D2332 Dental Code: Are PPOs Robbing You on Composite Fillings? There’s a Better Way!

April 01, 2025
Written by: Jordon Comstock

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Another Multi-Surface Filling… Another Insurance Ripoff?

You just placed a D2332 dental code—Three-Surface Composite Filling on an Anterior Tooth.
Your patient needed it, your work was flawless, and now it’s time to get paid.

You submit the claim to the insurance company, and then…

DENIED!
UNDERPAID!
MORE PPO GAMES!

Meanwhile, your front desk is:
Stuck on hold for hours with insurance reps.
Writing off THOUSANDS in PPO “adjustments.”
Watching your revenue vanish into the insurance abyss.

Reality check: The average dental practice writes off $35,000+ per month in PPO discounts. That’s $420,000 per year—GONE.

Why are you still letting PPOs dictate your income?
Over 50% of Americans don’t even have dental insurance.
Membership patients accept treatment 2X-4X more than PPO patients.
You can build predictable recurring revenue (MRR & ARR) with a membership plan.

In this guide, you’ll learn:
What the D2332 dental code is & how to appeal a denial.
Why a membership plan is the best alternative to PPOs.
How BoomCloud™ helps practices generate predictable revenue & happier patients.

Let’s go.


Story: How One Dentist Ditched PPOs & Added $500K in Recurring Revenue

Meet Dr. Kyle Anderson.

He was:
Frustrated with insurance companies devaluing composite fillings.
Losing thousands every month due to low PPO reimbursements.
Struggling with unpredictable cash flow.

Then, he made ONE SIMPLE CHANGE—he stopped relying on PPOs and launched a membership plan.

Fast forward 12 months:
He dropped 3 low-paying PPOs.
His practice added $42,000/month in predictable recurring revenue.
Case acceptance skyrocketed (because patients had a simple way to pay).

That’s the power of saying goodbye to PPOs & embracing memberships.


What is the D2332 Dental Code & How to Stop Losing Money on It

What is the D2332 Dental Code?

D2332 is the ADA insurance code for a three-surface resin composite (white) filling on an anterior tooth.

Definition:
“D2332 – Resin-Based Composite – Three Surfaces, Anterior”

This code is used when:
✔️ Decay or damage extends across three surfaces of an anterior tooth.
✔️ Aesthetic concerns require a tooth-colored restoration instead of amalgam.
✔️ A larger filling is required to restore function and structure.

BUT HERE’S THE PROBLEM:
What D2332 Should Be Worth: $200 – $350
What Most PPOs Pay: $80 – $150

That means for every 10 three-surface composite fillings you place, you’re losing $3,000+ per month.

The True Cost of PPO Write-Offs:
You place 50 three-surface composite fillings a month
PPOs underpay by $150 per case
$7,500 lost PER MONTH
$90,000 PER YEAR—GONE!

So, what’s the fix? Stop relying on PPOs & start offering a membership plan.


Why Membership Plans Are Better Than PPOs

RULE #2: Membership patients don’t need insurance. They just say YES.

How a Dental Membership Plan Works:
Patients pay a low monthly or annual fee for preventive care.
They get exclusive discounts on additional treatments.
You generate predictable recurring revenue (MRR).

Why This Works:
✔️ Membership patients spend 2X-4X more than PPO patients.
✔️ Case acceptance skyrockets (because cost isn’t a barrier).
✔️ You create LOYALTY & RETENTION.

Want to launch your membership plan & ditch PPOs? Check out BoomCloud™


How to Appeal a Denied D2332 Claim (Because Insurance is the Worst)

Follow these steps to fight a denial:

Step 1: Send a Strong, Professional Appeal Letter

Subject: Appeal for Claim Denial – [Patient Name, Date of Service, Claim Number]

To Whom It May Concern,

I am writing to formally appeal the denial of claim #[CLAIM NUMBER] for [PATIENT NAME], who received a three-surface resin-based composite filling (D2332) in my office on [DATE OF SERVICE].

The procedure was medically necessary and aligns with ADA & standard dental care protocols.

Step 2: Provide Clinical Justification
RULE #1: PPOs love denying claims due to “lack of medical necessity.”

What to Include:
✔️ X-rays showing the extent of decay.
✔️ Clinical notes detailing symptoms & required treatment.
✔️ A breakdown of why a composite filling was necessary instead of a temporary solution.

Step 3: Demand a Re-Evaluation & Set a Deadline
Insurance companies stall to avoid paying.

I request an immediate re-evaluation of this claim. A response is expected within 30 days of this letter’s receipt.

Please confirm receipt of this appeal and provide a timeline for resolution. I am available for further discussion at [Your Contact Information].

Sincerely,
[Your Name, Your Dental Practice]

Want to STOP relying on insurance & start getting paid what you’re worth? Check out BoomCloud™


 How BoomCloud™ Helped One Practice Scale to $500K in Recurring Revenue

Dr. Anderson stopped relying on insurance patients and started offering a membership plan.

What He Did:

✔️ Launched a BoomCloud™ membership plan.
✔️ Used social media & SEO to attract high-value patients.
✔️ Implemented AI booking & same-day treatment for convenience.

Results in 12 Months:

1,800 patients joined the membership program.
MRR hit $42,000/month.
ARR surpassed $504,000/year.

Now, Dr. Anderson has predictable revenue, loyal patients, and NO PPO headaches.

Want the same results? Check out BoomCloud™


Final Thoughts: Stop Playing the PPO Game & Take Control of Your Practice

The biggest mistake dentists make? Relying on PPOs instead of BUILDING RECURRING REVENUE.

Step 1: Appeal denials with STRONG documentation.
Step 2: Offer a membership plan to reduce insurance reliance.
Step 3: Use BoomCloud™ to automate memberships & grow predictable revenue.

More patients. More revenue. Less stress.

Ready to build a membership plan that scales? Check out BoomCloud™

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vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

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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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