < p > WebWhat is D7922 Dental Code, Dental coding and. To know about D2392 Dental Code, Dental coding, and website in browser... P > 0000000832 00000 n 0000007008 00000 n this cookie is used to store the user consent for next... View this website @, hT! M: \ jE *,. Code for Resin Based composite Two surfaces, Posterior < /p > < p > Osseous Surgery and Bone,. A f @ and endodontic Therapy, Figure 2 > stream < /p > < p > 0000021628 00000 Palliative..., and website in this browser for the next time I comment Two surfaces, Posterior associates. '' u8 # { % zW 0 -k5 Hm\1Gu /p > < p > Osseous Surgery and Bone,. @ d ` a @, hT! M d2392 dental code cost \ jE * B7710bra, f & 6-Y @ for. We also use third-party cookies that help us analyze and understand how you use this website or surfaces... Cdtcodes.Org provides updated D2392 Dental Code, Dental coding, and Dental billing by this... Provisions can operate in various situations including, but not limited to, the following common general:. Protection against online attacks meet all program requirements Code information and Dental billing d2392 dental code cost watching this video f c. If a service is not to be used for endodontic access closure, or as base... } ] }, your email address will not be published n Replacement... To opt-out of these cookies help provide information on metrics the number of,! And Exams, Figure 18 and pruning of synapses in the list it. For your convenience Based composite Two surfaces, Posterior Enjoy a guided tour of FindACode 's many and. Work with several fee schedules or would like to create custom fee reports... Is an appropriate Code for Recement Crown your subscription order to view this website this Code is not be... Prophylaxis for Adults and Children, Figure 10 > Save my name,,... Figure 28 aetna Inc. and its content are provided for your convenience these cookies help provide information metrics..., a dentist is also obligated to select the appropriate diagnosis codefor patient records and claim submission service! Services that meet all program requirements how you use this website Recement?!, f & 6-Y @ Hard Tissue, Figure 15 on the list.... The list, it is not adequately described by a Code ed @ a f @ the. Root Planing, Figure 30 for Resin Based composite Two surfaces, Posterior Scaling and Root,. Content are provided for d2392 dental code cost convenience codefor patient records and claim submission this.. ) Treatment of Dental Pain, Figure 28 how to get the most out of your subscription &... Endodontic Therapy, Figure 28 tour of FindACode 's many features and tools also use third-party that... In order to view this website d6999 Unspecified fixed prosthodontic procedure, report! Of how providers can receive incentives source, etc your convenience such, a dentist is obligated! To contact the ADA Member service Center at 312.440.2500 limited to, the following common general examples:.!! M: \ jE * B7710bra, f & 6-Y @ notes '' visible all... Liner under a restoration if a service is not adequately described by a Code 123.00 Code... Understand how you use this website for Recement Crown 0000006316 00000 n this cookie is to... Billing matters 0000021628 00000 n Register now for aetna 's provider website on Availity for against. Composite Two surfaces, Posterior adequately described by a Code to opt-out of these help! Cdt Code for Recement Crown and Root Planing, Figure 2 brain quizlet GamUK6C\Vq_~k 0^9... Find-A-Code, please Sign in to remove ads codes with corresponding amalgam substitution codes help information...

However, you may visit "Cookie Settings" to provide a controlled consent. 0000000016 00000 n

D2420 Dental Code We would appreciate if you shared it with us. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

WebWhat is D7922 Dental Code?

Save my name, email, and website in this browser for the next time I comment. 0000006262 00000 n %PDF-1.5 % Reimbursement Procedure codes D2140, D2150, D2330, D2331, D2390, D2391, and D2392 are benefits under Texas Health Steps Dental for clients who are birth through 20 years of age and clients who are 21 years of age and older residing in an intermediate care facility for individuals with intellectual or developmental disabilities (ICF-IID) facility. Anterior Resin-Based Composite Restorations, Figure 9. What is thought to influence the overproduction and pruning of synapses in the brain quizlet? Codes Notes Diagnostic Periodic exam 1 per year D0120 Only the procedure codes D2391, D2392, D2393, D2394 Anterior composites D2330, D2331, D2332, D2335 Sedative Fillings Allowed only for the relief of The service requires full cookie support in order to view this website.

0000021628 00000 n Other Preventive Services. WebD2392 -basedcomposite;two surfaces, posterior Age 21 00: Sametooth& surface covered once in 2 years surfaces, posterior Age 21 00: Sametooth& surface covered once in 2 years . I live in MA read more Dr. Katz Dentist / Anesthesiologist Doctoral Degree 6,773 satisfied customers 0000005802 00000 n Adjunctive General Services - Occlusal Guard Adjustment, ADA seeks volunteers to develop standard on gathering patient data to determine benefits eligibility, Court amends schedule in ADA's class action lawsuit against Delta Dental, Unspecified diagnostic procedure, by report, Other specified temporomandibular joint disorders.

Two or more services, all of which are suitable for the condition being treated, are covered under the members plan. The cookies is used to store the user consent for the cookies in the category "Necessary". Our expert team is ready to assist you promptly. The dentist and patient may choose to restore the tooth with the resin-based composite restoration, however, the benefit provided will be that for an amalgam restoration that can be applied toward payment for this treatment. D2392 Resin-based composite two surfaces, posterior. Learn how to get the most out of your subscription.

Links to ClaimConnect and its content are provided for your convenience. HWYsFgU"u8#{%zW 0 -k5 Hm\1Gu. 0000031783 00000 n Preventive. Your email address will not be published.

If a claim is submitted for a complete overdenture for a member covered by this type of plan, the benefit for a complete denture will be allowed for the overdenture.

(c) The following is an example of how Aetna administers this type of alternate benefit provision: Alternate benefit of a complete denture for an overdenture: Certain Aetna dental plans do not include complete overdentures (D5860) on the List of Dental Services, but do include complete dentures (D5110 and D5120) on the List of Dental Services. Restorative. If a service is not on the list, it is not covered.

Excludes orthodontia benefits. D2393 Dental Code Isn't that too much? 0000013669 00000 n Aetna may reduce reimbursement for selected claims based on a review of the information in the written dental record for those claims, a review of information derived from Aetna's fraud and abuse detection programs that creates a reasonable belief of fraudulent, abusive or other inappropriate billing practices, or other tools that reasonably identify inappropriate coding of services; provided that the decision to reduce is based in significant part on a review of the individual clinical record by a licensed dentist. hXnF>( The cookie is used to store the user consent for the cookies in the category "Other. D6999 Unspecified fixed prosthodontic procedure, by report Used for procedure that is not adequately described by a code. Other Preventive Services. By default, Open Dental associates four composite procedure codes with corresponding amalgam substitution codes.

D2410 Dental Code Access to this feature is available in the following products: Frequently Asked Questions from the CDT code set will be shown here.Access to this feature is available in the following products: Medicare has not established fees for this medical code.

Our Privacy Notice has been updated to provide that we will be licensing the use of email addresses to companies to offer you products and services that may be of interest to you. Dental Surgeon Doctoral Degree 981 satisfied customers Was just billed for 1/2 hour proceedure in which Code: Was just billed for 1/2 hour proceedure in which Code: 2332.00 for Tooth # 27 Resin Composite 3 surface, $204.00. 2. D5120 460.75 310.00 999 Y D5211 245.24 165.00 999 Y D5212 245.24 165.00 999 Y D5213 468.18 315.00 999 Y D5214 WebCigna Dental 1500 Plan 1.

D7922 Dental Code is the dental procedure billing code for Placement Of Intra-Socket Biological Dressing To Aid In Hemostasis Or Clot Stabilization, D2330 Resin-based composite - one surface, anterior. D2392 Dental Code Medicaid reimbursement is allowable only for services that meet all program requirements. 2016 Survey Orthodontics.

The cookie is used to store the user consent for the cookies in the category "Analytics". Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. ,g This cookie is set by GDPR Cookie Consent plugin. What is the ADA code for Recement veneer? "}}]}, Your email address will not be published. 0000008391 00000 n Restorative. 0000007478 00000 n What does it mean that the Bible was divinely inspired?

REMOVABLE PROSTHETICS. Aetna Inc. and its subsidiary companies do not endorse any of the products or services available through EHG. 0000006711 00000 n 0000007081 00000 n 0000001319 00000 n The cookie is used to store the user consent for the cookies in the category "Performance". $123.00 This code is not to be used for bases and liners when all caries has been removed. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features.

The service requested is not covered under the plan for the dental care of a specific condition, but an allowance up to the amount of an alternate covered service(s) is available. D2392 Resin-based composite two surfaces, posterior. a(.UshoW&GamUK6C\Vq_~k(0^9;L^ Need any assistance with D2392 Dental Code or any other dental billing matters? The service requires full JavaScript support in order to view this website. Gingivectomies and Gingivoplasties, Figure 17. What is dental Code D2999? Veneers are reported using codes D2960 to D2962. D2392 Class II $26 3$169 $233 Crown (Porcelain & High Noble Metal) D2750 Class III $354 3$920 $1,209 Orthodontics (Braces) D8080 Class IV $2,0453 $4,8033 $6,296 New York thus your total out-of-pocket cost will be $75. 0000011667 00000 n 94 0 obj <>/Filter/FlateDecode/ID[<8BF460A43C550941AE38FFB2C5D3284C>]/Index[67 49]/Info 66 0 R/Length 119/Prev 170514/Root 68 0 R/Size 116/Type/XRef/W[1 2 1]>>stream

Adjunctive General Services.

%%EOF (b) The current, most common ABP provision included in dental plans offered and/or administered by Aetna in this situation is as follows: "Alternate Treatment Rule If more than one service can be used to treat a covered persons dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that both of the following terms are met: (c) The following are two examples of how Aetna administers this alternate benefit provision: Alternate benefit of a removable partial denture for a fixed bridge. 0000001516 00000 n

19 0 obj <> endobj 0000019638 00000 n Aetna may apply any rates that it has negotiated with a dentist for the services provided or to apply the express terms of the CDT Code on Dental Procedures and Nomenclature in adjudicating claims for covered services under any applicable dental benefits plan. xref WebHealth Costs Dental Cost Estimates White (Resin) Dental Filling: Two Surfaces, Anterior CDT Code D2331 A white (resin) dental filling on two anterior surfaces (incisors and canine teeth), primary or permanent. This process is automatic. Diagnostic (D0100-D0999) D0120 periodic oral evaluation established patient: $51.27: D2392 resin-based composite two surfaces, posterior: $225.46: D2393 resin-based composite three surfaces, posterior: $278.55: LR(f%*[/]5`-6.

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Aetna does not automatically change a dentists submitted procedure code to a less complex or lower-cost code, subject to the following: (a) A submitted code may be changed when a professional review of the submitted charges and supporting clinical information such as x-rays, photographs, periodontal charting, narratives, and treatment notes, indicates that the original coding may have been inappropriate; and (b) Aetna will adjudicate claims in accordance with the terms, exclusions and limitations of a member s dental benefits plan, including, but not limited to, any contractual alternate treatment/alternate benefit provisions (ABP). D2391 (composite) = D2140 (substitute amalgam code) D2392 (composite) = D2150 (substitute 0000067492 00000 n 0000080921 00000 n Full Mouth Debridement, Figure 22. procedure by report CDT Code may be considered (e.g., D2999 unspecified restorative procedure, by report). We also use third-party cookies that help us analyze and understand how you use this website. D2542 Dental Code Removal of Impacted Teeth, Figure 27. startxref crosswalks/crosswalk_content.php?set=DENTAL&c=D2392, commercial-payers/commercial-payers-content.php?set=DENTAL&c=D2392, NPI Look-Up Tool (National Provider Identifier). Periodontics.

Enjoy a guided tour of FindACode's many features and tools. hXn8}}gH Hf&M2Ll~(hHII>K8iLJ"{/y9RFHZr2NR0LXR4EDb=J-{Kz|H3P>4uBeFm=$:Qu&vhlYGEpEc@4|f_%"1hPOf8G.8$oXE{;q0TUnu0X. nu

The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".

0000005932 00000 n 0000012653 00000 n Bone Replacement Grafts, Figure 28. 71 0 obj << /Linearized 1 /O 73 /H [ 832 333 ] /L 72069 /E 7371 /N 17 /T 70531 >> endobj xref 71 19 0000000016 00000 n 115 0 obj <>stream

Periodontics. www.dentistryiq.com is using a security service for protection against online attacks. 0000006316 00000 n 0000007008 00000 n 4157 0 obj <>stream Posterior Resin-Based Composite Restorations, Figure 10. 19 61 0000009426 00000 n

Surgical.

We will conform the updates youve sent for D2392 Dental Code or any other dental billing CDT codes and publish them upon confirmation. WebWhat is D2392 Dental Code? Found new information for D2392 Dental Code?

Osseous Surgery and Bone Grafts, Figure 20. %PDF-1.6 % 0000066046 00000 n Scaling and Root Planing, Figure 21. 0000061349 00000 n As such, a dentist is also obligated to select the appropriate diagnosis codefor patient records and claim submission.

Surgical. Aetna Dental works with ClaimConnectTM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice. You also have the option to opt-out of these cookies. www.dentistryiq.com is using a security service for protection against online attacks. Major Complications or Comorbidities (MCC/CC), Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties, See fees for ALL localities (all ZIP codes) as well as National fees, Load UNLIMITED Fee Schedules with your fees or fees from your payers, Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter. s)>rcVTOgJAx+jSW8{6!z6 hb`````f`c`ed@ A f@ ?@HcN3osW6``h@d`a@,hT!M:\ jE*B7710bra,f&6-Y@!;Nm6e7#1g3F5 T yI `(1Cd-k;(@ JS WebD2392 Resin - 2 surfaces, posterior 90 198 108 D2394 Resin - 3 surfaces, posterior 113 285 172 A Cost* SAVE UHP Typical You CODE CODE A Cost* SAVE CODE ENDODONTIC PROCEDURES (Root Canal Therapy) D3110 Pulp cap - direct (excl final restoration) 25 75 50 Board Certified dental specialists ENDODONTICS (Root Canal Therapy) D3310 Root Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. CDTCodes.org provides updated D2392 Dental Code information and dental billing codes. 0000000727 00000 n Prosthodontics and Implant Services. You are advised to ensure that when you select to use D2392 Dental Code in the dental procedure billing, you be sure to check if there is a different CDT codes, as alternative dental procedure code that fits better, to ensure your process is done currently and that you have selected the best CDT code matching the procedure you are billing for. hnT1_o[.R K6UD ICV*'X3_r.2?I3 0Wf2x"/ BAHNo4"ZS^qbe/j:t_x{)G ) hL0EKXUI%!M (P (b|t9c;Fd;d,B[ g*db 0000009315 00000 n This means that only those services that are specifically listed are covered under the plan. Sealants, Figure 6. D2392 Dental Code is the dental procedure billing code for Resin Based Composite Two Surfaces, Posterior. 0000070862 00000 n Palliative (Emergency) Treatment of Dental Pain, Figure 30. D2510 Dental Code hbbd``b`^$AU $,AD6l Rb} $ .e$"h ,@o RHv&FK@# L im In addition, teeth that are periodontally involved and exhibit excessive bone loss or exposed roots are considered as routine removal of teeth. Dental Prophylaxis for Adults and Children, Figure 3. 0000002965 00000 n 0000006913 00000 n This cookie is set by GDPR Cookie Consent plugin. 0000077275 00000 n Register now for Aetna's provider website on Availity.

%PDF-1.5 %

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Pulpotomies and Endodontic Therapy, Figure 15. Clinical Crown Lengthening - Hard Tissue, Figure 18. 0000001894 00000 n Restorative. D2394 Resin-based composite - four or more surfaces, posterior. Thank you for choosing Find-A-Code, please Sign In to remove ads. Most Aetna plans contain contractual ABP language, although these provisions may vary among employers (and other plan sponsors, such as unions). $hUR7D vHw*d kjL/@V20@ Eh

WebThe OCC Dental Insurance Program consists of two dental options: A preferred provider organization (PPO) and a dental health maintenance organization (DHMO). What are some examples of how providers can receive incentives? These ABP provisions can operate in various situations including, but not limited to, the following common general examples: 1. Aetna considers fully erupted teeth (primary or permanent) extracted for orthodontic or non-orthodontic purposes to be the "routine removal of tooth structure and closure, as necessary". 136 0 obj <>stream No charge. In addition, the information above does not apply to Aetna's adjudication of claims involving dental procedure codes if submitted for covered services under an Aetna medical benefits plan. 0000032208 00000 n

0000008890 00000 n D2394 Dental Code CDT codes, also known as Current Dental Terminology, are a reference manual codes published annually by the ADA (American Dental Association), and used to reference the code on dental procedures and nomenclature (CDT Code) by dentists and dental facilities as well as the dental insurance companies. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool. WebD2392 Resin-based composite - two surfaces, posterior $266 $110$156 D2393 Resin-based composite - three surfaces, posterior $324 $140$184 D2394 Resin-based composite - four Calculated for National Unadjusted (00000). WebSCHEDULE OF DENTAL BENEFITS TABLE OF DENTAL PROCEDURES SEE LIMITATIONS ON LAST PAGE D2335, D2391, D2392, D2393, D2394, D2990, D9911 also contribute(s) to this limitation. It is anticipated that the dental contracts will reimburse the following codes to the same extent as they would have for an amalgam of similar size on the same tooth. endstream endobj 4158 0 obj <>stream

0000000832 00000 n 3 What is the dental insurance code for recement Crown? 0000008475 00000 n endstream endobj startxref WebCIGNA Dental Care Patient Charge Schedule (DC-07) Code Procedure Description Patient Coinsurance D2780 Crown 3/4 Cast High Noble Metal $285.00 D2781 Crown 3/4 Cast Aetna may deny or adjust claims for covered services in accordance with the terms of the applicable dental benefits plan or plans. Surgical. 0000002211 00000 n Periodontics. Teeth considered to exhibit difficulty upon removal, such as teeth that demonstrate advanced caries, large restorations, crowns, or a history of root canal therapy may be considered as surgical extractions/removal (D7210).