CDT D2140: Amalgam, One Surface, Primary or Permanent
CDT code D2140 denotes a single-surface amalgam restoration for primary or permanent teeth, a common restorative dental procedure used to repair decay or minor tooth damage. Nationally, this code matters because it captures a routine restorative service that influences utilization patterns, coverage policies, and adjudication practices across dental and medical payers. It is also a benchmark for comparing alternative restorative materials and clinical approaches.
Key payers in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. Readers will find coverage and billing context for these major commercial payers, including typical sites of service and clinical indications that justify the procedure. The overview covers how D2140 fits within restorative coding, relationships to adjacent restorative codes, and common diagnostic reasons for use.
This publication provides practical insights into coding specificity, common clinical contexts for use, and payer coverage considerations relevant to dental practices, billing teams, and policy analysts. It highlights where more detailed policy or documentation guidance may be needed and notes when input data is missing. Data not available in the input is identified where applicable.
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Billing Code Overview
CDT code D2140 represents amalgam restoration of one surface on a primary or permanent tooth. This dental procedure involves placing a silver amalgam filling to restore tooth structure lost to decay or minor fracture.
Service Type: Dentistry
Typical Site of Service: Dental Office (POS 11)
National Reimbursement Benchmarks
National mean rates for CDT code D2140 show Medicare at $0.00 compared with BUCA (average commercial) at $60.26 mean. This highlights a large gap between Medicare and average commercial benchmarks nationally for this code.
Rate dispersion measured as the difference between the 75th and 25th percentiles varies across payers: UnitedHealthcare has a wide spread (102.80 - 81.00 = 21.80), Blue Cross Blue Shield is also wide (96.33 - 67.00 = 29.33), while Aetna is relatively tight (44.00 - 37.50 = 6.50) and Cigna Health is moderate (48.00 - 39.00 = 9.00). The table and chart below present the full breakdown.