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 CodeDescriptionAmount

Examinations

D010 0Missed Appointment (without proper cancellation)45.00
D012 0Periodic Oral Evaluation (Patient is seen within one year)60.00
D0140Limited Oral Evaluation – Problem Focused85.00
D015 0Comprehensive Oral Evaluation – New or Established Patient90.00
D016 0Detailed & Extensive Oral Evaluation – Problem Focused (Emergency Exam)150.00
D017 0Re-evaluation – Limited, Problem Focused85.00
D018 0Comprehensive Periodontal Evaluation – New or Established Patient115.00

Radiography

D021 0Intraoral – Complete Series (including bitewings)120.00
D022 0Intraoral – Periapical First Film35.00
D0230Intraoral – Periapical Each Additional Film20.00
D024 0Intraoral – Occlusal Film55.00
D025 0Extraoral – First Film55.00
D0260Extraoral – Each Additional Film55.00
D027 0Bitewing – Single Film25.00
D027 2Bitewing – Two Films40.00
D0274Bitewing – Four Films57.00
D027 7Vertical Bitewings – 7 or 8 Films90.00
D028 0Copy of X-Rays50.00
D033 0Panoramic Film115.00

Custom Trays

D033 3Custom Tray40.00

Prophylaxis

D111 0Prophylaxis – Adult105.00
D133 0Oral Hygiene Instructions40.00

Restorations

D214 0Amalgam – One Surface, Primary or Permanent130.00
D215 0Amalgam – Two Surfaces, Primary or Permanent145.00
D2160Amalgam – Three Surfaces, Primary or Permanent160.00
D216 1Amalgam – Four or More Surfaces, Primary or Permanent180.00
D233 0Resin-Based Composite – One Surface, Anterior170.00
D2331Resin-Based Composite – Two Surfaces, Anterior235.00
D233 2Resin-Based Composite – Three Surfaces, Anterior285.00
D233 5Resin-Based Composite – Four or More Surfaces, Anterior or Involving Incisal Area295.00
D239 1Resin-Based Composite – One Surface, Posterior200.00
D239 2Resin-Based Composite – Two Surfaces, Posterior265.00
D2393Resin-Based Composite – Three Surfaces, Posterior295.00
D239 4Resin-Based Composite – Four or More Surfaces, Posterior310.00

Crowns

D270 0Crown Delivery0.00
D271 0Crown – Resin (indirect)550.00
D2740Crown – Porcelain/Ceramic1250.00
D275 1Crown – Porcelain Fused to Predominantly Base Metal900.00
D279 9Provisional Crown (for Crown Prep)0.00
D2920Recement Crown95.00
D294 0Sedative Filling (Temp Filling IRM/Cavity)85.00
D295 0Core Buildup, including any pins240.00
D2954Prefabricated Post & Core in Addition to Crown240.00
D297 0Temporary Crown (for Fractured Tooth or Long-Term Use)350.00

Endodontics

D311 0Pulp Cap – Direct (Excluding Final Restoration)60.00
D312 0Pulp Cap – Indirect (Excluding Final Restoration)55.00
D3220Therapeutic Pulpotomy (Excluding Final Restoration)250.00
D322 1Pulpal Debridement, Primary & Permanent Teeth200.00
D330 1Root Canal Finish0.00
D3310Anterior Root Canal Therapy (Excluding Final Restoration)650.00
D332 0Bicuspid Root Canal Therapy (Excluding Final Restoration)750.00
D333 0Molar Root Canal Therapy (Excluding Final Restoration)850.00
D3346Retreatment of Previous Root Canal Therapy – Anterior800.00
D334 7Retreatment of Previous Root Canal Therapy – Bicuspid850.00
D334 8Retreatment of Previous Root Canal Therapy – Molar900.00

Periodontics

D4210Gingivectomy or Gingivoplasty –Per Quadrant600.00
D4211Gingivectomy or Gingivoplasty – 1-3 Teeth250.00
D4249Clinical Crown Lengthening – Hard Tissue750.00
D4341Periodontal Scaling & Root Planing –Per Quad198.00
D4342Periodontal Scaling & Root Planing– 1-3 Teeth75.00
D4355Full Mouth Debridement to Enable Comprehensive Periodental Eval200.00
D4910Periodontal Maintenance85.00

Prosthodontics

D5100Denture/Partial/Interim Delivery0.00
D5106Denture Adjustment75.00
D5110Complete Denture – Maxillary1450.00
D5120Complete Denture – Mandibular1450.00
D5130Immediate Denture – Maxillary1750.00
D5140Immediate Denture – Mandibular1750.00
D5211Maxillary Partial Denture – Resin Base1450.00
D5212Mandibular Partial Denture – Resin Base1450.00
D5281Removable Unilateral Partial Denture – One Piece Cast Metal1400.00
D5410Adjust Complete Denture – Maxillary85.00
D5411Adjust Complete Denture – Mandibular85.00
D5421Adjust Partial Denture – Maxillary85.00
D5422Adjust Partial Denture – Mandibular85.00
D5510Repair Broken Complete Denture Base450.00
D5520Replace Missing or Broken Teeth – Complete Denture (Each Tooth)150.00
D5610Repair Resin Denture Base200.00
D5620Repair Cast Framework250.00
D5630Repair or Replace Broken Clasp250.00
D5640Repair Broken Teeth – Per Tooth175.00
D5650Add Tooth to Existing Partial Denture175.00
D5660Add Clasp to Existing Partial Denture275.00
D5670Replace All Teeth & Acrylic on Cast Metal Framework (Maxillary)850.00
D5671Replace All Teeth & Acrylic on Cast Metal Framework (Mandibular)850.00
D5730Reline Complete Maxillary Denture (Chairside)350.00
D5731Reline Complete Mandibular Denture (Chairside)350.00
D5740Reline Maxillary Partial Denture (Chairside)350.00
D5741Reline Mandibular Partial Denture (Chairside)350.00
D5750Reline Complete Maxillary Denture (Laboratory)400.00
D5751Reline Complete Mandibular Denture (Laboratory)400.00
D5760Reline Maxillary Partial Denture (Laboratory)400.00
D5761Reline Mandibular Partial Denture (Laboratory)400.00
D5820Interim Partial Denture Maxillary (Flipper)750.00
D5821Interim Partial Denture Mandibular – (Flipper)750.00

Bridges

D6200Bridge Delivery0.00
D6242Pontic – Porcelain Fused to Noble Metal950.00
D6752Crown – Porcelain Fused to Noble Metal960.00
Extractions
D7130Root Removal of Exposed Roots175.00
D7140Extraction, Erupted Tooth or Exposed Root (elevation &/or forceps)150.00
D7210Surgical Removal of Erupted Tooth Requiring Elevation450.00
D7220Removal of Impacted Tooth – Soft Tissue300.00
D7230Removal of Impacted Tooth – Partially Bony450.00
D7240Removal of Impacted Tooth – Completely Bony500.00
D7250Surgical Removal of Residual Tooth Roots (Cutting Procedure)300.00

Miscellaneous

D9970Enamel Microabrasion (Smoothing/Filing of a Tooth)90.00
D9910Application of Desensitizing Meds85.00
Pharmaceuticals
D9001Penicillin (1 tab)0.50
D9002Amoxicillin 4 tabs (premed)1.20
D9003Amoxicillin 4 tabs (premed)0.30
D9004Ibuprofen (1 tab)0.60
D9005Cephalexin (1 tab)1.33
D9006Clindamycin 2 x 150mg5.87
D9007Clindamycin 2 x 300mg10.45
D9008Clindamycin HCl 2 x 150mg1.67
D9009Clindamycin HCl 2 x 300mg5.31
D9010Clindamycin Azasan 2 x 75mg4.40

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

D0100Missed Appointment (without proper cancellation)45.00
D0280Copy of X-Rays50.00
D2710Crown – Resin (indirect)550.00
D3346Retreatment of Previous Rooth Canal Therapy – Anterior800.00
D3347Retreatment of Previous Rooth Canal Therapy – Bicuspid850.00
D3348Retreatment of Previous Rooth Canal Therapy – Molar900.00
D4249Clinical Crown Lengthening – Hard Tissue750.00
D5750Reline Complete Maxillary Denture (Laboratory)400.00
D5751Reline Complete Mandibular Denture (Laboratory)400.00
D5760Reline Maxillary Partial Denture (Laboratory)400.00
D5761Reline Mandibular Partial Denture (Laboratory)400.00
D6242Pontic – Porcelain Fused to Noble Metal950.00
D6752Crown – Porcelain Fused to Noble Metal960.00
D7130Root Removal of Exposed Roots175.00
D7250Surgical Removal of Residual Tooth Roots (Cutting Procedure)300.00
D9910Application of Desensitizing Meds85.00

 

 

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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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