As I promised in our last blog, here is an example of a bill with all its dental codes and procedure descriptions for a porcelain veneer cosmetic makeover. Don’t shoot the dentist just because you see more than one procedure code in addition to the veneer code and corresponding fee!
Keep in mind, the doctor pays your dental lab bill which is thousands of dollars in these cases. (I hate when I go to the MD’s for a visit, get a small bill and then get body-slammed by the lab bill that comes weeks later. Next time I’ll take my own blood!)
Porcelain Veneers: Deciphering the Bill
D0470: Diagnostic casts: Pre-op plaster models of your teeth that allow us to study and plan your case.
D0999: Unspecified diagnostic procedure by report. The Diagnostic “Wax-Up”. This is major artistic lab work that the doctor and lab use to design your case. I often show this to my patients so they get a preview of their new smile. This allows us to make beautiful temporary veneers or crowns that you will wear for one to three weeks while the permanent work is being made.
D0210: A full set of X-rays; a must before any case.
D9940: Occlusal Gard: after your case is done, this appliance should be worn at night to protect your work from grinding.
D4211: Gingivectomy: Often, we need to trim the gum line with a laser for better esthetics in matching the adjacent teeth or getting rid of the “dreaded” gummy smile.
D2949: restorative foundation: filling holes, undercuts or adding length to the tooth with composites to create a stronger foundation for the veneer.
D2962: Labial Veneer (porcelain laminate)-laboratory: The veneer itself, what you are finally investing in to look great. A permanent facing of porcelain that “extends interproximal (between; on the sides of the teeth) and/or covers the incisal edge.”(The biting edge of the teeth.)
D2783: ¾ crown: when more of the tooth needs to be covered for strength rather than just a veneer.
Hope this helps! Feel free to email or call me with any questions.
Dr. Mitchell Josephs practices Implant, Cosmetic and General Dentistry with an emphasis on implants, porcelain veneers, and complex crown and bridge treatment. He is on staff at JFK Medical Center and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry. He completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.
By Dr. Mitchell Josephs