Skip to main content

Table 3 Dental utilization classification and their associated CDT-3 treatment codesa

From: An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population

Category

Code Type

CDT-3 codes

Periodontal Treatmentb

CDT-3

D4000 – D4999

   Periodontitis Codes

CDT-3

D4220, D4240, D4245, D4260, D4263, D4264, D4266, D4267, D4268, D4274, D4341, D4381

   Gingivitis Codes

CDT-3

All other D4000–D4999 codes

Dental Maintenance Services (DMS)c

CDT-3

D0120, D0150, D0180, D0210–0470, D1110–1205, D1330, D0140, D0160, D0170, D0472, D1310–1320, D1351

All Other Dental Servicesd

CDT-3

D5000–9974, D0473–0999, D1352–3999

  1. a CDT-3: Current Dental Terminology: Users Manual/American Dental Association. Version 2000, Chicago, Ill.: American Dental Association, 1999
  2. bIncludes all codes related to periodontal treatment including scaling and root planing and periodontal surgical procedures
  3. cIncludes examination and preventative treatment
  4. dIncludes restorative and prosthetic treatment