MedicaidBilling CodesHigh impact
Coding Dental Extractions (D7210 and D7140)
Missouri Medicaid (MO HealthNet)·MO · Dentistry, Oral & Maxillofacial Surgery·Coding
Effective date
Jul 2, 2026
We identified it
Jul 3, 2026
Summary
MO HealthNet clarifies coding requirements for dental extractions: use D7140 for simple, non-surgical extractions and D7210 only when surgical methods (bone removal, tooth sectioning) are necessary. D7210 is not covered for primary teeth. The determination is based on the procedure used, not the place of service.
Action Required
Immediately: Billing team must update coding guidelines and staff training to distinguish between D7140 (simple extractions) and D7210 (surgical extractions) based on procedure type, not location. Update billing system documentation and provider encounter forms with the new criteria. Stop billing D7210 for primary teeth under MO HealthNet—these claims will be denied. Providers must document in clinical notes whether surgical techniques (bone cutting, tooth sectioning) were used to support code selection. Review and correct any pending or recently submitted claims using D7210 for primary teeth or D7210 when D7140 would have been appropriate.