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Custom Tooth Restoration Procedure

Montana 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.

Rates data updated July 2026.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $3,236 to $5,248Professionalmedian $85 · 10th to 90th $79 to $5,248
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $4,571professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$5,248.07
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$5,248.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11