What ADA CDT Dental Code is D2390?
The D2390 dental code represents a resin-based composite crown for anterior teeth. This crown is used primarily on front (anterior) teeth where aesthetics are important. The composite material blends with the natural tooth color, providing a more appealing and less noticeable restoration for patients needing a full-coverage solution.
What Procedure Does D2390 Refer To?
D2390 involves the placement of a resin-based composite crown on an anterior tooth. The dentist prepares the tooth by removing decay, shaping it, and then applying a composite resin material in layers. Each layer is cured with a light to harden it, providing a durable and natural-looking restoration.
Documentation Requirements and Best Practices for D2390
- Specify Tooth Number: Document the exact anterior tooth being restored.
- Reason for Crown Placement: Include details of decay, fractures, or other damage justifying a full-coverage crown.
- Procedure Details: Describe the preparation process, composite application, and curing.
- Post-Treatment Observations: Note the final fit, appearance, and patient comfort.
How Can I Verify Patient Eligibility and Coverage for D2390?
To verify eligibility and coverage for D2390, contact the patient’s insurance provider. Some insurance plans cover composite crowns on anterior teeth, especially for cases requiring an aesthetic restoration. Confirming eligibility helps prevent unexpected out-of-pocket costs for the patient.
How Should D2390 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D2390 with the specific tooth number for accurate claim processing. As this code is specific to anterior teeth, including the tooth location (e.g., upper left central incisor) helps support the claim.
D2390 Dental Code Cost
The cost for D2390 typically ranges from $300 to $600 without insurance, depending on provider and location. Patients should consult their dental office for an accurate estimate based on their insurance coverage.
ADA D2390 Guidelines
The ADA supports the use of D2390 for anterior teeth requiring full coverage with a natural appearance. It is especially suitable for visible front teeth that need structural restoration without compromising aesthetics.
What is the Difference Between D2390 and Other Similar Codes?
| Code | Description | Purpose |
|---|---|---|
| D2390 | Resin-based composite crown, anterior | Aesthetic full-coverage crown for front teeth |
| D2330 | Resin-based composite – one surface, anterior | Single surface restoration for anterior teeth |
| D2331 | Resin-based composite – two surfaces, anterior | Two-surface restoration for anterior teeth |
| D2332 | Resin-based composite – three surfaces, anterior | Three-surface restoration for anterior teeth |
Why Was D2390 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D2390 is chosen for anterior teeth when both aesthetics and strength are required. Alternative treatments may include codes D2330-D2332 for composite fillings on fewer surfaces if a full crown isn’t necessary. Porcelain crowns are another alternative but typically come at a higher cost. The choice depends on the extent of the damage and patient preferences.
How Often Can You Bill D2390?
D2390 is typically billed per tooth as needed for permanent restoration. Insurance plans may limit coverage for composite crowns on the same tooth within a certain timeframe, so confirming specific policy guidelines is recommended.
