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Admin – Answers

July 5, 2025 by Admin

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D7321 Alveoloplasty not in conjunction with extractions, and D7285 incisional biopsy of oral tissue ...
posted May 12, 2015 2:22 pm in reply to Is there any verbiage in the codes that state you cannot use code D7321 and D7285 at the same visit? We are being told it is incorrect to do so as it is considered "unbundling". Is this correct? Thank you in advance for your assistance.
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The book and the exam instructions come instantly in an email after purchase...if you did not receiv...
posted April 25, 2015 5:19 pm in reply to I purchased the book and the exam I how do I get them?
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Practice exams are located in your members area, all you need to do is click on the link and registe...
posted April 24, 2015 11:36 am in reply to I would like more information about getting a certified dental coder certificate. Could I get a practice test
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You would use CPT code 41899 for all 32 teeth and send in a brief narrative of the different extract...
posted April 1, 2015 1:32 pm in reply to I have a pt. needing full mouth extraction (32 teeth) D7140, D7310 x4, D0330, D7953 x4, D6010 x2, D6056 x2, and D6091, how do I file this with medical? Pt. is 33yrs old with severe perio and bone-loss; eating has become painful.
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When the dental carrier asks for the "primary carriers explanation of benefits" Here are some of th...
posted March 28, 2015 3:42 pm in reply to When is appropriate to report medical codes vs CDT codes? What are some scenario's where you would report CPT?
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Rule of thumb is to use the primary carriers fees to set the adjustment level....
posted March 24, 2015 7:30 am in reply to I am new at dental billing. I am trying to figure out how to post primary and secondary insurance payments but me predecessor didn't always post it the same way so I can't figure it out that way. In medical billing you take the insurance adjustment from the primary insurance and not the secondary insurance. When I tried to google how to apply the primary and secondary insurance payments I got various, conflicting answers. So my question is how am I supposed to post primary and secondary payments? Which adjustment am I supposed to use?
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You may code 00170 for the sedation and still use D9230 for the nitrous oxide to the medical carrie...
posted March 12, 2015 4:02 am in reply to Our client owns a pediatric dental clinic. The code that my client uses on a maximum basis is 9248 in conjunction with 9230. The total UCR for these is 295 and 55 respectively. They are mostly used together. So this puts my client in a situation that if they are covered, then he gets paid less, because usually the parent would pay out of pocket for these, and the whole procedure would make sense. Now with such a low fee, it does not make sense considering the stress involved. Is there any alternative way/ code(s) to charge for non-intravenous sedation using inhalation of Nitrous Oxide. Is there any scope of charging, using ASA (CPT) codes if the patient also has medical insurance coverage apart from dental coverage?
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Usually there is a slight difference is the amount paid; this is carrier driven so it is best to che...
posted March 12, 2015 3:52 am in reply to My concern is regarding the sedation codes used for dental anesthesia as - D9220. D9221, D9230, D9241, D9242 and D9248. If the provider is credentialed as a specialist, will there be a difference in the amount paid and allowed by the insurance companies?
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Without specific information the most common code usage for an endosteal implant would be dental cod...
posted March 6, 2015 1:48 pm in reply to what code do u use for implant
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Without knowing the specifics, yes, D5863 is the correct code for overdenture- complete mandibular r...
posted March 6, 2015 12:39 pm in reply to We use code D5865 for a complete mandibular overdenture, but it only pays about $1000. Our cost is about $4000. Is there a different code we are supposed to use or is there an additional code that I should use?
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