Admin – Answers

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?

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?

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. '

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?

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.

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?

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?

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?

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.

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).