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Custom Tooth Restoration Procedure

Utah 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 October 2026.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $5,012 to $5,012Professionalmedian $45 · 10th to 90th $0 to $60
$0.1$1$10$100$1Kfacility $5,012professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Molina
Setting
Professional
Modifier
None
Typical Low
$0.03
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87