Admin – Answers

April 30, 2026 by Admin

Votes	Status	Answer
0 votes	approved	The appropriate code for these would be D4381... posted January 5, 2015 5:05 pm in reply to Can you please tell me the correct code for Arestin, Peridex and Fluoridex
0 votes	approved	D4212 is to be used when you need access for a restorative procedure such as crown or filling. This ... posted November 12, 2014 9:09 pm in reply to I currently contract with an office that recently filed a claim for procedure code D4211 gingivectomy. Delta Dental denied claim because gums had SRP'S done earlier this year. I saw that gingivectomy has other codes assoicated with it one being D4212 which I think is coded when procedure is done to remove gum tissue for a restoration. Do you think they can use that code or was the correct code used since they had perio treatment done earlier this year?
1 vote	approved	Every carrier is different, however, we suggest you appeal the claim as MODB on a posterior composi... posted November 6, 2014 9:50 am in reply to Hi, we billed a D2394 for #28 for surfaces MODB and claim was denied for invalid surfaces. The CDT does not specify what surfaces are billable with this code. Is there a way to know which surfaces are valid for D2394?
0 votes	approved	The appropriate code for a consultation performed by two seperate providers of the same office would... posted November 4, 2014 12:32 pm in reply to I work in a multi provider office. If one of our dentists refers to another dentist inside our organization for treatment such as a crown or Root canal treatment and a consultation is necessary to determine if the dentist can perform the treatment, what code do I use? This would mean that the dentist that is possible agreeing to perform the treatment wishes to clinically exam the area before scheduling the treatment. Does a code exist for this type of exam?
0 votes	approved	Depending on the carrier you may use either D0140 again or D0170. You will need to check with the pa... posted November 4, 2014 12:27 pm in reply to If a patient was present in our office for a problem focused exam D0140 and it is diagnosed that they have infection and need to return for an extraction or have a RCT performed in another office. They had not done either treatment and returned one month later with infection again with pain in the same tooth. What code should be used for the second visit? No treatment was able to be performed on either visit due to extensive infection and the need for antibiotic treatment prior to extraction or RCT.
0 votes	approved	The most appropriate exam code for a child under the age of 3 would be D0145. The exam code D0150 wo... posted November 4, 2014 12:24 pm in reply to What would be the correct code for a first time patient under the age of three? I think it is D0145, but unsure if D0150 is an option? This would be the first exam in our office and the patient is not in pain.
0 votes	approved	Yes, you would get D7286 twice provided the were not in the same area or site.... posted October 30, 2014 11:31 am in reply to doctor does the following: two samples were procured with separate 2.0mm biopsy punches. A local was also used. Medical codes are 11100 and 11101 and transfer to D7286. Do I charge this code twice for each biopsy?
0 votes	approved	Billing for implants is the same as billing for a crown or bridge. Without seeing the providers note... posted October 28, 2014 2:13 pm in reply to When billing for implants, do you include the abudment placement as part of D6010, or do you bill the abudment separately when it is placed D6057?
0 votes	approved	This is considered the same as a diagnostic casts(study models, diagnostic models), in essence it is... posted October 21, 2014 1:26 pm in reply to Is there a specific ADA code for a diagnostic wax up?
0 votes	approved	The ADCA is coming out with an Oral Surgery specific course that will assist with coding and billing... posted October 16, 2014 7:47 am in reply to Are there any good reference materials you could suggest for helping answer questions pertaining to billing of implants and abudments, bone grafting, materials used for bone grafting and implants?

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