Admin – Answers

June 24, 2026 by Admin

Votes	Status	Answer
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?
0 votes	approved	This is carrier specific and you will need to check with each individual carrier guidelines. However... posted October 16, 2014 7:45 am in reply to When billing for TMJ splints, can you bill them on the order date, or do you have to bill them when dispensed to the patient.
-2 votes	approved	The only code that should be billed for the service you described above would be D6104.... posted October 16, 2014 7:04 am in reply to For bone grafting for the purpose of implant placement, our oral surgeon uses a couple different types of material for the grafting, a membrane. To code this and bill to insurance, I am using D6104, D4265 and D4266 for billing. Is this correct or should all charges be simply billed under only the D6104?
0 votes	approved	Yes they may bill the D code to medical as there is no compatiable CPT code for fluoride varnish. As... posted September 27, 2014 12:04 pm in reply to I have a question. I have providers in my peds specialty that want to bill a D1206 Varnish with a regular preventive exam. Can they with the D code? And/or is there a comparable code in CPT?, And would they be reimbursed for it? and what are the RVUs associated with this code?? Thank you so much, cheers, Emily Heed CPC, CDC-A
1 vote	approved	The appropriate way to submit the claim would be to have the attending provider’s information in box... posted September 11, 2014 1:49 pm in reply to I work at a hospital based dental clinic which also has a dental residency program. We are switching from the hospital billing system to Softdent on Monday September 15. During training it came to our attention that the claim forms are generated from the schedule in Softdent. Our current procedure for claims is that all the residents and hygienists are billed under our program director and claims are sent out under his NPI # and license #. With the way Softdent is set up we can have a "billing provider" and a "treating provider". Our problem is that the residents do not have license numbers but they do have NPI numbers. The hygienists have license numbers but no NPI numbers. The ADA claim form has those fields under the treating provider section. Is it ok to have the resident/hygienist listed on the claim form without having a license number or NPI? I hope you can help us solve this problem as we are going live with the new software on Monday. Thank you for your time and assistance.
0 votes	approved	You would need to code the appropriate oral cancer code (170.1, 198.5, ect) as the initial diagnosis... posted September 10, 2014 3:24 pm in reply to Could you help me with the medical claim coding for custom fluoride trays for a patient that had treatment for oral cancer? The radiation causes a decrease in saliva production, resulting in a dry mouth-which leads to an increase in tooth decay. So, the fluoride trays are a preventative measure against tooth decay. I need the medical billing codes (not the dental, as his dental insurance will not pay for the trays.) Thank you!
0 votes	approved	The association requires 12 CE's per year...these CEU's must be uploaded to your members dashboard u... posted September 5, 2014 12:29 pm in reply to Hi Can you tell me how many CEU to maintain for active membership? thanksCindy
0 votes	approved	Your CEU information will be located in your members dashboard under submit CEU"s.... posted August 28, 2014 8:39 am in reply to Where do I look to find the numbers of CE's I have.
0 votes	approved	Typically this would be considered inclusive in the initial procedure, however, some carriers will a... posted August 26, 2014 7:36 am in reply to We recently had a patient come in for a filling. About a week after the filling was placed the patient was seen for normal cold sensitivity with the recent filling. What is the proper code to use for the post treatment appointment.

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