D6058 dental code explained
D6058 usually means a tooth-colored porcelain or ceramic crown was custom-made and attached to the connector piece sitting on top of your implant post
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What D6058 means
This is the visible, tooth-shaped cap that gets secured onto your implant — it looks and functions like a natural tooth. It is billed separately from the implant post surgery and the connector piece, so you may see multiple charges on your bill for what feels like one tooth.
Average negotiated rates
Benchmarks are based on published negotiated-rate data available to MyBillRx. Your actual allowed amount depends on plan, network, geography, provider contract, and whether the claim is processed in-network.
What insurance typically checks
- • Confirm whether your plan covers implant-supported crowns separately from the implant post — some plans cover one but not the other
- • Check if your plan would downgrade payment to a less expensive crown material such as porcelain-fused-to-metal and only pay at that lower rate
- • Verify the waiting period and whether the implant post placement date affects when the crown benefit becomes payable
- • Look at your plan's crown replacement frequency rule — typically crowns are only covered once every five to seven years per tooth position
Common denial or downcoding reasons
- • Plan downgraded the benefit to a lower-cost crown type and paid only the porcelain-fused-to-metal rate rather than the all-ceramic rate
- • Implant crowns are excluded from coverage under the plan's general implant exclusion clause
- • The crown was submitted too soon after the implant post placement and did not meet the plan's required healing interval
- • Claim lacked supporting documentation such as the abutment placement date or X-rays showing the implant is fully integrated
What to ask your dentist
- • Will my insurance pay for this crown at the all-ceramic rate or will they downgrade it to a cheaper material and leave me with a balance?
- • Is the abutment or connector piece billed separately, and did you submit that claim at the same time as the crown?
- • Can you provide a written cost estimate showing what my out-of-pocket will be after insurance pays?
- • If the crown needs to be replaced in the future, how does the frequency limitation on my plan affect when it would be covered again?
What to check before you pay
- • Confirm the code on the bill matches the code on the EOB.
- • Check whether insurance allowed the charge, denied it, or downcoded it.
- • Compare the provider's billed charge to the negotiated or allowed amount.
- • Ask the office for the clinical reason if the code does not match what you remember receiving.
- • Implants are frequently limited or excluded. Check replacement clauses, missing-tooth clauses, and alternate-benefit rules.
FAQs about D6058
Why are there three separate charges on my bill for what I thought was one implant tooth?
An implant tooth is typically billed in three parts: the surgical post placement, the abutment or connector piece, and the crown itself. Each has its own code and may be covered differently by your insurance.
My insurance paid for a regular crown before — why won't they pay for this implant crown?
Implant-supported crowns are often treated differently than crowns placed on natural teeth. Some plans exclude implant restorations entirely or apply stricter rules, even if they routinely cover standard crowns.
What does 'downgraded to an alternative benefit' mean on my Explanation of Benefits?
It means your insurance decided to pay only what they would pay for a less expensive option — in this case possibly a metal or porcelain-fused-to-metal crown — and you are responsible for the cost difference.
Is there anything my dentist can submit to help get this covered?
Yes — detailed X-rays showing the implant, the abutment placement date, and a narrative explaining why the all-ceramic material was chosen can all strengthen a claim or support an appeal if the claim was denied.
Plain-English disclaimer
This page explains what this code typically means. For official CDT definitions, refer to the ADA. It is not dental, legal, or insurance advice.