Can D0120 be billed on the same day as periodontal maintenance?
Can palliative treatment (D9110) be billed on the same date as a limited oral evaluation (D0140)?
How often are limited oral evaluations (D0140) covered?
How often will dental plans pay for D0150?
Complex cases often require a lengthy consultation with the patient to discuss the diagnosis and treatment options. Can this be billed separately?
How often do dental plans typically cover D0160? Do we actually need to submit a report?
Just how long does an insurance company have to respond to a dental claim? I called the carrier to follow up on an unpaid claim and was told that the plan is self-funded, and they can't pay the claim until the employer funds the plan. What should I do?
How often do dental plans pay for D0170?
Can D0180 be billed the same day as other periodontal services, and how often will it be covered?
We are fairly new to billing cone beam images to insurance companies. So far, all our claims have been denied. Are you aware of any dental plans that cover the cone beam CT codes?
Our doctor recently started using Gramm crowns. How are they different from other crowns, and what code should I use?
How does a pulpotomy differ from pupal debridement?
When should root canals be reported?
Will dental plans pay for incomplete endodontic therapy?
What code can I use when doing a root canal on a primary molar?
How does a free soft tissue graft differ from other grafts?
Can we perform one or two quadrants of SRP (D4341) and a prophy (D1110) on the same day if that is all the root planing that is needed?
What code is used to report Perio Protect Trays™?
How does crown lengthening differ from anatomic crown exposure?
We have a patient who will need a CuSil® partial. We are keeping seven teeth, and the partial will have rubber gaskets that sit over the retained teeth. The lab costs on this are more than a regular partial. What code should we bill?
What code can we bill when uncovering the implant and placing a healing cap?
What dental code do we use for mini-implants used to support a removeable partial or denture?
We billed D6065 for an implant supported porcelain crown and D6056 for the abutment. Both were denied saying we used incorrect codes. I called the dental plan to ask what code we should have used, and they refused to tell me. Any suggestions?
What is the difference between a radiographic index and a surgical implant index? How is D6190 different from D5982 and D5988?
How do we code a bridge supported by implants?
How do we bill a Maryland Bridge?
What exactly are you recementing? Natural tooth or implant-type crowns?
How do we code a cantilever bridge?
What code reports when a dentist surgically removes the mucosal flap that partially or completely covers an unerupted tooth?
What code can report the application of a desensitizing medicament?
What is the best way to code for dry socket treatment?
Should we submit our full fees or our contracted PPO fees on dental claims?
Should soft tissue grafts be billed per site or per tooth?
When a locum tenens dentist fills in for a dentist, who should be listed as the treating dentist when the locum tenens is not a contracted provider for the same dental plans as the regular dentist?
When a patient has tori removed from the lower left and lower right quadrant, is it appropiate to report D7473 (Removal of Torus Mandibularis) twice, or is a single use of the code intended to cover one or more tori?
When a patient dies, how long are we required to keep his/her dental records?
I was reading our state law regarding non-covered services, and it raises several questions. If we are a preferred provider and a Delta Dental patient wants crowns or veneers on #8 and #9 strictly for cosmetic reasons, can we charge the patient our full fee? Or are we still limited to our Delta Dental contracted fee?
If a patient has a missing tooth clause, will the insurance pay for the retainers (abutments) on the bridge and not the missing tooth?
How do I report the use of a laser for periodontal procedures?
When should a periodontal screening be done with an evaluation?
What are the age ranges for the child and for the adult prophy?
Can I bill for a crown that the lab delivered but was never seated?
We placed a cantilever bridge on a patient, and I do not know what code to use on the claim form. Do I need to include a narrative? I am new to dentistry and am not familiar with some of the procedures I am billing.
A patient's bridge was denied due to a missing tooth clause. When our patient called the carrier, she was told that her plan would allow for an alternate benefit. When asked what that might be, the phone representative would not tell her. What type of information can we provide to help her receive an alternate benefit?
How often should a full periodontal charting be performed on an adult patient, and what code should we report?
How often should we spot probe, and what code should we report?
We extracted a supernumerary tooth between #8 and #9 on an 8-year-old child. Could you please let us know how we should bill this? We know the CDT code (D7140) but do not know what tooth number to report.
Our doctor would like to place autogenous bone grafts and Infuse bone grafts. What codes should I use to report these procedures?
What dental services are covered by Medicare?
What kind of narrative should I send in the following situation? Tooth #30 has an existing occlusal amalgam with recurrent mesial decay visible on the x-ray and Class V wrap around decay that is not visible on the x-ray. In the radiograph it looks like the tooth needs just a two surface restoration. However, all the cusps are undermined once the decay is excavated, and the tooth is too weak to support an amalgam/composite restoration. A crown is clearly needed, but it is always denied.
How do I bill a patient's medical insurance for a TAP snore guard appliance?
How can we obtain an alternate benefit for a patient?
How should an All-on-4 treatment be reported?
Is the ACA plan primary or secondary?
Do ACA plans cover orthodontics for children?
May I balance bill a Medicaid patient for covered services?
Do I have to refund Medicaid when they pay the normal fee schedule but Medicaid is secondary? The EOB from Medicaid states the claim was processed as secondary, yet they ignored the primary payment?
Other than needing diagnoses codes for dental and medical claims, when might I need to provide an ICD diagnosis code?
An oral surgeon uses our office and pays us 20 percent of production (versus a flat daily rental rate) for the use of our facility. Is this legal?
Can a Medicaid patient pay directly for veneers, orthodontics, pediatric partials, etc., which are considered non-covered procedures?
If a patient presents a Medicaid card months after treatment has been rendered, am I required to submit the claim to Medicaid?
How can we obtain an alternate benefit for a patient?
Who must sign the assignment of benefits? Is it necessary to have the insurance subscriber sign an assignment of benefits and release of dental information form if the spouse and children are patients, but the subscriber is not?
How do we handle copays or discounts for clergy, military, etc.?
A crown is prepped, delivered, and reimbursed by the payer. The crown fails shortly thereafter, the tooth is extracted and the patient needs a bridge. The doctor wants to offer a treatment credit to the patient for the failed crown. How should this be handled?
Can I have more than one fee for a procedure?
When a patient dies, how long are we required to keep the dental records?
What is the difference between a DMO and PPO? How is the practice reimbursed under a DMO?
How do I negotiate fees with my PPO?
What fee should be reported on the claim form, the full practice fee or the PPO fee?
Am I required to retain EOBs? If so, how long?
How long do we need to keep old treatment plans?
What code reports a BruxZir crown?
What code reports an incomplete extraction?
What code reports the replacement of a broken implant screw?
Can I report a buildup or prefabricated post and core placed through an access hole of a crown after endodontic treatment?
Are all claims submitted on the 2012 ADA Dental Claim Form?
What is the pediatric age limit for coverage under ACA?