- HIGH
- Regulatory
- Tier 1
- Mainstream Media
Texas Medicaid Needs to End Outdated Restrictions on Molar Crowns
- Source
- Texas Dentists for Medicaid Reform
- Originally at
- news.google.com(opens in a new tab)
Summary and scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol. Not the original publisher.
Why it matters for dental
Texas Medicaid practices lose reimbursement for zirconia, E.max, and porcelain-fused-to-metal crowns on permanent molars, limiting material choice for high-load restorations.
Key points
- 01
Texas Medicaid restricts D2740 and D2751 codes to anterior teeth and premolars only.
- 02
TDMR consulted dental professionals and asked the Texas Health and Human Services Commission to extend coverage for those codes to permanent molars.
- 03
Glidewell 2024 data showed zirconia, E.max, and porcelain-fused-to-metal crowns made up 98.2% of posterior restorations.
- 04
Texas Medicaid currently denies reimbursement for these materials on permanent molars despite their prevalence in modern practice.
Who should care
- Owner
- Staff
Read the original
Texas Dentists for Medicaid Reform
Full reporting and any paywalled content live on news.google.com. We summarize and score; we do not republish.