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Custom Tooth Restoration Procedure

Wisconsin 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.

Professionalmedian $55 · 10th–90th $11$710%20%10th90th$55$10.0$20.0$50.0

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
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$54.95
Typical High
$70.79