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Admin – Answers

June 25, 2026 by Admin

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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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If the provider is doing more than just a pulp vitality test, which I am sure according to the notes...
posted June 24, 2014 1:32 pm in reply to I have run across a claim with only D0460 being billed. The patient was seen for a tooth ache with sensitivity to hot food/liquids. The chart notes state that the soft tissue exam showed tissue was WNL. My question is should I be billing for an exam such as D0140 and consider the D0460 as part of the exam? Or do I bill for both D0140 and D0460 since an exam must have occurred? Or is there something else I should be doing? Thank you for your help.
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No we do not have an area for documentation requirements, however, your question has been submitted ...
posted June 18, 2014 11:39 am in reply to I wanted to know if you have a location where you share what documentation requirements are needed to support the billing of all new CDT 2014 codes. For example D0601-D0603?
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D9910 is used on a per visit basis for application of topical fluoride. Documentation should support...
posted June 12, 2014 12:42 pm in reply to What is the difference between D9910 and D9911? Is there any supporting documentation typically required for submitting either code?
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If 4 bitewings and 3 PA's are taken on the same visit the appropriate way to code this visit would b...
posted June 11, 2014 2:14 pm in reply to If 4 bitewings and 3 pa-s are taken on the same visit, is this the right coding: D0274-D0220-2xD0230? A Billing Auditor pointed out today, the proper coding would be D0230 used 3 times. His explanation was: bitewings are considered as first radiographic images, so D0274 and 3xD0230 would be the proper way to bill. Our office believes the right way of coding is: D0274-D0220-2xD0230 Please help us with a brief explanation which way is the proper way to code.
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Yes, D9610 would be the most appropriate code....
posted June 11, 2014 12:10 pm in reply to What ADA code should I tell the Drs to use when they do an RCT and need to use MTAD irrigation is the D9610 appropriate can the Drs charge accordingly for the medication
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Medical carriers do not cover any type of composite fillings unless it is due to trauma or an accide...
posted June 10, 2014 3:43 pm in reply to I am trying to bill Medical for decalcification of teeth # 7,8,10,18 - Dr. wrote it has soft enamel gave them surface of DFL - but the teeth show no cavity just soft enamel . I'm trying to get this paid because the child is 16yrs of age and no financial support. how can I bill this ???
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ICD-9-CM code 521.89...
posted June 10, 2014 2:42 pm in reply to What code can I use for billing decalcified teeth
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