Admin – Answers

posted May 18, 2013 6:30 am in reply to How to code an appliance for maxillary diastema reduction?

posted May 17, 2013 5:31 am in reply to What code should a dentist bill when they are doing zirconia crowns?

posted May 9, 2013 12:31 pm in reply to I have a insurnace question:Say that Dentist Joe is in Network with BlueCross Blue Shield They have agreed in their signed PPO contract that Dr. Joe will do crowns for 600.00. Dr. Joe calls this crown his Regular Crown. However, Dr. Joe has another level called the super duper duper crown. He utilizes a totally different lab, puts more levels of shading, really makes it shine. He has a 500.00 elective upcharge.So Chris the patient comes in and needs a crown. Dr. Joe says, “Chris you can get the regular which your insurance will cover, but for just a few bucks more I will give you the super duper duper which will look great!”. I say “o.k. Dr. Joe lets do it!”Dr. Joe submits the regular crown to insurance to get his 600.000 from BCBS. He also pockets the additional 500.00 buck and has a signed authoriztaion of understanding from Chris stating he fully knew the dealio.Is this o.k.?

posted May 8, 2013 9:32 am in reply to Should lab fees be separately billed from a total fee of a crown? For example; D2790 billing out for a gold crown.

posted May 3, 2013 11:22 am in reply to If you receive full payment from a primary insurance, do you still submit the EOB and claim to the secondary as well? Thank you

posted May 2, 2013 12:51 pm in reply to Is upper and lower jaw surgery considered a bilateral procedure? My understanding of a bilateral procedure is on each side of the body.Thank you, Shauna

posted May 2, 2013 12:19 pm in reply to What is the correct CDT code for a Halterman Fixed Appliance? Thank you

posted May 2, 2013 6:22 am in reply to Can we bill an occlusal film (D0240) as a PA (D0220 or D0230) if dentist noted PAs were taking in the dentist note?

posted April 22, 2013 10:58 am in reply to The dentist is work for but do not do billing for on his ortho cases bill the insurance company to maximize the patients benefits then gives a patien a discount so they do not have to pay the whole amount what is left due. Is that type of billing appropriate?

posted April 3, 2013 9:00 am in reply to can you bill general anesthesia (D9220) and D9610 seperately when billing simple extractions (D7140)?