DentalCode

All dental procedure codes

Every code on the site, grouped by category of service. Filter by code number or by what the procedure is called, then follow one for its fee range, coverage notes and how it differs from the codes beside it.

478 codes

Diagnostic (17)

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Code Procedure Typical fee
D0120 Periodic oral evaluation (recall exam) $35–$120
D0140 Limited oral evaluation (problem-focused) $55–$185
D0145 Oral evaluation for a child under 3 $45–$150
D0150 Comprehensive oral evaluation $85–$300
D0160 Detailed & extensive oral evaluation (by report) $150–$500
D0170 Re-evaluation (limited, problem-focused) $45–$150
D0180 Comprehensive periodontal evaluation $95–$320
D0210 Full-mouth series of X-rays (complete series) $110–$275
D0220 Periapical X-ray (first image) $25–$75
D0240 Occlusal X-ray image $25–$80
D0270 Single bitewing X-ray $25–$65
D0274 Bitewing X-rays — four images $55–$140
D0330 Panoramic X-ray $85–$220
D0367 Cone beam CT (CBCT) scan — full head/jaws $250–$800
D0431 Oral cancer screening (adjunctive test) $25–$100
D0460 Pulp vitality tests $35–$110
D0470 Diagnostic casts (study models) $85–$350

Preventive (8)

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Code Procedure Typical fee
D1110 Adult cleaning (prophylaxis) $85–$220
D1120 Child cleaning (prophylaxis) $85–$220
D1206 Fluoride varnish application $30–$85
D1208 Topical fluoride (gel or foam, not varnish) $30–$85
D1351 Dental sealant (per tooth) $40–$110
D1352 Preventive resin restoration (PRR) $60–$180
D1354 Silver diamine fluoride (caries arrest) $25–$90
D1510 Space maintainer — fixed, unilateral $250–$600

Restorative (77)

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Code Procedure Typical fee
D2140 Amalgam filling — one surface (silver filling) $110–$290
D2150 Amalgam filling — two surfaces $145–$375
D2160 Amalgam filling — three surfaces $175–$465
D2161 Amalgam filling — four or more surfaces $210–$550
D2330 Composite filling — one surface, front tooth $170–$400
D2331 Composite filling — two surfaces, front tooth $215–$505
D2332 Composite filling — three surfaces, front tooth $260–$610
D2335 Composite filling — 4+ surfaces, front tooth $305–$710
D2391 Composite filling — one surface, posterior $150–$350
D2392 Composite filling — two surfaces, posterior $195–$455
D2393 Composite filling — three surfaces, posterior $240–$560
D2394 Composite filling — 4+ surfaces, posterior $285–$665
D2510 Metallic inlay — one surface $735–$1,575
D2520 Metallic inlay — two surfaces $865–$1,860
D2530 Metallic inlay — three or more surfaces $1,000–$2,140
D2542 Metallic onlay — two surfaces $1,075–$2,275
D2543 Metallic onlay — three surfaces $1,210–$2,550
D2544 Metallic onlay — four or more surfaces $1,345–$2,835
D2610 Porcelain inlay — one surface $800–$1,710
D2620 Porcelain inlay — two surfaces $940–$2,020
D2630 Porcelain inlay — three or more surfaces $1,085–$2,325
D2642 Porcelain onlay — two surfaces $1,170–$2,470
D2643 Porcelain onlay — three surfaces $1,310–$2,770
D2644 Porcelain onlay — four or more surfaces $1,460–$3,080
D2650 Composite inlay — one surface $700–$1,500
D2651 Composite inlay — two surfaces $825–$1,770
D2652 Composite inlay — three or more surfaces $950–$2,040
D2662 Composite onlay — two surfaces $1,025–$2,165
D2663 Composite onlay — three surfaces $1,150–$2,430
D2664 Composite onlay — four or more surfaces $1,280–$2,700
D2710 Crown — indirect resin-based composite $835–$1,935
D2712 Crown — 3/4 indirect resin-based composite $835–$1,935
D2720 Crown — resin with high noble metal $1,195–$2,770
D2721 Crown — resin with predominantly base metal $950–$2,200
D2722 Crown — resin with noble metal $1,065–$2,465
D2740 Crown — porcelain/ceramic $1,000–$2,500
D2750 Crown — porcelain fused to high noble metal $1,215–$2,815
D2751 Crown — porcelain fused to base metal $950–$2,200
D2752 Crown — porcelain fused to noble metal $1,085–$2,510
D2753 Crown — porcelain fused to titanium $1,045–$2,420
D2780 Crown — 3/4 cast high noble metal $1,275–$2,950
D2783 Crown — 3/4 porcelain/ceramic $1,100–$2,550
D2790 Crown — full cast high noble metal $1,275–$2,950
D2791 Crown — full cast predominantly base metal $950–$2,200
D2792 Crown — full cast noble metal $1,120–$2,595
D2794 Crown — titanium and titanium alloys $1,045–$2,420
D2799 Provisional (temporary) crown $300–$750
D2910 Recement inlay, onlay, or partial coverage restoration $110–$320
D2915 Recement cast or prefabricated post and core $110–$320
D2920 Recement crown $110–$320
D2921 Reattachment of tooth fragment (incisal edge or cusp) $220–$650
D2929 Prefabricated porcelain/ceramic crown — primary tooth $340–$800
D2930 Prefabricated stainless steel crown — primary tooth $260–$600
D2931 Prefabricated stainless steel crown — permanent tooth $260–$600
D2932 Prefabricated resin crown $340–$800
D2933 Stainless steel crown with resin window $260–$600
D2934 Esthetic coated stainless steel crown — primary tooth $260–$600
D2940 Protective (interim direct) restoration / sedative filling $110–$300
D2941 Interim therapeutic restoration (baby teeth) $130–$340
D2949 Restorative foundation for an indirect restoration $150–$420
D2950 Core buildup, including any pins when required $150–$420
D2951 Pin retention — per tooth, in addition to restoration $60–$180
D2952 Post & core (cast, in addition to crown) $400–$900
D2953 Each additional indirectly fabricated post — same tooth $200–$500
D2954 Post & core (prefabricated, in addition to crown) $280–$700
D2955 Post removal $250–$700
D2956 Removal of an indirect restoration on a natural tooth $180–$500
D2960 Composite veneer (chairside / direct bonding) $350–$900
D2961 Composite veneer (laboratory-fabricated) $600–$1,300
D2962 Labial veneer (porcelain laminate) — indirect $1,000–$2,800
D2975 Coping $400–$950
D2980 Crown repair necessitated by restorative material failure $180–$600
D2981 Inlay repair necessitated by restorative material failure $180–$600
D2982 Onlay repair necessitated by restorative material failure $180–$600
D2983 Veneer repair necessitated by restorative material failure $180–$600
D2990 Resin infiltration of incipient smooth surface lesions $180–$500
D2999 Unspecified restorative procedure (by report) —

Endodontics (45)

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Code Procedure Typical fee
D3110 Pulp cap — direct (excluding final restoration) $80–$250
D3120 Pulp cap — indirect (excluding final restoration) $70–$220
D3220 Therapeutic pulpotomy (excluding final restoration) $200–$500
D3221 Pulpal debridement, primary and permanent teeth $180–$480
D3222 Partial pulpotomy for apexogenesis — permanent tooth with incomplete root development $280–$700
D3230 Pulpal therapy (resorbable filling) — anterior, primary tooth (excluding final restoration) $280–$650
D3240 Pulpal therapy (resorbable filling) — posterior, primary tooth (excluding final restoration) $350–$800
D3310 Endodontic therapy, anterior tooth (excluding final restoration) $700–$1,400
D3320 Endodontic therapy, premolar tooth (excluding final restoration) $800–$1,600
D3330 Endodontic therapy, molar tooth (excluding final restoration) $1,000–$2,000
D3331 Treatment of root canal obstruction; non-surgical access $250–$700
D3332 Incomplete endodontic therapy; inoperable, unrestorable, or fractured tooth $300–$900
D3333 Internal root repair of perforation defects $350–$1,000
D3346 Retreatment of previous root canal therapy — anterior $900–$1,700
D3347 Retreatment of previous root canal therapy — premolar $1,000–$1,900
D3348 Retreatment of previous root canal therapy — molar $1,200–$2,400
D3351 Apexification — initial visit $400–$1,000
D3352 Apexification — interim medication replacement $150–$400
D3353 Apexification — final visit $400–$1,000
D3355 Pulpal regeneration — initial visit $600–$1,500
D3410 Apicoectomy — anterior tooth $900–$1,800
D3421 Apicoectomy — premolar (first root) $1,000–$2,000
D3425 Apicoectomy — molar (first root) $1,100–$2,300
D3426 Apicoectomy — each additional root $350–$800
D3427 Periradicular surgery without apicoectomy $800–$1,700
D3428 Bone graft with periradicular surgery (single site) $400–$1,000
D3430 Retrograde (root-end) filling — per root $300–$700
D3431 Biologic materials with periradicular surgery $300–$800
D3432 Guided tissue regeneration with root surgery $400–$1,100
D3450 Root amputation — per root $400–$1,100
D3460 Endodontic endosseous implant $900–$2,200
D3470 Intentional reimplantation $800–$2,000
D3471 Surgical repair of root resorption — anterior $500–$1,400
D3472 Surgical repair of root resorption — premolar $500–$1,400
D3473 Surgical repair of root resorption — molar $500–$1,400
D3501 Surgical exposure of root surface — anterior $500–$1,400
D3502 Surgical exposure of root surface — premolar $500–$1,400
D3503 Surgical exposure of root surface — molar $500–$1,400
D3910 Surgical isolation of tooth with rubber dam $150–$400
D3911 Intraorifice barrier $60–$180
D3920 Hemisection (including any root removal), not including root canal therapy $500–$1,300
D3921 Decoronation or submergence of an erupted tooth $400–$1,100
D3950 Canal preparation and fitting of preformed dowel/post $150–$400
D3960 Bleaching of discolored tooth (non-vital, internal) $300–$800
D3999 Unspecified endodontic procedure (by report) —

Periodontics (16)

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Code Procedure Typical fee
D4210 Gingivectomy / gingivoplasty (4+ teeth) $500–$1,300
D4211 Gingivectomy/gingivoplasty — 1–3 teeth $250–$700
D4240 Gingival flap surgery with root planing (4+ teeth) $700–$1,600
D4249 Clinical crown lengthening (hard tissue) $800–$1,900
D4260 Osseous surgery (4+ teeth per quadrant) $900–$2,200
D4263 Bone graft around a natural tooth (first site) $500–$1,300
D4264 Bone graft around a natural tooth (additional site) $300–$800
D4266 Guided tissue regeneration — resorbable membrane $500–$1,400
D4267 Guided tissue regeneration — non-resorbable membrane $700–$1,800
D4273 Connective tissue graft (gum graft) $900–$2,200
D4341 Scaling & root planing, 4+ teeth per quadrant $250–$600
D4342 Scaling & root planing, 1-3 teeth per quadrant $150–$400
D4346 Full-mouth scaling for gum inflammation $180–$450
D4355 Full mouth debridement (to enable evaluation) $160–$400
D4381 Localized antibiotic delivery (per tooth) $70–$200
D4910 Periodontal maintenance $120–$300

Prosthodontics, removable (50)

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Code Procedure Typical fee
D5110 Complete upper denture (maxillary) $1,400–$3,200
D5120 Complete lower denture (mandibular) $1,400–$3,200
D5130 Immediate denture — upper (maxillary) $1,700–$3,800
D5140 Immediate denture — lower (mandibular) $1,700–$3,800
D5211 Partial denture — upper, resin base $900–$2,000
D5212 Partial denture — lower, resin base $900–$2,000
D5213 Upper partial denture, cast metal framework $1,500–$3,500
D5214 Lower partial denture, cast metal framework $1,500–$3,500
D5221 Immediate upper partial denture (resin base) $900–$2,000
D5223 Immediate maxillary partial denture — cast metal framework $1,500–$3,500
D5224 Immediate mandibular partial denture — cast metal framework $1,500–$3,500
D5225 Maxillary partial denture — flexible base $1,200–$2,800
D5226 Mandibular partial denture — flexible base $1,200–$2,800
D5227 Immediate maxillary partial denture — flexible base $1,200–$2,800
D5228 Immediate mandibular partial denture — flexible base $1,200–$2,800
D5282 Removable unilateral partial denture — one-piece cast metal (maxillary, per quadrant) $1,500–$3,500
D5286 Removable unilateral partial denture — one-piece flexible base (per quadrant) $1,200–$2,800
D5410 Adjust complete upper denture $60–$180
D5511 Repair broken complete denture base (lower) $180–$500
D5512 Repair broken complete denture base, maxillary $180–$500
D5520 Replace missing/broken denture teeth $150–$400
D5611 Repair resin partial denture base, mandibular $180–$500
D5622 Repair cast partial framework, maxillary $180–$500
D5650 Add a tooth to an existing partial denture $200–$550
D5660 Add a clasp to an existing partial denture $200–$550
D5671 Replace all teeth and acrylic on cast metal framework (mandibular) $180–$500
D5710 Rebase complete maxillary denture $450–$1,100
D5711 Rebase complete mandibular denture $450–$1,100
D5720 Rebase maxillary partial denture $400–$1,000
D5721 Rebase mandibular partial denture $400–$1,000
D5725 Rebase hybrid prosthesis $600–$1,500
D5730 Reline complete upper denture (chairside/direct) $250–$650
D5740 Reline maxillary partial denture (chairside) $250–$600
D5741 Reline mandibular partial denture (chairside) $250–$600
D5750 Reline complete upper denture (lab/indirect) $350–$850
D5760 Reline maxillary partial denture (laboratory) $320–$800
D5761 Reline mandibular partial denture (laboratory) $320–$800
D5765 Soft liner for complete or partial removable denture (indirect) $300–$800
D5810 Interim complete denture (maxillary) $700–$1,600
D5811 Interim complete denture (mandibular) $700–$1,600
D5820 Interim partial denture (maxillary) $500–$1,300
D5821 Interim partial denture (mandibular) $500–$1,300
D5850 Tissue conditioning, upper denture $120–$350
D5862 Precision attachment (denture anchor), per pair $400–$1,100
D5863 Overdenture — complete, on natural teeth (upper) $1,800–$4,000
D5864 Overdenture — partial maxillary $1,600–$3,600
D5865 Overdenture — complete, on natural teeth (lower) $1,800–$4,000
D5866 Overdenture — partial, mandibular $1,600–$3,600
D5876 Add metal substructure to acrylic denture $300–$800
D5899 Unspecified removable prosthodontic procedure, by report —

Maxillofacial prosthetics (39)

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Code Procedure Typical fee
D5911 Facial moulage (sectional) $1,500–$6,000
D5912 Facial moulage (complete) $1,500–$6,000
D5913 Nasal prosthesis $3,000–$15,000
D5915 Orbital prosthesis $3,000–$15,000
D5916 Ocular prosthesis $3,000–$15,000
D5919 Facial prosthesis $3,000–$15,000
D5922 Nasal septal prosthesis $3,000–$15,000
D5923 Ocular prosthesis, interim $3,000–$15,000
D5924 Cranial prosthesis $3,000–$15,000
D5925 Facial augmentation implant prosthesis $3,000–$15,000
D5926 Nasal prosthesis, replacement $3,000–$15,000
D5928 Orbital prosthesis, replacement $3,000–$15,000
D5929 Facial prosthesis, replacement $3,000–$15,000
D5931 Obturator prosthesis, surgical $1,200–$4,000
D5932 Obturator prosthesis, definitive $2,500–$8,000
D5933 Obturator prosthesis, modification $400–$1,200
D5934 Mandibular resection prosthesis with guide flange $3,000–$9,000
D5935 Mandibular resection prosthesis without guide flange $2,500–$8,000
D5936 Obturator prosthesis, interim $1,500–$5,000
D5937 Trismus appliance (not for TMD treatment) $800–$2,500
D5951 Feeding aid $500–$1,500
D5952 Speech aid prosthesis, pediatric $1,500–$5,000
D5953 Speech aid prosthesis, adult $1,800–$6,000
D5954 Palatal augmentation prosthesis $1,500–$6,000
D5955 Palatal lift prosthesis, definitive $1,500–$6,000
D5958 Palatal lift prosthesis, interim $1,500–$6,000
D5959 Palatal lift prosthesis, modification $1,500–$6,000
D5960 Speech aid prosthesis, modification $500–$1,800
D5982 Surgical stent $400–$1,200
D5983 Radiation carrier $500–$1,500
D5984 Radiation shield $500–$1,500
D5985 Radiation cone locator $500–$1,500
D5986 Fluoride gel carrier $200–$600
D5987 Commissure splint $600–$1,800
D5988 Surgical splint $600–$1,800
D5991 Vesiculobullous disease medicament carrier $300–$900
D5992 Adjust maxillofacial prosthetic appliance, by report $150–$500
D5993 Maintenance and cleaning of a maxillofacial prosthesis, by report $100–$400
D5999 Unspecified maxillofacial prosthesis, by report —

Implant services (65)

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Code Procedure Typical fee
D6010 Surgical placement of implant body $1,500–$3,500
D6011 Second stage implant surgery (uncovering) $300–$800
D6012 Interim implant body placement (transitional) $900–$2,200
D6013 Surgical placement of a mini implant $800–$2,000
D6040 Eposteal (subperiosteal) implant $2,500–$6,000
D6050 Transosteal implant $2,500–$6,000
D6051 Interim implant abutment placement $400–$1,000
D6055 Implant connecting bar (for overdenture) $900–$2,400
D6056 Prefabricated implant abutment $500–$1,200
D6057 Custom implant abutment $700–$1,700
D6058 Abutment-supported porcelain/ceramic crown $1,390–$3,250
D6059 Abutment-supported PFM crown (high noble metal) $1,535–$3,585
D6060 Abutment-supported PFM crown (base metal) $1,200–$2,800
D6061 Abutment-supported PFM crown (noble metal) $1,370–$3,190
D6062 Abutment-supported cast metal crown (high noble) $1,610–$3,750
D6063 Abutment-supported cast metal crown (base metal) $1,200–$2,800
D6064 Abutment-supported cast metal crown (noble metal) $1,415–$3,305
D6065 Implant-supported crown (porcelain) $1,370–$3,190
D6066 Implant-supported crown, porcelain fused to metal $1,200–$2,800
D6067 Implant-supported metal crown (high noble alloys) $1,610–$3,750
D6068 Abutment-supported retainer, porcelain/ceramic FPD $1,390–$3,250
D6069 Abutment-supported retainer, PFM FPD (high noble) $1,535–$3,585
D6070 Abutment-supported retainer, PFM FPD (base metal) $1,200–$2,800
D6071 Abutment-supported retainer, PFM FPD (noble metal) $1,370–$3,190
D6072 Abutment-supported retainer, cast metal FPD (high noble) $1,610–$3,750
D6073 Abutment-supported retainer, cast metal FPD (base metal) $1,200–$2,800
D6074 Abutment-supported retainer, cast metal FPD (noble metal) $1,415–$3,305
D6075 Implant-supported retainer, ceramic FPD $1,390–$3,250
D6076 Implant-supported retainer, PFM FPD (high noble alloys) $1,535–$3,585
D6077 Implant-supported retainer, cast metal FPD (high noble alloys) $1,610–$3,750
D6080 Implant maintenance (cleaning) procedure $120–$350
D6081 Implant scaling & debridement (mucositis) $150–$450
D6082 Implant-supported PFM crown (predominantly base alloys) $1,200–$2,800
D6083 Implant-supported PFM crown (noble alloys) $1,370–$3,190
D6086 Implant-supported PFM crown (titanium/titanium alloys) $1,320–$3,080
D6087 Implant-supported crown (noble alloys) $1,415–$3,305
D6088 Implant-supported crown (titanium/titanium alloys) $1,320–$3,080
D6090 Repair implant-supported prosthesis, by report $200–$900
D6091 Replacement of semi-precision/precision attachment component $150–$450
D6092 Re-cement/re-bond implant/abutment-supported crown $120–$350
D6093 Re-cement/re-bond implant/abutment-supported FPD $180–$500
D6094 Abutment-supported crown (titanium/titanium alloys) $1,320–$3,080
D6095 Repair implant abutment, by report $250–$800
D6096 Remove broken implant retaining screw $300–$900
D6098 Implant-supported retainer crown, PFM (predominantly base alloys) $1,200–$2,800
D6099 Implant-supported retainer crown, PFM (noble alloys) $1,370–$3,190
D6100 Implant removal (surgical) $500–$1,500
D6101 Debridement of peri-implant defect (with flap) $600–$1,600
D6102 Debridement & osseous contouring of peri-implant defect $800–$2,000
D6103 Bone graft for peri-implant defect $700–$1,800
D6104 Bone graft at time of implant placement $500–$1,300
D6105 Removal of implant body (no bone graft/membrane) $400–$1,200
D6110 Implant overdenture — upper (full arch) $2,500–$6,000
D6111 Implant overdenture — lower (full arch) $2,500–$6,000
D6114 Full-arch fixed implant denture, upper $8,000–$22,000
D6115 Implant/abutment-supported fixed denture, edentulous arch (mandibular) $8,000–$22,000
D6116 Implant/abutment-supported fixed denture, partially edentulous arch (maxillary) $6,000–$16,000
D6117 Implant/abutment-supported fixed denture, partially edentulous arch (mandibular) $6,000–$16,000
D6118 Implant/abutment-supported interim fixed denture, edentulous arch (mandibular) $2,000–$5,000
D6119 Implant/abutment-supported interim fixed denture, edentulous arch (maxillary) $2,000–$5,000
D6120 Implant-supported retainer crown, PFM (titanium and titanium alloys) $1,320–$3,080
D6121 Implant-supported retainer crown, full cast metal (predominantly base alloys) $1,200–$2,800
D6122 Implant-supported retainer crown, full cast metal (noble alloys) $1,415–$3,305
D6123 Implant-supported retainer crown, full cast metal (titanium and titanium alloys) $1,320–$3,080
D6190 Radiographic/surgical implant index (guide) $300–$900

Prosthodontics, fixed (5)

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Code Procedure Typical fee
D6240 Pontic — porcelain fused to metal (bridge tooth) $900–$2,100
D6245 Pontic — porcelain/ceramic (bridge tooth) $1,045–$2,435
D6740 Bridge retainer crown — porcelain/ceramic $1,100–$2,550
D6750 Bridge retainer crown — porcelain fused to metal $950–$2,200
D6930 Re-cement or re-bond a bridge $150–$420

Oral & maxillofacial surgery (129)

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Code Procedure Typical fee
D7111 Extraction, coronal remnants — primary tooth $150–$400
D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) $200–$500
D7210 Surgical removal of erupted tooth (flap, bone removal and/or sectioning) $300–$700
D7220 Removal of impacted tooth — soft tissue $350–$800
D7230 Removal of impacted tooth — partially bony $450–$1,000
D7240 Removal of impacted tooth — completely bony $550–$1,300
D7241 Removal of impacted tooth — completely bony, with unusual surgical complications $700–$1,700
D7250 Removal of residual tooth roots (cutting procedure) $250–$650
D7251 Coronectomy — intentional partial tooth removal (impacted teeth) $500–$1,200
D7260 Oroantral fistula closure $700–$1,900
D7261 Primary closure of a sinus perforation $450–$1,200
D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth $400–$1,200
D7280 Exposure of an unerupted tooth (surgical access) $400–$1,100
D7283 Placement of device to facilitate eruption of impacted tooth $250–$700
D7285 Biopsy of oral tissue — hard (bone, tooth) $450–$1,200
D7286 Biopsy of oral tissue — soft $300–$800
D7295 Harvest of bone for use in autogenous grafting procedure $600–$1,600
D7296 Corticotomy — one to three teeth or tooth spaces, per quadrant $500–$1,400
D7297 Corticotomy — four or more teeth or tooth spaces, per quadrant $700–$1,900
D7298 Removal of temporary anchorage device [screw retained plate], requiring flap $300–$900
D7310 Alveoloplasty in conjunction with extractions — 4+ teeth/spaces per quadrant $400–$1,000
D7311 Alveoloplasty in conjunction with extractions — 1 to 3 teeth/spaces per quadrant $250–$650
D7320 Alveoloplasty NOT in conjunction with extractions — 4+ teeth/spaces per quadrant $500–$1,200
D7321 Alveoloplasty NOT in conjunction with extractions — 1 to 3 teeth/spaces per quadrant $300–$750
D7340 Vestibuloplasty — ridge extension (secondary epithelialization) $900–$2,400
D7350 Vestibuloplasty — ridge extension (including soft tissue grafts) $1,200–$3,200
D7410 Excision of benign lesion — up to 1.25 cm $400–$1,000
D7411 Excision of benign lesion — greater than 1.25 cm $600–$1,500
D7412 Excision of benign lesion — complicated $900–$2,200
D7413 Excision of malignant lesion — up to 1.25 cm $700–$1,800
D7414 Excision of malignant lesion — greater than 1.25 cm $1,100–$2,800
D7415 Excision of malignant lesion — complicated $1,500–$4,000
D7440 Excision of malignant tumor — lesion diameter up to 1.25 cm $900–$2,400
D7441 Excision of malignant tumor — lesion diameter greater than 1.25 cm $1,500–$4,000
D7450 Removal of benign odontogenic cyst or tumor — up to 1.25 cm $700–$1,800
D7451 Removal of benign odontogenic cyst or tumor — greater than 1.25 cm $1,300–$3,500
D7460 Removal of benign nonodontogenic cyst or tumor — up to 1.25 cm $700–$1,800
D7461 Removal of benign nonodontogenic cyst or tumor — greater than 1.25 cm $1,300–$3,500
D7465 Destruction of lesion(s) by physical or chemical method, by report $250–$700
D7471 Removal of lateral exostosis (maxilla or mandible) $500–$1,300
D7472 Removal of torus palatinus $700–$1,800
D7473 Removal of torus mandibularis $700–$1,800
D7485 Surgical reduction of osseous tuberosity $400–$1,100
D7490 Radical resection of maxilla or mandible $5,000–$20,000
D7509 Marsupialization of odontogenic cyst $600–$1,600
D7510 Incision and drainage of abscess — intraoral soft tissue $250–$600
D7511 Incision and drainage of abscess — intraoral soft tissue, complicated $400–$1,000
D7520 Incision and drainage of abscess — extraoral soft tissue $400–$1,000
D7521 Incision and drainage of abscess — extraoral soft tissue, complicated $600–$1,500
D7530 Removal of foreign body — from mucosa, skin, or subcutaneous alveolar tissue $300–$800
D7540 Removal of reaction-producing foreign bodies — musculoskeletal system $600–$1,600
D7550 Partial ostectomy/sequestrectomy for removal of non-vital bone $600–$1,600
D7560 Maxillary sinusotomy for removal of tooth fragment or foreign body $900–$2,400
D7610 Maxilla — open reduction (teeth immobilized, if present) $2,000–$9,000
D7620 Maxilla — closed reduction (teeth immobilized, if present) $2,000–$9,000
D7630 Mandible — open reduction (teeth immobilized, if present) $2,000–$9,000
D7640 Mandible — closed reduction (teeth immobilized, if present) $2,000–$9,000
D7650 Malar and/or zygomatic arch — open reduction $2,000–$9,000
D7660 Malar and/or zygomatic arch — closed reduction $2,000–$9,000
D7670 Alveolus — closed reduction, may include stabilization of teeth $2,000–$9,000
D7671 Alveolus — open reduction, may include stabilization of teeth $2,000–$9,000
D7680 Facial bones — complicated reduction with fixation and multiple surgical approaches $2,000–$9,000
D7710 Maxilla — open reduction (compound/open fracture) $2,000–$9,000
D7720 Maxilla — closed reduction (compound/open fracture) $2,000–$9,000
D7730 Mandible — open reduction (compound/open fracture) $2,000–$9,000
D7740 Mandible — closed reduction (compound/open fracture) $2,000–$9,000
D7750 Malar and/or zygomatic arch — open reduction (compound/open fracture) $2,000–$9,000
D7760 Malar and/or zygomatic arch — closed reduction (compound/open fracture) $2,000–$9,000
D7770 Alveolus — open reduction stabilization of teeth (compound/open fracture) $2,000–$9,000
D7771 Alveolus — closed reduction stabilization of teeth (compound/open fracture) $2,000–$9,000
D7780 Facial bones — complicated reduction with fixation and multiple surgical approaches (compound/open) $2,000–$9,000
D7810 Open reduction of dislocation (TMJ) $1,500–$4,500
D7820 Closed reduction of dislocation (TMJ) $400–$1,200
D7830 Manipulation under anesthesia (TMJ) $600–$1,800
D7840 Condylectomy (TMJ) $2,000–$8,000
D7850 Surgical discectomy, with/without implant (TMJ) $2,000–$8,000
D7852 Disc repair (TMJ) $2,000–$8,000
D7854 Synovectomy (TMJ) $2,000–$8,000
D7856 Myotomy (TMJ-related) $2,000–$8,000
D7858 Joint reconstruction (TMJ) $2,000–$8,000
D7860 Arthrotomy (TMJ) $2,000–$8,000
D7865 Arthroplasty (TMJ) $2,000–$8,000
D7870 Arthrocentesis (TMJ) $800–$2,200
D7871 Non-arthroscopic lysis and lavage (TMJ) $1,200–$3,000
D7872 Arthroscopy — diagnosis, with or without biopsy (TMJ) $2,000–$8,000
D7873 Arthroscopy: lavage and lysis of adhesions (TMJ) $2,000–$8,000
D7874 Arthroscopy: disc repositioning and stabilization (TMJ) $2,000–$8,000
D7875 Arthroscopy: synovectomy (TMJ) $2,000–$8,000
D7876 Arthroscopy: discectomy (TMJ) $2,000–$8,000
D7877 Arthroscopy: debridement (TMJ) $2,000–$8,000
D7880 Occlusal orthotic device, by report (TMJ/TMD) $600–$1,800
D7881 Occlusal orthotic device adjustment (TMJ/TMD) $80–$250
D7899 Unspecified TMD therapy, by report $2,000–$8,000
D7910 Suture of recent small wounds — up to 5 cm $200–$600
D7911 Complicated suture — up to 5 cm $400–$1,100
D7912 Complicated suture — greater than 5 cm $700–$1,800
D7920 Skin graft (oral/maxillofacial) $800–$2,400
D7921 Collection and application of autologous blood concentrate product $250–$800
D7940 Osteoplasty — for orthognathic deformities $2,000–$7,000
D7941 Osteotomy — mandibular rami $4,000–$12,000
D7943 Osteotomy — mandibular rami with bone graft $5,000–$15,000
D7944 Osteotomy — segmented or subapical $2,500–$8,000
D7945 Osteotomy — body of mandible $4,500–$13,000
D7946 LeFort I (maxilla — total) $5,000–$15,000
D7947 LeFort I (maxilla — segmented) $6,000–$18,000
D7948 LeFort II or LeFort III — without bone graft $8,000–$25,000
D7949 LeFort II or LeFort III — with bone graft $9,000–$28,000
D7951 Sinus lift (lateral/open approach) $1,500–$3,500
D7952 Sinus lift (vertical/crestal approach) $700–$1,800
D7953 Bone graft for ridge/socket preservation $400–$1,100
D7960 Frenulectomy (frenectomy) — retired code, replaced by D7961/D7962 $300–$800
D7961 Buccal / labial frenectomy (frenulectomy) $300–$800
D7962 Lingual frenectomy (frenulectomy) — tongue-tie release $300–$800
D7963 Frenuloplasty $450–$1,200
D7970 Excision of hyperplastic tissue — per arch $400–$1,100
D7971 Excision of pericoronal gingiva $200–$600
D7972 Surgical reduction of fibrous tuberosity $400–$1,100
D7980 Surgical sialolithotomy (salivary stone removal) $700–$2,000
D7981 Excision of salivary gland, by report $1,500–$5,000
D7982 Sialodochoplasty (salivary duct repair) $1,200–$3,500
D7983 Closure of salivary fistula $900–$2,500
D7990 Emergency tracheotomy $1,500–$5,000
D7991 Coronoidectomy $5,000–$15,000
D7993 Surgical placement of craniofacial implant — extra-oral $2,000–$6,000
D7994 Surgical placement: zygomatic implant $2,500–$7,000
D7995 Synthetic graft — mandible or facial bones, by report $800–$2,200
D7997 Appliance removal (not by the dentist who placed it) $150–$500
D7998 Intraoral fixation device (not for a fracture) $400–$1,200
D7999 Unspecified oral surgery procedure, by report —

Orthodontics (7)

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Code Procedure Typical fee
D8080 Comprehensive braces — teens (adolescent) $4,000–$8,000
D8090 Comprehensive braces — adults $4,500–$9,000
D8210 Removable appliance to control a habit $300–$800
D8220 Fixed appliance to control a habit $350–$900
D8660 Pre-orthodontic treatment visit $150–$500
D8670 Periodic orthodontic treatment visit $150–$450
D8680 Orthodontic retention (retainers) $300–$900

Adjunctive general services (20)

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Code Procedure Typical fee
D9110 Palliative treatment for dental pain $90–$280
D9120 Fixed bridge sectioning $150–$450
D9130 TMJ therapy (non-invasive physical therapies) $150–$500
D9215 Local anesthesia with a procedure $0–$60
D9219 Evaluation for sedation/general anesthesia $80–$250
D9222 Deep sedation / general anesthesia, first 15 min $250–$700
D9223 Deep sedation / general anesthesia (per 15 min) $180–$500
D9230 Nitrous oxide (laughing gas) $60–$200
D9239 IV moderate (conscious) sedation — first 15 min $250–$700
D9243 IV moderate (conscious) sedation — each added 15 min $180–$500
D9248 Oral (non-IV) conscious sedation $200–$600
D9310 Consultation (by another dentist/specialist) $100–$350
D9910 Desensitizing medicament application $40–$120
D9911 Desensitizing resin (gumline/root), per tooth $60–$180
D9930 Treatment of post-surgical complications $120–$400
D9944 Occlusal guard — hard, full arch (night guard) $400–$1,000
D9945 Soft night guard, full arch $300–$750
D9951 Occlusal adjustment, limited (bite adjustment) $100–$350
D9972 In-office teeth whitening (per arch) $300–$800
D9975 Take-home teeth whitening (custom trays) $250–$650