MedicaidBilling CodesMedium impact
Adult Dental Fee Schedule Composite Restorations on Molar Teeth pdf
Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Reimbursement
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY A, C, D) will now cover composite resin restorations on posterior molar teeth (teeth 2, 3, 14, 15, 18, 19, 30, 31) as an alternative to amalgam fillings. Four new CDT codes (D2391-D2394) are added with specific reimbursement rates ranging from $49.40 to $104.00.
Action Required
Effective July 1, 2019: Dental billing team must add CDT codes D2391 ($49.40), D2392 ($59.28), D2393 ($75.40), and D2394 ($104.00) to billing system for composite resin restorations on molar teeth 2, 3, 14, 15, 18, 19, 30, 31 for Connecticut Medicaid patients. Update fee schedules and ensure providers do not bill partial restorations with plans to complete within 6 months on same tooth.