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Dental Fee Schedule; Composite Resin Restoration of Incipient pdf
Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Reimbursement
Effective date
Nov 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) added new dental code D2990 for resin infiltration of incipient smooth surface lesions, effective November 1, 2019. Prior authorization is required for dental specialists (endodontists, periodontists, oral surgeons) but not for pediatric and general dentists.
Action Required
For Connecticut providers only: Update billing systems to include new dental code D2990 for resin infiltration procedures. Configure prior authorization requirements for endodontists, periodontists, and oral surgeons when billing this code to HUSKY Health plans. Note surface restrictions - code cannot be used for occlusal or incisal surfaces.