I

GENERAL DENTAL PRACTITIONERS

Code

Procedure description

Rc

Fee

MP

Complete dentures (including routine post-delivery care)

8231

Full upper and lower dentures inclusive of soft base or metal base, where applicable

3131.69

+L

8232

Full upper or lower dentures inclusive of soft base or metal base, where applicable

1930.22

+L

Partial dentures (including routine post-delivery care)

8233

Partial denture, one tooth

896.54

+L

8234

Partial denture, two teeth

896.54

+L

8235

Partial denture, three teeth

1340.20

+L

8236

Partial denture, four teeth

1442.91

+L

8237

Partial denture, five teeth

1340.20

+L

8238

Partial denture, six teeth

1786.48

+L

8239

Partial denture, seven teeth

1786.48

+L

8240

Partial denture, eight teeth

1786.48

+L

8241

Partial denture, nine or more teeth

1786.48

+L

8281

Metal (e.g. chrome cobalt, etc.) base to partial denture, per denture

2385.11

+L

The procedure refers to the metal framework only, and includes all clasps, rests and bars (i.e., 8251, 8253, 8255 and 8257). See codes 8233 to 8241 for the resin denture base required concurrent to 8281

Adjustments to dentures

8275

Adjustment of denture

(After six months or for patient of another practitioner)

135.36

+L

Repairs to complete or partial dentures

8269

Repair of denture or other intra-oral appliance

256.79

+L

A dentist may not charge professional fees for the repair of dentures if the patient was not personally examined: laboratory fees, however, may be recovered

8270

Add clasp to existing partial denture

169.99

+L

(One or more clasps)

Code 8270 is in addition to code 8269

8271

Add tooth to existing partial denture

169.99

+L

(One or more teeth)

Code 8271 is in addition to code 8269)

8273

Additional fee where one or more impressions are required for 8269, 8270 and 8271

135.32

+L

Denture rebase procedures

8259

Re-base of denture (laboratory)

737.39

+L

8261

Re-model of denture

1210.87

+L

Denture reline procedures

8263

Reline of denture in selfcuring acrylic (intra-oral)

460.69

8267

Soft base re-line per denture (heat cured)

1062.92

+L

Code 8267 may not be charged concurrent with codes 8231 to 8241

Other removable prosthetic services

8243

Soft base to new denture

Com Fee

+L

8255

Stainless steel clasp or rest, per clasp or rest

185.00

+L

8257

Lingual bar or palatal bar

Code 8257 may not be charged concurrent with codes 8269 (repair of denture) or 8281 (metal framework)

223.84

+L

8265

Tissue conditioner and soft self-cure interim re-line, per denture

305.93