The latest fee data for 18 popular procedure codes

February 8, 2016

Article

Keeping your fee schedules up-to-date is imperative to keeping your practice healthy. There are many important factors to take into account including geography, your patients, how you practice and data from other practices in your area. However, quality data on fees in your zip code can be challenging to find-so Sikka Software did the work for you.

Sikka Software collects data from thousands of dental practices across the nation. Data collected is free of identifying information and is compliant with HIPAA and privacy laws. Our vast network of dentists allows Sikka to share trends on practice management and fee schedules. In preparation for the new year, Sikka has provided nationwide data on 18 procedure codes as well as trends for some key regions and codes.

Data trends

2015 data was broken down by codes for some of the most popular procedures including prophylaxis, crowns, and resin based composites. Data was collected for the minimum, median, and 60^th through 100^th percentiles.

Regional Trends

Depending on where you practice, fees have changed at different rates over the past three years. The largest changes in median codes occurred in the Northeast, with the smallest changes occurring in the Southwest. This is not unexpected; smaller fee increases in the Southwest are likely due to the region already having some of the highest fee schedules in the United States. Rising costs of living in the Northeast is likely the driver of narrowing the gap between dental prices in these regions.

Endodontics

Overall, Endodontics codes are among the codes that have increased the most in the past three years, with the average fee of D3310 (Endodontic therapy, anterior tooth) increasing as much as 7.47% during this time period. This reflects the increase in value of procedures requiring highly skilled practitioners.

Find Data in Your Zip Code

Just in time for 2016, you can get data for 10 key codes in your zip code for free. Or, for $149, get the data for all procedure codes in three zip codes of your choice. Just visit https://www.sikkasoft.com/product/fee-survey/

Check out the latest fee trends by clicking on the following categories, or continue to the next page to view them all.

D0120: Periodic oral evaluation (established patient)

D0150: Comprehensive oral evaluation (new or established patient)

D1110: Prophylaxis (adult)

D2330: Resin-based composite (one surface, anterior)

D2740: Crown (porcelain/ceramic substrate)

D2750: Crown (porcelain fused to hugh noble metal)

D2790: Crown (full cast high noble metal)

D2950: Core buildup, including any pins when required

D4341: Periodontal scaling and root planing (four or more teeth per quadrant)

D4910: Periodontal maintenance

D5110: Complete denture (maxillary)

D5120: Complete denture (mandibular)

D6010: Surgical placement of implant body: endosteal implant

D6240: Pontic (porcelain fused to high noble metal)

D6750: Crown (porcelain fused to high noble metal)

D7140: Extraction, erupted tooth or exposed root (elevation and/or forceps removal)

D7210: Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

D9940: Occlusal guard, by report

D0120: Periodic oral evaluation (established patient)

Minimum:

$45

Median:

$48

60th:

$50

70th:

$53

80th:

$57

90th:

$62

Maximum:

$71

D0150: Comprehensive oral evaluation (new or established patient)

Minimum:

$78

Median:

$83

60th:

$89

70th:

$91

80th:

$99

90th:

$111

Maximum:

$124

D1110: Prophylaxis (adult)

Minimum:

$87

Median:

$91

60th:

$93

70th:

$97

80th:

$104

90th:

$115

Maximum:

$124

D2330: Resin-based composite (one surface, anterior)

Minimum:

$146

Median:

$154

60th:

$160

70th:

$167

80th:

$180

90th:

$194

Maximum:

$207

D2740: Crown (porcelain/ceramic substrate)

Minimum:

$1,094

Median:

$1,131

60th:

$1,163

70th:

$1,219

80th:

$1,273

90th:

$1,390

Maximum:

$1,500

D2750: Crown (porcelain fused to hugh noble metal)

Minimum:

$1,067

Median:

$1,100

60th:

$1,139

70th:

$1,177

80th:

$1,242

90th:

$1,352

Maximum:

$1,423

D2790: Crown (full cast high noble metal)

Minimum:

$1,060

Median:

$1,101

60th:

$1,136

70th:

$1,171

80th:

$1,236

90th:

$1,327

Maximum:

$1,431

D2950: Core buildup, including any pins when required

Minimum:

$258

Median:

$270

60th:

$282

70th:

$291

80th:

$309

90th:

$335

Maximum:

$370

D4341: Periodontal scaling and root planing (four or more teeth per quadrant)

Minimum:

$246

Median:

$252

60th:

$259

70th:

$272

80th:

$284

90th:

$310

Maximum:

$335

D4910: Periodontal maintenance

Minimum:

$130

Median:

$136

60th:

$142

70th:

$148

80th:

$157

90th:

$174

Maximum:

$187

D5110: Completedenture (maxillary)

Minimum:

$1,563

Median:

$1,628

60th:

$1,693

70th:

$1,791

80th:

$1,934

90th:

$2,084

Maximum:

$2,256

D5120: Complete denture (mandibular)

Minimum:

$1,564

Median:

$1,630

60th:

$1,695

70th:

$1,793

80th:

$1,943

90th:

$2,086

Maximum:

$2,216

D6010: Surgical placement of implant body: endosteal implant

Minimum:

$1,995

Median:

$2,099

60th:

$2,165

70th:

$2,230

80th:

$2,361

90th:

$2,492

Maximum:

$2,623

D6240: Potic (porcelain fused to high noble metal)

Minimum:

$1,064

Median:

$1,100

60th:

$1,138

70th:

$1,175

80th:

$1,241

90th:

$1,351

Maximum:

$1,444

D6750: Crown (porcelain fused to high noble metal)

Minimum:

$1,069

Median:

$1,101

60th:

$1,144

70th:

$1,180

80th:

$1,244

90th:

$1,361

Maximum:

$1,451

D7140: Extraction, erupted tooth or exposed root (elevation and/or forceps removal)

Minimum:

$149

Median:

$156

60th:

$162

70th:

$170

80th:

$188

90th:

$207

Maximum:

$240

D7210: Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

Minimum:

$259

Median:

$270

60th:

$283

70th:

$294

80th:

$315

90th:

$345

Maximum:

$375

D9940: Occlusal guard, by report

Minimum:

$559

Median:

$592

60th:

$628

70th:

$659

80th:

$713

90th:

$785

Maximum:

$888