Understanding Dental Code D7140
What Does Dental Code D7140 Mean?
Dental codes, also known as Current Dental Terminology (CDT) codes, are used by dental professionals to standardize the description of dental procedures for billing and insurance purposes. Dental code D7140 specifically refers to the extraction of an erupted tooth or a tooth that is visible in the mouth, requiring only the use of forceps and elevators. This code is one of the most commonly used in dental practices, as tooth extractions are a routine procedure for addressing issues such as severe decay, infection, or overcrowding.
Understanding dental codes like D7140 is essential for both patients and dental professionals. For patients, it helps clarify what procedures are being performed and how they are billed. For dentists, it ensures accurate documentation and reimbursement from insurance companies.
Simple Extraction: Dental Code D7140
A simple extraction, as defined by dental code D7140, involves the removal of a tooth that is fully visible in the mouth. This procedure is typically performed under local anesthesia to minimize discomfort. The dentist uses specialized tools, such as forceps and elevators, to gently loosen and remove the tooth from its socket.
Simple extractions are generally straightforward and do not require surgical intervention. They are commonly performed for teeth that are damaged beyond repair, severely decayed, or causing overcrowding. The procedure is quick, often taking only a few minutes, and recovery is usually smooth with minimal complications.
When Is a Simple Extraction Needed?
- Severe Tooth Decay: When a tooth is too damaged to be restored with a filling or crown.
- Gum Disease: Advanced periodontal disease can loosen teeth, necessitating extraction.
- Orthodontic Treatment: Removing teeth to create space for proper alignment.
- Impacted Teeth: While D7140 refers to erupted teeth, impacted teeth may require a different code (e.g., D7210 for surgical extraction).
Delta Dental Code D7140
Delta Dental is one of the largest dental insurance providers in the United States, and it uses the same CDT codes as other insurers, including D7140. When a dentist submits a claim for a simple extraction, they use this code to ensure proper reimbursement.
Coverage Under Delta Dental
Delta Dental typically covers simple extractions under most plans, but the extent of coverage depends on the specific policy. Patients are advised to check their plan details to understand:
- Coverage Percentage: Some plans cover 80% of the procedure cost, while others may cover less.
- Annual Maximums: The total amount the insurance will pay in a year.
- Deductibles: The amount the patient must pay out-of-pocket before insurance kicks in.
It’s important to note that Delta Dental may require pre-authorization for certain procedures, including extractions, to confirm medical necessity.
Dental Code D7140 Description
The American Dental Association (ADA) provides a detailed description of dental code D7140. According to the ADA, this code applies to the removal of an erupted tooth requiring the use of forceps and elevators. The procedure does not involve sectioning the tooth or surgical techniques, which would fall under different codes (e.g., D7210 for surgical extraction).
Key Features of D7140
- Erupted Tooth: The tooth must be fully visible in the mouth.
- Non-Surgical: No cutting of the gums or bone is required.
- Use of Basic Tools: Forceps and elevators are the primary instruments used.
Dental Code D7140 Cost
The cost of a simple extraction under dental code D7140 can vary widely depending on several factors, including geographic location, the complexity of the case, and the dentist’s experience. On average, patients can expect to pay between 75and75and300 per tooth for a simple extraction.
Factors Influencing Cost
- Geographic Location: Dental procedures tend to be more expensive in urban areas.
- Dentist’s Expertise: Experienced dentists may charge higher fees.
- Insurance Coverage: Out-of-pocket costs depend on the patient’s insurance plan.
Cost Comparison
| Procedure | Average Cost (Without Insurance) | Average Cost (With Insurance) |
|---|---|---|
| Simple Extraction | 75−75−300 | 20−20−100 |
| Surgical Extraction | 150−150−650 | 50−50−250 |
Conclusion
Dental code D7140 is a standardized way to describe the simple extraction of an erupted tooth. This procedure is common, relatively affordable, and often covered by dental insurance plans like Delta Dental. Understanding this code helps patients make informed decisions about their dental care and ensures accurate billing and reimbursement for dental professionals.
FAQs
1. Is dental code D7140 covered by insurance?
Yes, most dental insurance plans, including Delta Dental, cover simple extractions under code D7140. However, coverage amounts vary depending on the plan.
2. How long does a simple extraction take?
A simple extraction typically takes 20-30 minutes, depending on the tooth’s condition and location.
3. Does a simple extraction hurt?
No, the procedure is performed under local anesthesia, so patients should not feel pain during the extraction. Some discomfort may occur during recovery.
4. What is the difference between D7140 and D7210?
D7140 refers to the extraction of an erupted tooth, while D7210 involves the surgical extraction of an impacted or partially erupted tooth.
Additional Resources
- American Dental Association (ADA): www.ada.org
- Delta Dental: www.deltadental.com
- National Institute of Dental and Craniofacial Research: www.nidcr.nih.gov
