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What is the dental term for Dentures? 

Monday, Apr. 1st 2024 3:47 PM

Question: I have old partials and would like new ones, but I need dental insurance first. So, I am looking at the plans but need help finding dentures and partial coverage information on the fee schedule when reviewing an HMO insurance plan. I want to have coverage for what I need. 

Answer: Dentures can usually be found under the Prosthetics services. I have listed some ADA codes for dentures. I hope it helps you. 

5110/5120 Complete upper or lower denture

5130/5140 Immediate upper or lower denture

5211/5212 Upper or lower partial denture, resin base

5213/5214 Upper or lower partial denture, cast metal

framework with resin denture bases

5410/5411 Adjust denture

5421/5422 Adjust partial denture

If you need interim partial dentures, look for codes 5820/5821. These codes refer to upper or lower interim partial dentures that can be used temporarily while waiting for a permanent solution. I hope this information is helpful to you in finding the coverage you need for your dental needs.

Posted on Monday, Apr. 1st 2024 3:47 PM | by carol | in Kids Dental Insurance | No Comments »

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