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Insurance & Fees

Dr. Aaronson is an out-of-network provider for all medical and dental insurance. It is always recommended to call your insurance in advance to verify coverage of any treatments, as we are not able to guarantee coverage due to our out-of-network status. All insurance companies are different, and all plans are different, even within the same network. The most reliable way to determine if treatment is covered is to call your insurance carrier directly and ask. Be sure to inform them that we are an out-of-network dentist. We will provide you with a superbill and invoice and a claim form to submit to your insurance for reimbursement (see below for links to download additional claim forms.) Please note: any fees not covered by insurance are your responsibility. Payment is due at the time of service, and any payments made by your insurance will be sent directly to you.

Medical Reimbursement Claim Forms (click to download):








The consultation fee is $150, for patients of all ages. If your child is under the age of 1 and you have already paid for a consultation, we will apply the $150 towards the cost of treatment. For children over age 1, the consultation fee does not apply towards treatment.


For infants and children ages 0-3 years, the fee is $799 for one frenectomy site, and $1,598 for two or more sites.

For children ages 4+, the fee is $899 for a lingual (tongue) frenuloplasty and $799 for a lip tie release.  

Here is some information that you may need while seeking coverage information:

Dental Insurance:


Codes for Reimbursement:


ADA Code
D 7961 – Frenulectomy/Frenectomy - Upper lip and cheek

D7962 - Frenulectomy/Frenectomy - Tongue

D7963 - Frenuloplasty with stitches (ages 4+)

Medical Insurance:


Codes for Reimbursement:


ICD 10 and CPT Codes
ICD 10 Code: Diagnosis of Ankyloglossia (Tongue Tie) Q38.1
ICD 10 Code: Diagnosis of Restricted Labial Frenulum (Lip Tie) Q38.0

Procedure CPT Code: Lingual (Tongue) Frenulum / Frenotomy: 41115

Procedure CPT Code: Labial or Upper Lip Frenulum / Frenotomy: 40819

Dr. Aaronson's NPI: 1134375652

Office TIN: 04-2590233


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