Procedure codes

Description

Change

D0230, D0240, D0272, D0274

X-ray/radiographs

D0230 is limited to two per year when used in combination with D0272 and D0274. D0240 is limited to two per calendar year. D0272 and D0274 are limited to one per calendar year.

D3230, D3240

Pulpal therapy

Reduction of reimbursement to $131 for D3230 and $157 for D3240

D2140, D2150, D2160, D2161, D2330, D2331, D2332, D2335, D2391, D2392, D2393, D2394, D7140, D2930, D2931, D2932

Restoration of same surface

No reimbursement for a restoration that involves a surface previously restored on the same tooth within the preceding 12 months. (example: If an occlusal restoration is placed on a tooth, no other restoration involving the occlusal surface would be reimbursable if placed within the following 12 months).

D2140, D2150, D2160, D2161, D2330, D2331, D2332, D2335, D2391, D2392, D2393, D2394, D7140, D2740, D2750, D2751, D2752, D2791, D2792, D2930, D2931, D2932, D2940, D2950, D2951, D2952, D2953, D2954, D2957

Restoration of same tooth

No reimbursement for any restoration on the same tooth if treated within the previous 6 months. (example: If an occlusal restoration is placed on a tooth, then a buccal restoration is placed at a later date. This would be reimbursed if they are at least 6 months apart, but not if less than six months.)

D9230

Use of nitrous oxide

Reduction of reimbursement for use of nitrous oxide to $20 per unit