American Dental Coders Association | Dental Billing & Coding Certification Online

Certifying Dental Billing and Coding Professionals Nationwide

  • Accreditation
  • Login
  • My Cart

Admin – Answers

July 4, 2025 by Admin

VotesStatusAnswer
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.
0
votes
approved
This procedure should be billed out as follows: D9440 for the office visit D7540 for the removal of ...
posted August 12, 2014 7:40 pm in reply to We did an off hours emergency procedure for a patient. Patient broke off large !! section of filling that lodged into gum and bone. Took an hour to remove and then we need to debride the now gum pocket and infection. This was festering for week so acute gingival infection caused by foreign body. We had to use laser to treat and then did sedative restoration where broken. UC has previously denied laser treatment in other cases. How should we code to get reimbursed?
0
votes
approved
There is no specific medical code for these procedures as they are not typically covered by medical ...
posted August 7, 2014 1:18 pm in reply to What is the corresponding medical diagnostic code and treatment code for dental procedure D3425 apico 1 root molar and D3426 additional root same tooth and D3430 retrograde filling per root
0
votes
approved
These appointments should be divided into two visits. The RPS should be preformed together on the sa...
posted August 1, 2014 10:24 am in reply to If a patient presents for a cleaning and it is determined that they need D4341 for each LL & LR quadrants, but only D1110 for the entire upper - how would this be billed out typically? Is the D1110 somehow absorbed into the fees for D4341? Or would it be up to the individual insurance companies? Would your answer change if the number of quads needed changed? Thank you!
0
votes
approved
Since there is no specific code for sleep apnea appliance the most appropriate code is D5999. You mu...
posted July 29, 2014 9:19 pm in reply to What code can be used to bill a sleep apnea appliance? I thought a D7880? I was told D9940. The NDAS does not give a fee for sleep apnea orthodic devices, what is usually charged? twice more than the occlusal guard?
0
votes
approved
These devices vary in price depending on your geographical area. We recommend you use The National D...
posted July 28, 2014 6:16 pm in reply to What is a typical amount to charge for a snore guard sleep apnea appliance?
« Previous 1 … 19 20 21 22 23 … 46 Next »

Filed Under: Uncategorized

Corporate Profile

American Dental Coders Association
9015 W Union Hills Dr Ste 107 #314
Peoria, AZ 85382
1-833-469-2322

American Dental Coders Association BBB Business Review
  • Facebook
  • Instagram
  • Pinterest
  • Twitter
  • YouTube

Quick Links

  • ADCA Certification Verification
  • Information For the Dentist
  • Dental Billing & Coding 101 for 2025
  • Contact Us

ADCA Legal

  • National Member Advisory Board
  • Privacy Policy
  • Terms and Conditions
  • Cookie Policy
  • Disability Discrimination Policy
  • Data Protection Policy
  • Health and Safety Policy
  • Equal Treatment Policy
  • Code of Conduct

American Dental Coders Association