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Published September 2026

Who usually does it

pediatric. Common in pediatric, special-needs and hospital dental settings.

One question worth asking

What extra support does this visit include, and how is it charged?

Extra care and support

Sedation and comfortNot usually coveredFor childrenD9920D9991D9992D9993D9994D9997

Extra 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.

These codes pay for time rather than treatment: settling an anxious child, the extra staff and equipment a patient with a disability may need, a call to your doctor about a medical condition before treatment, or coordinating care across several appointments. They appear alongside whatever procedure was done. Most plans do not pay for them, so ask the office how they are billed.

Codes for this

D9920Not usually coveredExtra behavior support timeExtra time and staff to help an anxious child or a patient with special needs through treatment.per visit · Done sometimesD9991Not usually coveredCare support, category oneHelp with barriers to care such as transport or scheduling.per visit · Rarely doneD9992Not usually coveredCoordinating care with your doctorThe dentist coordinates treatment with your medical providers.per visit · Rarely doneD9993Not usually coveredCare support, category threeSupport for patients with behavior or mental health barriers.per visit · Rarely doneD9994Not usually coveredCare support, category fourSupport for patients with complex health or social barriers.per visit · Rarely doneD9997Not usually coveredCase management for a high-risk patientOngoing coordination for a patient whose health makes dental care complicated.per visit · Rarely done

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Extra care and support: what happens, step by step | TruthMolar