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Oral Surgery/implant component


Hi Dr. Teig,

I had my #14 extracted. My oral surgeon will do bone graft-sinus lift and implant as the next steps. His office gave me a list of the procedure codes that I will need and the provider charges for each item, so I can estimate my out of pocket costs after insurance payment. Among the list there is an item called ‘component’ of $400 with a dental procedure code 999999 that won't be covered by my insurance. The office staff said that this component needs to be custom ordered and sent to my general dentist once implant is done. I thought my insurance covers 50% of all implant related items, and there should not be anything that is not covered. When I asked for the name of the component, she just said it is called "Component".
Could you please tell me what this component could possibly be? If it is abutment, then my general dentist could order and install it with crown. They have a procedure code of D6057 which my insurance will pay 50% of it. I am almost thinking this oral surgeon is ripping me off. What do you think?
Thank you in advance!

Wendy - I am not quite sure what the surgeon is billing you for, but the $400 fee is indicative of the abutment, but depending on the type of implant placed, the abutments need to be custom made.

My suggestion, is to have your dentist speak with the surgeon and find out what that fee is.  This is the best solution and will give communication between the two doctors, which is very important for an overall successful result.

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Joel S. Teig, DMD, Diplomate ABOMS, retired


I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.


Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

BA- University of Connecticut DMD-University of Pennsylvania School of Dental Medicine Oral and Maxillofacial Surgical Residency - Roosevelt Hospital, NYC

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