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    v1.0.28
    OpenPayerBilling CodesD2140-amalgam-one-surface-primary-or
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    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.

    Table of contents

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    National Mean Rates for CDT code D2140 by Payer

    Clinical & Coding Specifications

    Clinical Context

    A pediatric or adult patient presents to a dental office (POS 11) with a single-surface carious lesion on a primary or permanent molar identified on clinical exam and confirmed with bitewing radiographs. The patient reports localized sensitivity to thermal stimuli and chewing but no signs of irreversible pulpal involvement or acute infection. The dentist administers local anesthesia as appropriate, isolates the tooth with cotton rolls or a rubber dam, removes carious tooth structure, prepares a conservative cavity for an amalgam restoration, places and contours a single-surface amalgam, and evaluates occlusion and finishing. Typical workflow includes charting the diagnosis (for example, caries), documenting informed consent, performing the operative procedure, recording materials used (amalgam), and scheduling follow-up as needed.

    Related Diagnoses

    • K02.3 — Arrested dental caries

      • Clinical relevance: Represents carious lesions that have halted progression; may still require restoration if structure is compromised or for occlusal form, making D2140 appropriate if a one-surface amalgam is placed.
    • K02.9 — Dental caries, unspecified

      • Clinical relevance: General documentation of caries where tooth-specific details warrant restoration with a one-surface amalgam D2140.
    • K03.81 — Cracked tooth

      • Clinical relevance: A cracked tooth with a one-surface defect may be restored with a one-surface amalgam when clinically indicated.
    • K08.8 — Other specified disorders of teeth and supporting structures

      • Clinical relevance: Miscellaneous tooth disorders that result in a defect or structural compromise treatable with a single-surface amalgam restoration.
    • K04.7 — Periapical abscess without sinus

      • Clinical relevance: Represents pulpal/periapical pathology; if resolved or when restoration of a one-surface defect is part of overall care, D2140 may be used after appropriate endodontic or infection management.
    • K05.6 — Periodontal disease, unspecified

      • Clinical relevance: Periodontal disease may contribute to tooth structure loss or root exposure requiring restorative intervention; D2140 applies when a single-surface amalgam is indicated.

    Related Codes

    D2150-AMALGAM-TWO-SURFACES-PRIMARY-OR

    D2150 – Amalgam - two surfaces, primary or permanent

    D1208-TOPICAL-APPLICATION-OF-FLUORIDE-EXCLUDING

    D1208 – Topical application of fluoride - excluding varnish

    D0210-INTRAORAL-COMPLETE-SERIES-OF-RADIOGRAPHIC

    D0210 – Intraoral - complete series of radiographic images

    D3310-ENDODONTIC-THERAPY-ANTERIOR-TOOTH-EXCLUDING-FINAL

    D3310 – Endodontic therapy, anterior tooth (excluding final restoration)

    D2393-RESINBASED-COMPOSITE-THREE-SURFACES

    CPT D2393: Resin-Based Composite Restoration, Three Surfaces, Posterior

    D4910-PERIODONTAL-MAINTENANCE

    CPT D4910: Periodontal Maintenance Procedures

    D1110-PROPHYLAXIS-ADULT-CLEANING-AND-POLISHING-OF-THE

    CPT D1110: Adult Dental Cleaning and Polishing

    D1206-TOPICAL-FLUORIDE-TREATMENT-EXCEPT-VARNISH-THERAPEUTIC

    CPT D1206: Topical Fluoride Treatment for Moderate to High Caries Risk Patients

    D2160-AMALGAM-THREE-SURFACES-PRIMARY-OR

    CPT D2160: Amalgam Filling, Three Surfaces, Primary or Permanent Tooth

    D1120-

    CPT D1120: Prophylaxis for Children, Preventive Dental Cleaning

    Showing 1–10 of 24

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.