Published September 2026
For children
The versions written for baby teeth and growing mouths.
Dental examD0120D0140D0145D0150+6PreventiveFor childrenA dental exam is when the dentist looks at your teeth, gums and mouth, checks old dental work, and decides whether anything needs attention.Teeth cleaningD1110D1120D4346D4355PreventiveFor childrenA routine cleaning removes plaque and hardened tartar from the teeth above the gum line and polishes them.SealantsD1351D1352D1353D2990PreventiveFor childrenA sealant is a thin protective coating brushed into the grooves of a back tooth so food and bacteria cannot settle there.Temporary fillingD2940D2941BasicFor childrenA soft, soothing filling placed to protect a tooth for a short time, for example between visits or to calm a tooth before deciding on a root canal.Stainless steel and ready-made crownsD2929D2930D2931D2932+2BasicFor childrenPrefabricated crowns come in standard sizes and are fitted in one visit.Nerve cover and partial nerve removal (pulp cap and pulpotomy)D3110D3120D3220D3221+1BasicFor childrenThese are smaller nerve treatments that try to avoid a full root canal.Baby tooth root canalD3230D3240D3921BasicFor childrenA root canal on a baby tooth uses a filling that dissolves as the adult tooth comes in.Root treatment for a young toothD3351D3352D3353D3355+2MajorFor childrenA young adult tooth whose root has not finished growing cannot get a normal root canal.Tooth extractionD7111D7140D7210D7250BasicFor childrenRemoving a tooth that has come through the gum.BridgeD6205D6210D6211D6212+53MajorFor childrenA bridge replaces a missing tooth with a false tooth held by crowns on the teeth on either side.Full bracesD8070D8080D8090D8220MajorFor childrenComprehensive orthodontic treatment straightens all the teeth and corrects the bite, usually over one to three years.Limited bracesD8010D8020D8030D8040+1MajorFor childrenLimited orthodontic treatment moves only a few teeth or fixes one problem, such as one crooked tooth or a small gap.Early (phase one) braces for childrenD8050D8060MajorFor childrenInterceptive treatment for a young child while baby teeth are still present, used to guide jaw growth or make room so later treatment is shorter.Space maintainer for childrenD1510D1516D1517D1520+9PreventiveFor childrenWhen a child loses a baby tooth early, a small metal spacer holds the gap open so the adult tooth has room to come in.Extra care and supportD9920D9991D9992D9993+2Not usually coveredFor childrenExtra time and help for patients who need it: behavior support for a child or a patient with special needs, coordinating with your medical doctor, and case management for complex health situations.Sports mouthguardD9941Not usually coveredFor childrenA custom-fitted guard worn during sports to protect the teeth and lips from impact.Lip or tongue tie releaseD7960D7963BasicFor childrenA short procedure that releases the small band of tissue under the tongue or lip when it is tight enough to affect feeding, speech or gum health.Facial prosthetics and rare hospital codesD5911D5912D5913D5914+38Not usually coveredFor childrenCustom-made replacements for parts of the face after cancer surgery, injury or a birth condition, such as an artificial ear, nose or eye, a plate that closes an opening in the roof of the mouth, feeding and speech aids for cleft palate, and devices used during radiation treatment.
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