Valian
// Prosthodontics · D6240

Is a dental bridge covered by insurance?

Usually yes, as a major service at around 50%, unless the tooth was lost before the plan started. The replacement tooth in a fixed bridge (code D6240, porcelain over a precious metal base) is the piece that floats over the gap, held up by crowns on the teeth on either side. Each piece of the bridge is billed as its own unit.

50%

Major, billed per bridge unit

3 units, 1 visit

A typical bridge is one replacement tooth plus two anchor crowns (D6750), each its own claim line at 50%. Half of three units usually clears the annual maximum.

Lost before = no

The missing tooth clause hits bridges hard. If the gap existed before the plan's effective date, the pontic can deny even when the anchor crowns pay.

Metal downgrade

Many plans pay the base-metal pontic fee (D6241) as an alternate benefit, no matter what the lab used. The difference is the patient's.

Estimate first

Bridges are the classic pre-treatment estimate case. The eligibility check gives you the major percentage, waiting period and remaining maximum before the estimate even goes out.

// Try it · sample plans, your numbers

What would a real check show for this patient's D6240?

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Eligibility readout · D6240

Sample
Coverage
Active, major covered at 50%
Frequency
Bridge replacement once / 5 years
Patient share
Type your fee to see it

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When D6240 is the right code

  • A gap between two natural teeth being crowned
  • The replacement tooth is fixed, not removable
  • Porcelain outside, precious metal underneath
  • Held by natural teeth, not by implants

Documentation payers expect

X-rays showing the gap and the anchor teeth, the date the tooth was lost, and a pre-treatment estimate. Most plans want each unit listed on its own claim line.

D6240 or its neighbors?

D6240
The floating tooth over the gap
D6750
The anchor crown on each side
D6245
Same pontic, all porcelain, no metal
D6010
An implant in the gap instead of a bridge

Picking the wrong neighbor is its own denial category. The chart decides, not the schedule.

Why bridges get denied

Missing tooth clause. The gap was there before the plan started, so many plans owe nothing on the pontic. Confirm the extraction date before the impression.
Anchor tooth crowned recently. A crown on an abutment inside the plan's 5 to 10 year window blocks that retainer (D6750), and often the bridge with it.
Units bundled on one line. Each pontic and each retainer is its own claim line with its own tooth number; one lump fee gets kicked back.
Alternate benefit to base metal. The plan pays the D6241 fee and the patient hears about the gap at checkout instead of at the estimate.

What happens after the bridge

A bridge usually empties the annual maximum in one visit: three units at 50% is more than most plans allow for the year. Every other major claim on that patient, a crown (D2750) or a partial, moves to the next plan year. Then the bridge starts its own 5 to 10 year replacement clock, and a recent crown on one of the anchor teeth carries over as history. The desk that pulls the remaining maximum and the major percentage before the estimate can tell the patient what waits until January.

D6240, quick answers

Does insurance cover a dental bridge?

Most plans cover the pontic (D6240) and the anchor crowns as major work at around 50%, subject to the deductible, waiting period, annual maximum and missing tooth clause.

What is the missing tooth clause on a bridge?

If the tooth was lost before the plan's effective date, many plans will not pay to replace it, even though the anchor crowns may still be covered.

How is a bridge billed?

Unit by unit. A three-unit bridge is one D6240 pontic and two D6750 retainer crowns, each on its own line with its own tooth number.

Does a bridge need a pre-treatment estimate?

Most plans recommend it for major work and some require it. Send it once you know the major percentage and remaining maximum from the eligibility check.

How often will a plan replace a bridge?

Typically once every 5 to 10 years, and a crown placed recently on an anchor tooth can block the retainer for that tooth.

More questions? Schedule 15 minutes with us and bring your toughest plan.

Every bridge, all three units checked against the plan first.

First month free, then $2.50 a check. No seat fees, no contract.

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View all dental codes

Related: D6750 · D5213 · D6010

CDT is maintained by the American Dental Association. This page is Valian's own plain-English summary for front-desk teams, not official CDT descriptor text, and is not billing or clinical advice. Coverage patterns are common plan behaviors; every plan differs. Verify benefits before treatment.