D5213 Dental Code: How to Use It Right & Profit Like a Boss

June 20, 2025
Topics: Dental
Written by: Lisa Rasmussen

How Smart Practice Owners Are Ditching PPOs and Adding $500K+ in Recurring Revenue

Join our exclusive course and discover the proven strategies that practices use to add $10,000+ in monthly recurring revenue with patient membership plans. Dr. Evans took this course and now has over 800 members and $37,000/mo of predictable recurring revenue. Watch this webinar before we take it down in 24 hours.

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What You Will Learn:

- How to Build a Membership Plan That Pays You Monthly (Even While You Sleep!)

- Why PPOs Are Stealing Your Revenue—And How to Take Control of Your Profits

- The 3-Step System to Scale Recurring Revenue
(Even If You’ve Never Sold a Membership Plan Before!)

- The #1 Mistake Dentists Make When Dropping PPOs (And How to Avoid It!)

LIVE Case Study: How One Dentist Went from PPO-Dependent to $500K+/Year in Recurring Revenue With a Membership Program!

In dentistry today, PPOs are not your friend, they hurt your cash flow, demolish your profit margins, jeopardize your patient relationships & use A.I. to deny claims!!

If I had an employee or partner that messed up my business like that, I would FIRE them ASAP! 

$47. No fluff. Just results.

You in?

Hey there, Denture Jedi

— Quick pop quiz: What’s the one partial denture code that’s as misused as your gym membership in January? Answer: The D5213 dental code. Get it wrong, and you’ll watch revenue evaporate. Get it right — and watch your profits multiply.

Today, I’m about to show you EXACTLY how to master D5213 and how smart dentists pair it with BoomCloud™ memberships to turn “one-and-done” partial patients into loyal, high-value fans who never ghost you. Ready? Buckle up.


The Nerdy Definition: What Is the D5213 Dental Code?

Alright, let’s geek out for a sec:

D5213Maxillary partial denture – cast metal framework with resin denture bases (including conventional clasps, rests, and teeth).

Translation for humans: This is your Cadillac partial for the upper arch — not the budget acrylic version, but a stronger, more durable metal framework partial with a resin base and all the bells and whistles.

For the lower arch? Use D5214 — same deal, different zip code in the mouth.


Why D5213 Partial Dentures Eat Your Profits If You Undercode

Picture this:

  • Cast metal partials require lab fees, multiple impressions, bite blocks, try-ins, framework fitting — aka HOURS of your time.

  • The national average fee for a D5213 partial? $1,200–$2,500.

  • Many dentists discount this to please insurance or panic when patients balk at price.

Result? You lose money faster than you can say, “Maybe I should’ve become an orthodontist instead.”


Membership Patients LOVE Paying for High-End Partials

Now here’s your “Aha!” moment: Smart practices bundle the D5213 dental code into a BoomCloud™ membership plan so patients aren’t scared off by sticker shock.

Here’s what happens when you do:
✅ Patients pay monthly — so big lab fees don’t scare them off.
✅ They stick with you for relines, repairs, and upgrades (more billing!).
✅ They spend 2–4X more than uninsured patients (BoomCloud™ data drop ).


Story Time: Dr. Ramirez’s Cast Partial Profit Explosion

Meet Dr. Ramirez, an ambitious GP in Austin. Two years ago, partial dentures were his nightmare. He’d quote $1,800, patients ghosted, and insurance reimbursements were a joke.

So, he launched a BoomCloud™ membership:

  • Patients paid $39/month for preventive care plus discounts on partials.

  • They spread out the cost — zero payment drama.

  • In his first 8 months?
    223 members.
    $8,697 MRR (Monthly Recurring Revenue).
    $104,364 ARR (Annual Recurring Revenue).

Now? His D5213 partials sell like Invisalign — but with half the headache.


MRR & ARR: The Secret to Predictable Partial Denture Profit

Let’s break this down:

  • MRR = Monthly Recurring Revenue = you never start the month at zero.

  • ARR = Annual Recurring Revenue = Netflix money for your practice.

Pair BoomCloud™ with D5213 and you never stress about lab bills, insurance clawbacks, or ghosting patients.


How to Use the D5213 Dental Code & BoomCloud™ Together

Step 1: Bill D5213 for all maxillary cast partials — don’t undercharge or shortcut.
Step 2: Bill separate codes for repairs (D5650), relines (D5730), and adjustments (D5410).
Step 3: Enroll patients in your BoomCloud™ membership plan BEFORE presenting the treatment plan.
Step 4: Smile as your schedule stays full and your bank balance climbs.

BoomCloud™ takes care of:

  • Recurring billing

  • Automated reminders

  • Real-time analytics for MRR & ARR

  • ⚖️ Legal compliance

  • Done-for-you marketing templates

Book your free BoomCloud™ demo now


Numbers Don’t Lie: Membership Patients Make D5213 Worth It

BoomCloud™ internal data:

  • 95% appointment attendance rate for members.

  • 75–90% treatment plan acceptance.

  • 2–4X more lifetime spend per member vs. non-members.

Translation: Those partial patients won’t ghost you for another “cheaper doc” across town. They’re loyal, happy, and profitable.


FAQs

What does D5213 cover exactly?
A maxillary cast metal framework partial with resin base — includes rests, clasps, teeth, and delivery. Adjustments and repairs? Code those separately!

Does insurance fully cover D5213?
Sometimes — but often there’s a big out-of-pocket. Membership plans make this predictable for patients and guarantee payment for you.

Can BoomCloud™ integrate with my practice software?
Yes — it works with most major PMS platforms.

How fast can I launch BoomCloud™?
Under a week with their free onboarding team!

Is this legal?
Totally. BoomCloud™ has state-compliant templates and keeps you on the right side of the law.


Wrap-Up: Be the D5213 Master, Not the Lab’s Free Donor

Alright, Dental Rock Star:
✅ Know the D5213 dental code inside out.
✅ Stop underbilling and giving freebies.
✅ Use BoomCloud™ to wrap partials into memberships that patients love and your bank account loves more.

No more ghosting. No more lab debt. Just loyal patients and predictable, stacked cash flow.


Ready to Be the Next Dr. Ramirez?

Download the Million-Dollar Membership Plan eBook: Grab It Free
Take the Six-Figure Patient Membership Plan Course: Enroll Here
Schedule a BoomCloud™ Demo: Book Now
Create Your BoomCloud™ Account For FREE: Sign Up

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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