Admin – Answers

June 23, 2026 by Admin

Votes	Status	Answer
0 votes	approved	Yes, you will need to pull up Utilization Review Guidelines from Delta Dental or your local Medicaid... posted March 12, 2016 1:25 pm in reply to Does CDT codes have global periods like medical does?
0 votes	approved	This would depend on what type of extraction was performed, the following extractions may be applica... posted March 11, 2016 12:30 pm in reply to CDT code for extraction of posterior root canal tooth
0 votes	approved	For dental carriers Local Anesthesia D9215 and Deep Sedation D9223 each 15 minutes For medical carri... posted March 11, 2016 11:50 am in reply to I would like to know what Code is used for Local Anesthesia and deep sedation?
0 votes	approved	No consent forms are for major procedures where the dentist might find liability.... posted March 10, 2016 10:05 pm in reply to Definitely a consent form must be signed if patient do treatments. But if patient only come in for exam and xray, does a consent form also require?
0 votes	approved	If the insurance company has made an overpayment the over paid amount is refunded to the carrier not... posted March 4, 2016 8:37 pm in reply to Patient seen an out of network provider for exam and xray. D0150 and D0210 billed to Metlife insurance with standard fee. Received an EOB, payment is a little higher than billed amount. It is right to post what the insurance paid? Or should patient has credit from insurance payment? Please advice. Thank you.
0 votes	approved	Yes, a panoramic film may be billed when no teeth exist.... posted March 2, 2016 11:25 pm in reply to PANO D0330 is taken for denture procedures. And no teeth exist. Could the code still claim out?
0 votes	approved	If abnormal findings exist the provider must add to the documentation agreeing to the findings.... posted February 17, 2016 10:58 am in reply to I was advised that our dental hygienist cannot diagnose a patient but in ICD10, if a patient comes in for a prophy, should they use the two following diagnosis? If so, if the abnormal dental cleaning is used, the hygienist would have to add the abnormal diagnosis. At this point, does the dental provider have to add an addendum stating the abnormality? What is required?Dental cleaning Z01.20 Dental cleaning with abnormal finding Z01.21
0 votes	approved	The CDC exam uses ICD-10-CM code sets... posted February 2, 2016 12:09 pm in reply to Is the CDC certification exam using ICD10 or ICd9?
5 votes	approved	What you do for one you must do for all...it is best to check with each individual carrier as to you... posted January 25, 2016 5:12 pm in reply to Where can I find information regarding how we charge out the insurance companies, if we were running a $78.00 special for Comp Exam, FMX, Prophy? I need to find out if I should be writing off the balance on the accounts, IF insurance pays @ least the $78.00. We are in Louisiana - Jefferson Parish.
0 votes	approved	This question is very vague, if you are performing a periodontal scaling and root planning the appro... posted January 7, 2016 2:43 pm in reply to Can you bill for a 4342 for tooth #3 and 4341 of the upper right quad on the same day?

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