Dental Code D1351
Dental Code D1351 Description
Dental Code D1351 is a procedural code used in dental billing and insurance claims to describe the application of a dental sealant on a permanent tooth. Sealants are thin, protective coatings applied to the chewing surfaces of molars and premolars to prevent cavities. The American Dental Association (ADA) categorizes D1351 under preventive dental services, emphasizing its role in reducing the risk of tooth decay.
This code is particularly important for pediatric and general dentistry, as sealants are highly effective in safeguarding teeth from bacteria and food particles that lead to cavities. Understanding D1351 is crucial for dental professionals, insurance providers, and patients seeking preventive care.
D1351 Dental Code Definition
According to the ADA Code on Dental Procedures and Nomenclature, D1351 is defined as:
“Sealant – per tooth: A resin material placed into the pits and fissures of caries-susceptible teeth to prevent decay.”
Key Features of D1351:
- Applies to permanent teeth only (sealants on primary teeth may use a different code).
- Covers one tooth per application (each tooth must be billed individually).
- Classified as a preventive measure, not restorative.
- Commonly used for molars and premolars, where decay is most likely.
When is D1351 Used?
- For children and teenagers as soon as permanent molars erupt (ages 6–14).
- For adults with deep fissures prone to cavities.
- As part of a comprehensive preventive dental plan.
D1351 Sealant Per Tooth: Procedure, Benefits, and Applications
Step-by-Step Procedure for Applying a Dental Sealant (D1351)
- Tooth Preparation
- The dentist cleans and dries the tooth.
- An etching gel is applied to roughen the surface for better adhesion.
- Sealant Application
- A liquid resin sealant is painted onto the tooth.
- A curing light hardens the sealant, forming a protective shield.
- Final Check
- The dentist ensures proper placement and bite alignment.
Benefits of Dental Sealants (D1351)
✅ Prevents 80% of cavities in molars (CDC).
✅ Cost-effective compared to fillings.
✅ Quick and painless procedure (takes 5–10 minutes per tooth).
✅ Long-lasting protection (5–10 years with proper care).
Insurance Coverage for D1351
Most dental insurance plans cover sealants for patients under 18, but coverage for adults varies.
Table: Insurance Coverage for D1351 Sealants
| Insurance Provider | Coverage for Children | Coverage for Adults |
|---|---|---|
| Delta Dental | ✅ Full coverage | ❌ Limited or none |
| MetLife | ✅ Full coverage | ✅ Partial coverage |
| Cigna | ✅ Full coverage | ❌ Usually not covered |
Conclusion
Dental Code D1351 is essential for preventive dentistry, offering long-term protection against cavities. Sealants are quick, effective, and cost-efficient, making them ideal for children and adults at risk of tooth decay. Understanding this code helps patients maximize insurance benefits and maintain optimal oral health.
FAQs
1. What teeth are eligible for D1351 sealants?
D1351 applies to permanent molars and premolars, typically for children but sometimes adults.
2. Does insurance cover D1351 for adults?
Most plans cover children, but adult coverage varies—check with your provider.
3. How long do dental sealants last?
They typically last 5–10 years but should be checked during regular dental visits.
4. Are sealants better than fillings?
Sealants prevent cavities, while fillings repair them—making sealants a proactive solution.
5. Can sealants be applied over cavities?
No, sealants are for prevention only; existing cavities require fillings (D2140-D2394).
