CPT/HCPCS Section
Dental Procedures (CDT / HCPCS D)
17 procedure codes with Medicare Physician Fee Schedule payment data. Click a code for Facility vs Non-Facility rates, allowed amounts and utilization.
D0140Limited oral evaluation - problem focused$35→D0330Panoramic radiographic image$50→D0367Cone beam ct capture and interpretation with field of view of both jaws, with or without cranium$118→D4212Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth$777→D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)$85→D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated$166→D7240Removal of impacted tooth-completely bony$203→D7250Removal of residual tooth roots (cutting procedure)$175→D7286Incisional biopsy of oral tissue - soft$112→D7310Alveoloplasty in conjunction with extractions - four or more teeth or tooth spaces, per quadrant$279→D7311Alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant$282→D9222Deep sedation/general anesthesia - first 15 minutes$78→D9223Deep sedation/general anesthesia - each subsequent 15 minute increment$68→D9230Inhalation of nitrous oxide/anxiolysis, analgesia$21→D9239Intravenous moderate (conscious) sedation/analgesia - first 15 minutes$89→D9243Intravenous moderate (conscious) sedation/analgesia - each subsequent 15 minute increment$86→D9612Therapeutic parenteral drugs, two or more administrations, different medications$45→