Dental ADA Codes 2021: Current Dental Terminology

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Dental ADA Codes

Translation of Current Dental Terminology © American Dental Association ® (updated Oct 2021)

ADA Code Description Amount

Examinations

D010 0 Missed Appointment (without proper cancellation) 45.00
D012 0 Periodic Oral Evaluation (Patient is seen within one year) 60.00
D0140 Limited Oral Evaluation – Problem Focused 85.00
D015 0 Comprehensive Oral Evaluation – New or Established Patient 90.00
D016 0 Detailed & Extensive Oral Evaluation – Problem Focused (Emergency Exam) 150.00
D017 0 Re-evaluation – Limited, Problem Focused 85.00
D018 0 Comprehensive Periodontal Evaluation – New or Established Patient 115.00

Radiography

D021 0 Intraoral – Complete Series (including bitewings) 120.00
D022 0 Intraoral – Periapical First Film 35.00
D0230 Intraoral – Periapical Each Additional Film 20.00
D024 0 Intraoral – Occlusal Film 55.00
D025 0 Extraoral – First Film 55.00
D0260 Extraoral – Each Additional Film 55.00
D027 0 Bitewing – Single Film 25.00
D027 2 Bitewing – Two Films 40.00
D0274 Bitewing – Four Films 57.00
D027 7 Vertical Bitewings – 7 or 8 Films 90.00
D028 0 Copy of X-Rays 50.00
D033 0 Panoramic Film 115.00

Custom Trays

D033 3 Custom Tray 40.00

Prophylaxis

D111 0 Prophylaxis – Adult 105.00
D133 0 Oral Hygiene Instructions 40.00

Restorations

D214 0 Amalgam – One Surface, Primary or Permanent 130.00
D215 0 Amalgam – Two Surfaces, Primary or Permanent 145.00
D2160 Amalgam – Three Surfaces, Primary or Permanent 160.00
D216 1 Amalgam – Four or More Surfaces, Primary or Permanent 180.00
D233 0 Resin-Based Composite – One Surface, Anterior 170.00
D2331 Resin-Based Composite – Two Surfaces, Anterior 235.00
D233 2 Resin-Based Composite – Three Surfaces, Anterior 285.00
D233 5 Resin-Based Composite – Four or More Surfaces, Anterior or Involving Incisal Area 295.00
D239 1 Resin-Based Composite – One Surface, Posterior 200.00
D239 2 Resin-Based Composite – Two Surfaces, Posterior 265.00
D2393 Resin-Based Composite – Three Surfaces, Posterior 295.00
D239 4 Resin-Based Composite – Four or More Surfaces, Posterior 310.00

Crowns

D270 0 Crown Delivery 0.00
D271 0 Crown – Resin (indirect) 550.00
D2740 Crown – Porcelain/Ceramic 1250.00
D275 1 Crown – Porcelain Fused to Predominantly Base Metal 900.00
D279 9 Provisional Crown (for Crown Prep) 0.00
D2920 Recement Crown 95.00
D294 0 Sedative Filling (Temp Filling IRM/Cavity) 85.00
D295 0 Core Buildup, including any pins 240.00
D2954 Prefabricated Post & Core in Addition to Crown 240.00
D297 0 Temporary Crown (for Fractured Tooth or Long-Term Use) 350.00

Endodontics

D311 0 Pulp Cap – Direct (Excluding Final Restoration) 60.00
D312 0 Pulp Cap – Indirect (Excluding Final Restoration) 55.00
D3220 Therapeutic Pulpotomy (Excluding Final Restoration) 250.00
D322 1 Pulpal Debridement, Primary & Permanent Teeth 200.00
D330 1 Root Canal Finish 0.00
D3310 Anterior Root Canal Therapy (Excluding Final Restoration) 650.00
D332 0 Bicuspid Root Canal Therapy (Excluding Final Restoration) 750.00
D333 0 Molar Root Canal Therapy (Excluding Final Restoration) 850.00
D3346 Retreatment of Previous Root Canal Therapy - Anterior 800.00
D334 7 Retreatment of Previous Root Canal Therapy – Bicuspid 850.00
D334 8 Retreatment of Previous Root Canal Therapy – Molar 900.00

Periodontics

D4210 Gingivectomy or Gingivoplasty –Per Quadrant 600.00
D4211 Gingivectomy or Gingivoplasty – 1-3 Teeth 250.00
D4249 Clinical Crown Lengthening – Hard Tissue 750.00
D4341 Periodontal Scaling & Root Planing –Per Quad 198.00
D4342 Periodontal Scaling & Root Planing– 1-3 Teeth 75.00
D4355 Full Mouth Debridement to Enable Comprehensive Periodental Eval 200.00
D4910 Periodontal Maintenance 85.00

Prosthodontics

D5100 Denture/Partial/Interim Delivery 0.00
D5106 Denture Adjustment 75.00
D5110 Complete Denture – Maxillary 1450.00
D5120 Complete Denture – Mandibular 1450.00
D5130 Immediate Denture – Maxillary 1750.00
D5140 Immediate Denture – Mandibular 1750.00
D5211 Maxillary Partial Denture – Resin Base 1450.00
D5212 Mandibular Partial Denture – Resin Base 1450.00
D5281 Removable Unilateral Partial Denture – One Piece Cast Metal 1400.00
D5410 Adjust Complete Denture – Maxillary 85.00
D5411 Adjust Complete Denture – Mandibular 85.00
D5421 Adjust Partial Denture – Maxillary 85.00
D5422 Adjust Partial Denture – Mandibular 85.00
D5510 Repair Broken Complete Denture Base 450.00
D5520 Replace Missing or Broken Teeth – Complete Denture (Each Tooth) 150.00
D5610 Repair Resin Denture Base 200.00
D5620 Repair Cast Framework 250.00
D5630 Repair or Replace Broken Clasp 250.00
D5640 Repair Broken Teeth – Per Tooth 175.00
D5650 Add Tooth to Existing Partial Denture 175.00
D5660 Add Clasp to Existing Partial Denture 275.00
D5670 Replace All Teeth & Acrylic on Cast Metal Framework (Maxillary) 850.00
D5671 Replace All Teeth & Acrylic on Cast Metal Framework (Mandibular) 850.00
D5730 Reline Complete Maxillary Denture (Chairside) 350.00
D5731 Reline Complete Mandibular Denture (Chairside) 350.00
D5740 Reline Maxillary Partial Denture (Chairside) 350.00
D5741 Reline Mandibular Partial Denture (Chairside) 350.00
D5750 Reline Complete Maxillary Denture (Laboratory) 400.00
D5751 Reline Complete Mandibular Denture (Laboratory) 400.00
D5760 Reline Maxillary Partial Denture (Laboratory) 400.00
D5761 Reline Mandibular Partial Denture (Laboratory) 400.00
D5820 Interim Partial Denture Maxillary (Flipper) 750.00
D5821 Interim Partial Denture Mandibular - (Flipper) 750.00

Bridges

D6200 Bridge Delivery 0.00
D6242 Pontic – Porcelain Fused to Noble Metal 950.00
D6752 Crown – Porcelain Fused to Noble Metal 960.00
Extractions
D7130 Root Removal of Exposed Roots 175.00
D7140 Extraction, Erupted Tooth or Exposed Root (elevation &/or forceps) 150.00
D7210 Surgical Removal of Erupted Tooth Requiring Elevation 450.00
D7220 Removal of Impacted Tooth – Soft Tissue 300.00
D7230 Removal of Impacted Tooth – Partially Bony 450.00
D7240 Removal of Impacted Tooth – Completely Bony 500.00
D7250 Surgical Removal of Residual Tooth Roots (Cutting Procedure) 300.00

Miscellaneous

D9970 Enamel Microabrasion (Smoothing/Filing of a Tooth) 90.00
D9910 Application of Desensitizing Meds 85.00
Pharmaceuticals
D9001 Penicillin (1 tab) 0.50
D9002 Amoxicillin 4 tabs (premed) 1.20
D9003 Amoxicillin 4 tabs (premed) 0.30
D9004 Ibuprofen (1 tab) 0.60
D9005 Cephalexin (1 tab) 1.33
D9006 Clindamycin 2 x 150mg 5.87
D9007 Clindamycin 2 x 300mg 10.45
D9008 Clindamycin HCl 2 x 150mg 1.67
D9009 Clindamycin HCl 2 x 300mg 5.31
D9010 Clindamycin Azasan 2 x 75mg 4.40

Fees with No Buttons Created (You must manually input these in the patient's ledger)

D0100 Missed Appointment (without proper cancellation) 45.00
D0280 Copy of X-Rays 50.00
D2710 Crown – Resin (indirect) 550.00
D3346 Retreatment of Previous Rooth Canal Therapy - Anterior 800.00
D3347 Retreatment of Previous Rooth Canal Therapy – Bicuspid 850.00
D3348 Retreatment of Previous Rooth Canal Therapy – Molar 900.00
D4249 Clinical Crown Lengthening – Hard Tissue 750.00
D5750 Reline Complete Maxillary Denture (Laboratory) 400.00
D5751 Reline Complete Mandibular Denture (Laboratory) 400.00
D5760 Reline Maxillary Partial Denture (Laboratory) 400.00
D5761 Reline Mandibular Partial Denture (Laboratory) 400.00
D6242 Pontic – Porcelain Fused to Noble Metal 950.00
D6752 Crown – Porcelain Fused to Noble Metal 960.00
D7130 Root Removal of Exposed Roots 175.00
D7250 Surgical Removal of Residual Tooth Roots (Cutting Procedure) 300.00
D9910 Application of Desensitizing Meds 85.00

 

 

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Ayomide
Ayomide
Ayomide is a fiction and non-fiction writer. A lover of science and everything mysterious that surrounds it, he seeks out new information to keep his interest alive.

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