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    v1.0.28
    OpenPayerBilling CodesD2150-amalgam-two-surfaces-primary-or
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    CDT D2150: Amalgam Restoration, Two Surfaces

    CDT code D2150 denotes a two-surface amalgam restoration for primary or permanent teeth, a common restorative dental procedure. Nationally, this code is important for tracking utilization of amalgam restorations versus alternative materials, budgeting dental benefits, and ensuring accurate claims processing across commercial plans. Major commercial payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare.

    Readers will learn what the code signifies clinically and administratively, typical settings where the service is delivered, and how it maps to related restorative codes for one- and three-surface amalgam restorations and comparable composite restorations. The publication outlines common ICD-10 diagnostic reasons that justify use of the code, highlights modifiers seen with the procedure, and identifies relevant dental provider taxonomies. It also summarizes payer coverage context and what elements claims reviewers commonly evaluate for this service. Where input data is missing for specific service-line metadata, the report notes "Data not available in the input." The content is intended to help billing professionals, dental administrators, and policy analysts understand the clinical definition, coding relationships, and payer coverage landscape for CDT code D2150 in a national context.

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    Billing Code Overview

    CDT code D2150 represents Amalgam restoration involving two surfaces in either primary or permanent teeth. This procedure is classified under Dentistry services and typically occurs in a dental office (POS 11). The code denotes placement of an amalgam (silver) filling that restores two surfaces of a tooth.

    National Reimbursement Benchmarks

    National mean rates show that BUCA (average commercial) at $73.74 sits between typical commercial payers and the higher-paying Blue Cross Blue Shield and UnitedHealthcare. Medicare data is not available in the input, so a direct numeric comparison between Medicare and BUCA cannot be provided; the table and chart below present the full breakdown of available payer means and percentiles.

    Rate dispersion (P75 minus P25) varies across payers: Blue Cross Blue Shield and UnitedHealthcare exhibit wider spreads (P75−P25 of $38.75 and $26.50 respectively), indicating greater variability among providers, while Cigna Health and Aetna are relatively tighter (P75−P25 of $16.00 and $12.67 respectively). BUCA shows a moderate spread (P75−P25 of $44.00). The table and chart below present the full breakdown.

    Table of contents

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    National Mean Rates for CDT code D2150 by Payer

    Clinical & Coding Specifications

    Clinical Context

    A pediatric or adult patient presents to a dental office (POS 11) with a diagnosed dental carious lesion affecting two surfaces of a primary or permanent tooth. The patient reports sensitivity and localized pain on biting or on thermal stimulation. Clinical examination and bitewing radiographs confirm caries limited to an occlusal and one proximal surface (or two proximal surfaces) where an amalgam restoration is indicated. The dentist administers local anesthesia as needed, isolates the tooth, removes carious tissue, prepares the cavity, and places an amalgam restoration covering two surfaces. Post-operative instructions are provided and the patient is scheduled for routine recall.

    Related Codes

    • D2140 - Amalgam - one surface, primary or permanent

    • Relationship: A smaller restoration option when only a single tooth surface is involved; used when clinical caries extent limited to one surface. Commonly used as an alternative when the lesion is less extensive than indicated for D2150.

    • D2160 - Amalgam - three surfaces, primary or permanent

    • Relationship: A larger restoration option when caries involve three surfaces; used when the defect extends beyond two surfaces. May be billed instead of D2150 if the preparation involves an additional surface.

    • D2330 - Resin-based composite - one surface, anterior

    • Relationship: A restorative alternative using tooth-colored resin material for anterior teeth; not directly equivalent for posterior two-surface amalgam restorations but relevant when material choice or tooth location differs.

    • D2391 - Resin-based composite - one surface, posterior

    • Relationship: A posterior resin alternative for small restorations; may be used instead of amalgam in posterior teeth when material selection favors composite for one-surface lesions. Not a direct substitute for a two-surface amalgam but relevant in material selection and treatment planning.

    • Common combinations/alternatives: D2150 is commonly selected when two-surface amalgam restoration is clinically indicated; D2140 and D2160 are the immediate size-based alternatives. Resin-based codes (D2330, D2391) are alternatives based on material choice and tooth location.

    Related Codes

    D1208-TOPICAL-APPLICATION-OF-FLUORIDE-EXCLUDING

    D1208 – Topical application of fluoride - excluding varnish

    D2750-CROWN-PORCELAIN-FUSED-TO-HIGH-NOBLE

    D2750 – Crown - porcelain fused to high noble metal

    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

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

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

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

    CPT D1110: Adult Dental Cleaning and Polishing

    D1120-

    CPT D1120: Prophylaxis for Children, Preventive Dental Cleaning

    D4341-PERIODONTAL-SCALING-AND-ROOT-PLANING-FOUR-OR-MORE-TEETH-PER

    CPT D4341: Periodontal Scaling and Root Planing, Four or More Teeth per Quadrant

    D2790-CROWN-FULL-CAST-HIGH-NOBLE

    CPT D2790: Full Cast High Noble Metal Crown Placement

    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 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.