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Admin – Answers

July 5, 2025 by Admin

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Tomography without contrast 70486 with contrast 70487 ...
posted June 29, 2016 1:25 pm in reply to what are the appropriate medical and dental codes to bill for 3d cone beam scanning. Is there a separate code to bill when views are reconstructed to tomography, panoramic and submentovertex
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D6199 or D0393 depending on the carrier...
posted June 29, 2016 1:17 pm in reply to What is the dental code for surgical guides for implants.
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1 & 3. The impression is inclusive of the appliance however, some insurance carriers will allow D047...
posted June 29, 2016 1:16 pm in reply to Please provide answers to the following questions: 1. What is the appropriate medical code to bill for impressions of a TMJ appliance 2. What is the appropriate medical code to bill for TMJ appliances 3. What is the appropriate dental code to bill for impressions for a TMJ appliance 4. What is the appropriate dental code to bill for a TMJ appliance5. What is the appropriate medical code to bill for impressions sent to an outside lab for an oral appliance for sleep 6. What is the appropriate medical code to bill for the insertion or delivery of the oral appliance to a patient 7. What is the appropriate dental code to bill for impressions sent to an outside lab for an oral appliance for sleep 8. What is the appropriate dental code to bill for the insertion or delivery of the oral appliance to a patient Thank you
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The most appropriate code for the pediatric dentist to use if the general dentist already used D0120...
posted June 24, 2016 7:28 am in reply to We have recently employed a pediatric dentist. We are having general dentists, outside of our practice, referring patient's to us for treatment. In these cases, the general dentist have already done the patient's exam/recall. Which code is the most appropriate to use when our pediatric dentist initially examines the patient? We are unsure on whether to use an exam code or a consultation code. Do we code differently if we do the patients treatment or if we cannot do the treatment and have to refer them out ourselves?
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The following providers may bill CDT code 0190 MD, NP, RN, and Hygienist....
posted June 17, 2016 10:12 am in reply to Besides a dental hygienist who else can perform D0190 screening of a patient or D0191 assessment of a patient? and if these are billable services, if they are what are the billing requirements? there isn't much info on these codes in the Dental Coding Guide by Charles Blair DDS.
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The standard is 13 years and older...
posted June 17, 2016 8:00 am in reply to At what age do you charge adult prophy instead of child prophy?
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Since this was a restorative material failure and it was composite and codes only exist for crown, i...
posted June 17, 2016 7:46 am in reply to How would you code the following? Patient presents to smooth off #9-ILF, chipped recently and originally placed 2 days earlier. Removed No decay, VOCO (prime/bond), Flowable Composite Shade: A2 finish, polish, checked occlusion.
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It is not common practice to code D0120 with treatment, this is used for 6 month check-up. You are t...
posted June 17, 2016 7:42 am in reply to Is it common practice to code D0120 with a restorative code as well? If so, must it be specifically stated in the clinical note that an exam was done? Can D0140 be used with restorative, extraction and palliative codes?
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For medical it is usually billed out in 15 minute increments, for dental according to utilization re...
posted June 16, 2016 1:49 pm in reply to The ADA book does not specify a time increment on the 9230. Can that code be charged out more than once at a single visit?
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You will use the NPI of the dentist who performed the work in box 54 and the facility/dentist (sole ...
posted June 9, 2016 4:44 pm in reply to how do you bill for a fill-in dentist (on contract) for a sole proprietor LLC?
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