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Admin – Answers

July 1, 2025 by Admin

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It all depends on the carrier. Most carriers will have you bill out the D0145 code until the child i...
posted April 3, 2014 3:15 pm in reply to Re-Sub: I work in a pediatric dental office. If a child was initially seen (first visit ever) at our office and is 1 year old and we code out D0145 (Oral Evaluation, pt under 3 yrs), when they return in 6 months for a recall visit- would it be more appropriate to charge out the D0145 again or the D0120 (Periodic Oral Evaluation)? Is the D0145 code only for patient's under 3 at their initial visit? More specifically- If a child is under age 3 and started seeing us at age 1 year - do we keep billing out the D0145 until they are 3 at every 6 month recall? Thank you for your time. '
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Depending on the carrier, usually it will be bill out on seperate lines. You will need to put an exp...
posted April 2, 2014 10:08 am in reply to if two occlusal images were done on the same day, one for the top and one of the bottom. Would we bill this out with D0240 x 2? or would we bill D0240 on separate lines?
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D0145 is for children under 3 years of age only...without knowing how old the child is we cannot giv...
posted April 1, 2014 10:15 am in reply to I work in a pediatric dental office. If a child was initially seen (first visit ever) at our office and we code out D0145 (Oral Evaluation, pt under 3 yrs), when they return in 6 months for a recall visit- would it be more appropriate to charge out the D0145 again or the D0120 (Periodic Oral Evaluation)? Is the D0145 code only for patient's under 3 at their initial visit? Thank you for your time.
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The answer depends on if the hygienist is an affiliated dental hygienist or a registered dental hygi...
posted March 26, 2014 5:30 am in reply to What services are able to be billed for a hygienist only. This is if the dentist is on call and not in the physical office. Also, who would be used as the billing resource?
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There is no compatiable CPT code for this procedure. You may however use the D0460 code along with a...
posted March 22, 2014 8:23 am in reply to I need to know what CPT code can be used when an OMS provider is testing for pulp vitality using the cold method. I know the CDT code is D046 but what is the compatible code in CPT?
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Both would be considered inclusive of the initial treatment as it is within the 10 day global period...
posted March 15, 2014 7:10 am in reply to Patient has wisdom teeth surgery. Four days later comes in with dry socket and is treated for this. Four days after the dry socket treatment is seen for follow up by surgeon. What is appropriate to bill for the dry socket treatment as well as the follow up to the treatment?
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According to best practices periodontal charting should be performed once a year on a healthy patien...
posted March 11, 2014 11:53 am in reply to > I was wondering if there was any standard set in place for acceptable > periodontal charting. We frequently receive claims for periodontal > work but the charting to support the services is well over 1 year old.
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This is for the surgical phase only; the prosthesis should be bill out separately....
posted March 8, 2014 12:42 pm in reply to Do the implant services codes include the implant themselves, or is the code just for the procedure?( Codes D6000-D6199).
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Each carrier will have specific guidelines on this...it is always best to check with the carrier.I...
posted March 8, 2014 12:12 pm in reply to Is there a guideline as to what can/cannot be billed for pre-op/follow up visits for oral surgery procedures? I am looking at 3rds, bone grafting, implants type procedures.
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You will need the diagnosis code along with the correct E code (accident or trauma code) to accompa...
posted February 18, 2014 9:28 am in reply to I have a pt that was involvedin an accident - he came in today for ext's, implant placement & bone grafts - the codes used are D7210, D6104 & D6010 - what are the codes I should be using to file with the pt's Medical carrier?
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