305 E 103 Terrace Kansas City, MO 64114
Dental Procedures
Discover an extensive range of dental procedures along with their frequencies and limitations. Below is a comprehensive list of services that ensure you maintain optimal oral health. For additional information, please connect with us.
| ADA_CDT Procedure Codes | Procedure | Frequencies and Limitations |
|---|---|---|
| D0120-D0180 | Oral Exams | 2 per calendar year |
| D0210 | Full Mouth X-Rays | 1 every 36 months |
| D0220-D0230 | Periapical X-Rays | No frequency |
| D0270-D0274 | Bitewing X-Rays | 1 per calendar year |
| D0330 | Panoramic Radiographic Image | No frequency |
| D1110 D1120 D4910 | Adult Prophylaxis Child Prophylaxis Periodontal Maintenance | 2 per calendar year |
| D1206-D1208 | Topical Application of Fluoride | 1 per calendar year Up to age 19 |
| D1351 | Tooth Sealant | Once per tooth, every 5 years, up to age 19 |
| D2140-D2161 D2330-D2394 | Amalgam Filling Composite Filling | We do not downgrade No frequency |
| D2750-D6750 | Crowns | We pay on the seat date 5-year replacement |
| D3310-D3348 | Endodontic Root Canal Therapy | No frequency |
| D4341-D4342 | Periodontal Scaling and Root Planning | No frequency 4 quads allowed on the same day |
| D5110-D5214 | Dentures Partials | 5-year replacement on major (Crowns, Dentures, Build-ups, Bridges) |
| D6010 D6013 D6020 D6040 D6050 | Implants | Deductible applied $4,000-lifetime max |
| D9944-D9945 | Occlusal Guards | 3-year replacement (TMJ is not a covered diagnosis) |
| D8000-8999 | Orthodontic Treatment | No deductible No age limits Covered at 50% with a lifetime max of $2,000 |