go back

Custom Tooth Restoration Procedure

California rates for HCPCS D2999

A tooth-repair treatment that doesn't match one of the standard, commonly used restoration procedures, so your dentist describes exactly what was done in detail. It's used for less typical situations where a tooth needs a customized approach to repair or rebuild it.

Facilitymedian $1,318 · 10th–90th $741$3,2360%10%10th90th$1,318Professionalmedian $398 · 10th–90th $1$1,4130%20%40%10th90th$398$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1,412.54
Typical High
$1,412.54
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,445.44
Typical High
$3,235.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,288.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43