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Admin – Answers

July 1, 2025 by Admin

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This depends on the documentation either D0140 or D0160 would be appropriate depending on the type o...
posted May 7, 2014 5:01 am in reply to I work in a multi provider practice. If a patient is seen by one dentist in our office and a treatment plan is developed, then seen in our practice by a different dentist for a second opinion on this treatment plan, what code is used for the second appointment?
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This procedure is dependent on utlization review by each individual carrier... the majority of carri...
posted May 6, 2014 7:58 am in reply to We receive many claims for gingivectomies on a tooth that is then being crown. What is the criteria for gingivectomy allowance?
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What you are describing would fall under limited orthodontic treatment....
posted April 12, 2014 1:41 pm in reply to What code do we have to use for short term orthodontics? We -as a General Dentist's Office- offer Invisalign, 6MonthsSmiles and Inman Aligner. We have cases that are only for one arch, but most cases are for both arches. Not sure if it falls under Limited or Comprehensive Ortho Treatments.
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No it would not be appropriate to use D5130 and D5140 for both partial and complete dentures. These ...
posted April 12, 2014 12:18 pm in reply to Are there different codes for immediate dentures for partial dentures versus complete dentures? Is it acceptable to use D5130 and D5140 for both immediate partial and immediate complete dentures?
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This code is dependent on provide documentation.This code is for patients presenting to the office w...
posted April 12, 2014 12:15 pm in reply to Could you please provide us with specific examples as to when a D0140 (limited exam) should be used and when it should not?
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D9999 accompanied with a short narrative is the most appropriate code....
posted April 12, 2014 12:14 pm in reply to What is the proper code to use if a patient has a filling placed and then returns for an adjustment because the filling does not feel quite right to the patient (i.e. high spot) ?
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No using D9310 within the same office is inappropriate. The correct way would be to use D0150 for th...
posted April 12, 2014 12:11 pm in reply to Regarding code D9310, consultation by another dentist. We have multiple providers in our office and there are occasions where one of our providers refer to another provider in our office. To give you an example, one dentist will refer to another dentist (internally) for an extraction. Sometimes it is necessary for the referred dentist to evaluate the patient before the extraction can be accomplished. Can this code be used for this purpose?
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The most appropriate code is D2999, you must submit a short narrative along with the code....
posted April 11, 2014 12:03 pm in reply to Hello, Is there a code when you have to repair a temp bridge that has broken??
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Yes, that is correct....
posted April 11, 2014 8:38 am in reply to My understanding is that when more than 1 PA is done you would code D0220 first PA and D0230 for each additional PA so for example if 3 PA's are done you would code D0220, D0230, D0230, is this correct?
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Yes, you can still see the patient. You will have to bill the private insurance first and when you r...
posted April 5, 2014 6:54 am in reply to If a patient has both Medicaid/chips and a private dental insurance but we don't accept the private insurance, what is the best way to handle this situation? Can the dental office still see the patient?
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