1 / 13

D4230 Dental Code

Explore a complete guide to CDT Code D4230 u2013 anatomical crown exposure for 4 teeth. Learn indications, procedure steps, benefits, and insurance tips.<br>https://mydentalrevenue.com/d4230-dental-code/

Alex419
Download Presentation

D4230 Dental Code

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. D4230 DENTAL CODE: COMPLETE GUIDE TO ANATOMICAL CROWN EXPOSURE (≥4 TEETH) A Comprehensive Overview for Dental Professionals https://mydentalrevenue.com/d4230-dental-code/ info@mydentalrevenue.

  2. INTRODUCTION • Importance of CDT Code D4230 in restorative and esthetic dentistry • Beneficiaries: Dentists, Periodontists, Oral Surgeons • Overview: Indications, Procedure, Benefits, Insurance

  3. WHAT IS D4230? • Crown exposure of ≥4 contiguous teeth per quadrant • Functional, esthetic, and restorative purpose • Different from D4249 (prosthetic-focused crown lengthening)

  4. CLINICAL INDICATIONS • Gummy smile correction • Subgingival caries or fractures • Pocket reduction in periodontal treatment • Prosthetic support preparation

  5. STEP-BY-STEP PROCEDURE (PART 1) • Pre-Surgical Planning • CBCT, X-rays • Evaluation of bone, root, and esthetics • Local Anesthesia • Lidocaine + epinephrine • Infiltration or nerve block

  6. STEP-BY-STEP PROCEDURE (PART 2) • Gingival Incision & Tissue Removal • Scalpel, laser, or electrosurgery • Bone recontouring if needed • Suturing & Hemostasis • Resorbable/non-resorbable sutures • Pressure, cautery, agents • Postoperative Care • NSAIDs, chlorhexidine rinse, brushing instructions

  7. ADVANTAGES OF D4230 • Longer-lasting restorations • Better esthetics (gum-to-tooth ratio) • Improved oral hygiene and periodontal health • Increases patient trust and practice profitability

  8. RISKS & COMPLICATIONS • Post-op pain, swelling (manageable) • Root sensitivity • Delayed healing (smokers, diabetics) • Bleeding or over-reduction of tissue

  9. INSURANCE & BILLING • D4230: ≥4 teeth in a quadrant • D4231: <4 teeth in a quadrant • D4249: Hard tissue crown lengthening • Documentation essentials: Clinical notes, photos, X-rays

  10. ADVANCED CLINICAL CONSIDERATIONS • Biological Width: Maintain 2–3mm • Bone Shaping: Gradual and smooth • Patient Selection: • Ideal: Good hygiene, esthetic goals • Contraindications: Short crowns, systemic issues

  11. HEALING TIMELINE • 0–2 Days: Pain control, gauze compression • 1–2 Weeks: Suture removal, bland diet • 2–8 Weeks: Desensitizing toothpaste, tissue remodeling • 2–3 Months: Soft tissue stability

  12. MAXIMIZING INSURANCE REIMBURSEMENT • Clear, complete clinical documentation • Include: Pre/post-op images, X-rays, case justification • Accurate code usage to avoid denials

  13. CONCLUSION • D4230 supports both functional and esthetic outcomes • Critical for periodontic and prosthodontic success • Ensures long-term restoration success and better patient satisfaction • For more Details : • https://mydentalrevenue.com/d4230-dental-code/

More Related