Update: Restorative Limit for Primary Teeth
We would like to provide you with information about the recent update to the total restorative fee for primary teeth that was released by the Health and Human Services Commission (HHSC).
The total restorative fee per primary tooth for single or multiple dates of service within a six-month period cannot exceed $156.06, which is the fee for a stainless steel crown (exceptions: D2335 and D2933), when provided by the same provider, facility, or group.
Exceptions will be considered when pre-treatment x-ray images, intraoral photos, and narrative documentation clearly support the ...