Limited Orthodontic — Primary Dentition (D8010) — National Rates

About D8010 — Limited Orthodontic — Primary Dentition

D8010 refers to limited orthodontic treatment for primary dentition, typically involving a short-term approach to address specific alignment issues in young children. Clinical indications include early intervention for malocclusion or space management. Documentation should include the treatment plan, objectives, and any relevant diagnostic records. Reimbursement for D8010 is generally lower than for comprehensive orthodontic treatments and can vary by payor. Some insurance plans may have specific age limits or coverage restrictions for primary dentition treatments, so it is crucial to verify the patient's benefits and obtain any necessary pre-authorization before proceeding.

Reimbursement rates for D8010 vary significantly by state, payor, and provider network. The national average negotiated rate is $2. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.