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Reviewed by a licensed dentistTreatment: ImplantCode: D6010 and othersQuestion: Reading the plan

Why are there so many lines on my implant plan?

The short answer

Because an implant is built in steps, and each step has its own code. A single implant tooth commonly shows three or more lines: the implant, the connector (abutment), and the crown. An extraction, graft, or 3D scan adds more. Seeing several lines is normal.

More detail

The lines you'll often see

  • Extraction (D7140 or D7210), if the tooth is still there
  • Bone graft (D7953, D6104, or a sinus lift, D7951 or D7952), if needed. See Do I really need a bone graft?
  • 3D X-ray (cone-beam CT, D0364–D0367) to plan the placement
  • Surgical guide (D6190), a template that helps place the implant precisely
  • The implant (D6010): the post placed in the bone
  • Uncovering the implant (D6011), if it was left buried under the gum to heal: a small second step to expose it before the crown
  • The abutment (D6056 stock, D6057 custom): the connector
  • The crown (often D6058 on an abutment, or D6065 attached directly to the implant)

Not every case uses every line, and some offices or systems combine steps. For example, a one-piece crown that attaches directly to the implant has no separate abutment line.

Two offices, two bills

Often one office places the implant and another makes the crown. Each sends its own bill and its own claim. Ask both for written estimates, so nothing is a surprise.

Things worth asking about

  • A line you don't recognize. Ask what it is and why it's needed.
  • Both a stock and a custom abutment, or two crowns for one tooth. Usually only one of each is used for the final tooth, though a temporary crown (D6085) may be listed separately.
  • Optional extras, like a particular material. Ask what each adds and whether your plan covers it.

Look up any code with our code lookup.

Timing across visits

The steps happen over months, so the charges and claims may come in stages. Each claim gets its own Explanation of Benefits. Keep them together so you can follow what's been paid. See My bill doesn't match my EOB.

Questions to ask

  • Can you walk me through each line on this plan?
  • Which of these does your office do, and which does the other office do?
  • Is anything here optional?
  • When will each part be billed?
  • Before we schedule, can I get my cost in writing? (A predetermination if I'm using insurance, or a good faith estimate if I'm paying myself.)

When a second opinion makes sense

Reasonable if the plan includes several grafts or extra steps and no one has explained why.

Related questions

Sources (3)