Background: Dental caries is one of the most common human diseases and affects most individuals. The severity of dental caries can increase over time if it is not handled properly. The basis for the development of efforts to prevent caries is to understand the risk of the caries. Objective: The purpose of this study is to determine the difference in severity of caries code 5 or 6 according to ICDAS among caries risk groups in Dusun Pendul society. Methods: The type of this study was observational analytic with cross sectional design. The study took place in December 2018 - January 2019 in Dusun Pendul. The research subjects were 87 selected using the accidental sampling method with the criteria of age ≥ 5 years. Caries severity was assessed using the ICDAS code 5 or 6 and the risk status of dental caries was assessed using the caries risk assessment according to the American Dental Association. Data analysis used in this study was the Kruskall-Wallis hypothesis test which was then followed by the Mann-Whitney U test. Results: The results of this study indicate that there is a significant difference in severity of caries in each caries risk group (p <0.05). Conclusion: There is a difference in severity of caries code 5 or 6 according to ICDAS among caries risk groups in Dusun Pendul society, the higher of the caries risk status the higher the caries severity.