Pre-submission claim review
We check claims against the chart note, tooth number, surfaces, attachments, benefits, and payer rules before submission to reduce preventable denials.
Coding is where clinical care becomes revenue. We review documentation, select and validate CDT codes, and keep your practice current with every annual update.
Photo: Tima Miroshnichenko / PexelsThe Code on Dental Procedures and Nomenclature (CDT) is the HIPAA standard code set used to report dental procedures. It is maintained by the American Dental Association and updated each January 1. Use the current CDT manual and payer policy before submitting claims.
| Range | Category |
|---|---|
| D0100–D0999 | Diagnostic |
| D1000–D1999 | Preventive |
| D2000–D2999 | Restorative |
| D3000–D3999 | Endodontics |
| D4000–D4999 | Periodontics |
| D5000–D5899 | Removable prosthodontics |
| D5900–D5999 | Maxillofacial prosthetics |
| D6000–D6199 | Implant services |
| D6200–D6999 | Fixed prosthodontics |
| D7000–D7999 | Oral and maxillofacial surgery |
| D8000–D8999 | Orthodontics |
| D9000–D9999 | Adjunctive general services |
Small coding errors on routine services can create repeat denials across hundreds of claims. Focus on eligibility, frequency limits, age or dentition rules, and documentation before the claim is sent.
| Code | What it reports | Billing note |
|---|---|---|
D0120 / D0150 / D0180 | Periodic, comprehensive, and comprehensive periodontal evaluations | Frequencies are plan-specific. For periodontal evaluations, keep periodontal charting and risk findings in the record. |
D0210 / D0274 / D0330 | Complete intraoral image series, four bitewings, and panoramic image | Do not substitute a panoramic image plus bitewings for a complete intraoral series unless the code and payer policy support it. |
D1110 / D1120 | Prophylaxis for adult or child dentition | CDT is dentition-based; many plans also apply age edits. Verify before treatment when coverage is uncertain. |
D1206 / D1208 | Fluoride varnish or other topical fluoride | Coverage often depends on age, caries risk, benefit frequency, or medical necessity language. |
D1351 | Sealant, reported per tooth | Confirm tooth eligibility and history. ADA News reported D1352 among deleted CDT codes for 2026; review current guidance for preventive resin or conservative restorative alternatives. |
D4910 | Periodontal maintenance after active periodontal therapy | Support with perio history, charting, diagnosis, and interval. Plans vary on how D4910 interacts with prophylaxis frequency. |
For restorative claims, the most common problems are wrong surface count, anterior versus posterior confusion, missing radiographs, and narratives that do not support the billed procedure.
| Code | What it reports | Billing note |
|---|---|---|
D2140 · D2150 · D2160 · D2161 | Amalgam restoration by number of surfaces | Bill the surfaces restored, not every surface affected by decay or fracture. |
D2330 · D2331 · D2332 · D2335 | Anterior resin restoration by surface count, including incisal angle situations | Use tooth number, surfaces, and clinical notes to support the anterior code selected. |
D2391 · D2392 · D2393 · D2394 | Posterior resin restoration by number of surfaces | Many plans apply alternate benefits. Document material, surfaces, tooth number, and reason for treatment. |
D2950 / D2954 | Core build-up or prefabricated post and core | The narrative should explain why retention was needed and why the service was separate from the final restoration. |
D3310 · D3320 · D3330 | Root canal therapy for anterior, premolar, or molar teeth | Tooth number drives the code. Attach pre-op and post-op images when required by the plan. |
D4341 / D4342 | Scaling and root planing by quadrant, based on number of involved teeth | Periodontal charting, bleeding, calculus, bone loss, and radiographs should support medical necessity. |
High-dollar claims need clean coding, consistent chart notes, accurate materials, and attachments that match the narrative. Pre-treatment estimates can reduce surprises, but they are not a guarantee of payment.
| Code | What it reports | Billing note |
|---|---|---|
D2740 | Porcelain or ceramic crown | Commonly used for all-ceramic crowns, including zirconia. Keep the lab invoice and material information consistent with the claim. |
D2750 · D2751 · D2752 | Porcelain-fused-to-metal crowns by metal type | The metal category on the claim should match the lab documentation. |
D2790 · D2791 · D2792 | Full-cast crowns by metal type | Document the material, tooth condition, and clinical reason for full coverage. |
D6010 | Surgical placement of an endosteal implant body | Implant coverage is plan-specific and may be excluded, limited, or subject to alternate benefits. |
D6058 · D6065 | Implant-related crowns, selected by support and attachment method | Choose the code based on how the crown is supported and retained, not simply because an implant is present. |
D7140 / D7210 | Routine removal of an erupted tooth or surgical removal requiring additional surgical steps | D7210 needs documentation of the surgical approach, such as bone removal, sectioning, or flap access when applicable. |
D7220 · D7230 · D7240 | Removal of impacted teeth by impaction level | Radiographs and the operative note should support the impaction classification. |
D8070 · D8080 · D8090 | Comprehensive orthodontic treatment by dentition stage | Verify age limits, lifetime maximums, waiting periods, continuation-of-care rules, and required orthodontic records. |
Photo: Tima Miroshnichenko / PexelsDental Billing Community supports dental practices and DSOs nationwide with coding-aware revenue cycle workflows, from verification through payment posting and denial follow-up.
We check claims against the chart note, tooth number, surfaces, attachments, benefits, and payer rules before submission to reduce preventable denials.
Your team gets short, specific feedback when documentation does not support the code, so the issue can be fixed at the source.
We help update PMS code lists, claim-scrub rules, narratives, and billing workflows as CDT changes take effect each January 1.
When a service may belong on a medical claim, we support CPT, HCPCS, and ICD-10-CM workflows, with experienced billers reviewing AI-assisted work.
Six reasons practices across the US hand us their revenue cycle.
Our team works only in dental revenue cycle — CDT, dental plans, Medicaid dental and the payers your practice actually bills.
We bill the medical plan when it should pay — oral surgery, trauma, biopsies, TMD and oral appliance therapy — with compliant cross-coding.
Automation speeds verification, scrubbing and follow-up; experienced billers review every exception.
Monthly KPI reviews plus live verification and AR dashboards. You always see where every claim stands.
BAA with every client, named logins, MFA where supported and minimum-necessary access.
Verification, coding, claims, AR, denials, posting, patient billing and credentialing — no hand-offs between vendors.
Thirty minutes on a screen share. A written action plan afterward. No obligation.
Coding changes, payer alerts and new case studies — straight to your inbox.
Join the communityEducational content only — not legal, coding-certification or payer-specific advice. Code sets, including CDT, CPT, ICD-10-CM and HCPCS, and payer policies change; always confirm against the current code manual and the patient’s plan. Dental Billing Community provides HIPAA-compliant billing support with a BAA for every client and offers a free billing assessment. CDT is © American Dental Association. CPT is © American Medical Association.