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Admin – Answers

August 26, 2025 by Admin

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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?
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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?
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If the patient has deep pockets and has undergone previous perio treatment the more appropriate code...
posted July 26, 2014 1:37 pm in reply to Is it common to bill a patient as D1110 after D4341 and D4910? I read the previous posting related to this topic, but I'm looking for an answer regarding D1110. Our new hygienist has recently seen a patient who has had D4341 and many subsequent D4910's, and charted the visit as D1110. Her notes state that the patient has deep pockets and heavy generalized plaque and stain. I was taught once a perio patient always a perio patient. If this is not correct, please explain why and if the visit should be billed out as D1110. If not, then D4910? Thank you!
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The appropriate code for sectioning of bridge is D9120...
posted July 20, 2014 7:16 am in reply to Hello, How do I code when a doctor sections a bridge. Thank you.
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You are coding this incorrectly:The office visit depending on the documentation noted in the chart...
posted July 18, 2014 11:00 am in reply to I work at an oral surgeons office. Patient is seen for the first time and we file visit D0120 and panorex D0330. DentaQuest/Tenncare says to write off the visit and the panorex. They are allowed on 1 every 6 months on the office visit. This is a specialist. Any ideals on how to change this? Am I coding wrong?
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Delta Dental Utilization Review Guidelines specifically state the following:CDT: This procedure mo...
posted July 17, 2014 12:51 pm in reply to We are having issues with Delta dental accepting our Occeous surgery services. They don't like the D4260 because we use the FDA approved Periolase. We have tried D4999 by report and sending in the SRP, occlusal adjustment, follow up prophy and perio maint. They are not liking that either and are requesting that we adjust all but the SRP. Any suggestions?
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Depending on the diagnosis code you used their may be repercussions to the patient (i.e. if you plac...
posted January 1, 1970 12:00 am in reply to I used the wrong diagnosis code in a dental claim to Medicare. The medicare rep told me that I have to correct it when the claim is processed. Are there any circumstances? What will happen now? Thank you.
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In some cases a prophy may take two appointments if it is considered a "difficult prophy". If your h...
posted July 4, 2014 7:25 am in reply to A patient was scheduled for D4341, but the hygienist decided that the patient did not have enough deposits to be considered a true quads patient. It ended up taking two appointments to do the cleaning and perio charting and the hygienist still wants to bill out as a D1110. I have never seen a prophy take two appointments to complete before. My question to you is should this remain a D1110 or should it be billed out as D4341 twice for left & right Quads? If no for both, what should it be billed out as? Thank you!
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Yes, according to the ADA and several insurance carriers D6930 is an apporpriate code for bridge rec...
posted June 28, 2014 3:39 am in reply to Is the correct code to recement a 3 unit bridge D6930?
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D9310 is really used for second opinions or specialty consultations.Depending on the documentatio...
posted June 25, 2014 12:49 pm in reply to A patient was scheduled for treatment with a general dentist but a referral was given instead to a pediatric dentist for sedation. OHC and diet were discussed during the office visit, but the notes do not indicate any procedures being completed or attempted. Would this be a correct usage of D9310? Or should another code be used instead? Thank you.
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