D3410 — Apicoectomy — anterior tooth
An apicoectomy is surgery at the tip of a root. D3410 is the version for a front tooth.
Of the nine codes covering apicoectomy and periradicular surgery, this is the one that appears most often on treatment plans, so it is the figure most people are quoted. For the procedure itself — how the appointments run, how long the result lasts, what the alternatives are — see our apicoectomy and periradicular surgery guide.
This page sets out the conditions the code carries, what practices charge for it, how a plan is likely to assess it, and the named difference between it and each of its neighbours.
What the code commits to
Tooth — a front tooth — thinner enamel, a single root, and a result that is judged cosmetically rather than just functionally.
D3410 compared with its closest relatives
D3421 — Apicoectomy — premolar (first root): It applies to premolars rather than front tooths.
D3425 — Apicoectomy — molar (first root): It applies to molars rather than front tooths.
D3426 — Apicoectomy — each additional root: It is the each-additional line that follows it.
D3427 — Periradicular surgery without apicoectomy: It is periradicular surgery in which the root tip is not cut off: the lesion is cleared and the area repaired, but the apex is left intact.
D3410 sits in a group of nine codes in total; the remainder are linked at the foot of this page. The practical point: confirm which of these is going on the claim before treatment, not after. Corrections after submission mean a resubmission, a delay, and occasionally a fee you did not expect.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
Questions about D3410
D3410 — what is it?
It is the entry for apicoectomy, anterior tooth. A practice cannot use it for anything broader than that, which is what makes the code useful to you.
What is the typical fee for D3410?
Between $900–$1,800 in most practices — and that is the figure before any benefit is applied, not what you would pay at the desk.
How do dental plans handle D3410?
In most cases yes, at the major / surgical rate: typically 50–80%. The annual maximum is what usually decides how much of that you actually see.
What is the difference between D3410 and D3421?
D3421 is apicoectomy, premolar, first root: it applies to premolars rather than front tooths. The rest of the procedure is the same, which is why the two get substituted for one another on estimates.
Also known as: apicoectomy, root end surgery, endodontic surgery, retrograde filling, periradicular surgery.