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Dental Provider Notification – Frequency of Fillings (D2140-D2430)
Effective date
Jan 1, 2027
Identified
Jun 20, 2026
Summary
EmblemHealth is changing the frequency limit for dental fillings (D2140-D2430) from once every 6 months to once every 12 months on the same tooth by the same provider, effective January 1, 2027. This change also applies to inlays, onlays, veneers, crowns, or crown retainers performed after fillings on the same tooth within the last 12 months.
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What to do
Action · 3 steps
01Before January 1, 2027: Billing team must update dental billing software to enforce the new 12-month frequency limitation for fillings (D2140-D2430) on the same tooth by the same provider.
02Update system to also apply this frequency restriction to inlays, onlays, veneers, crowns, or crown retainers performed after a history of fillings on the same tooth within the last 12 months.
03Train staff on the new frequency requirements to prevent claim denials.
Codes mentioned
D2140D2141D2150D2160D2161D2330D2331D2332D2335D2390D2391D2392D2393D2394D2430
Original notice
Dental Provider Notification – Frequency of Fillings (D2140-D2430)
emblemhealth.com · Always check the source before changing claims.