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Admin – Answers

August 26, 2025 by Admin

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Medicare has a handbook on correct billing guidelines for dental procedures: http://cms.hhs.gov/site...
posted September 25, 2012 11:07 am in reply to what is the best source for guidelines on medicare billing and dental.
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The most appropriate code would be D7970...
posted September 15, 2012 6:17 am in reply to My patient was diagnosed as having an Epulis Fissuratum. To treat this condition, the doctor must excise a small overlap of soft tissue. Whats the proper code for this procedure?
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The code D2751 includes the crown prep, anesthetic, temporary crown and permanent crown. It does not...
posted September 14, 2012 10:26 am in reply to Does the code D2751 Crown – Porcelain fused to predominantly base metal (or any crown material code) mean only the physical crown itself (like, the part I can place in my hand)? Or does that code also include the crown prep? (anesthesia, removal of decay, buildup for crown retention)
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Yes, this would be considered a core build-up...D2950...
posted September 14, 2012 10:22 am in reply to If the doctor has a tooth with a large amount of decay (or a big leaky filling, etc) and once the decay/filling/etc. is removed - the tooth no longer has enough structure to support a crown and the doctor uses material to "build" the tooth back up... shouldn't this be filed as D2950 Core Buildup, Including Any Pins in addition to the crown code?
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Yes, removal of root tips and the removal of a benign odontogenic cyst is billable in the same day....
posted August 11, 2012 8:24 am in reply to Are you able to bill a D7450 and D7250 together?
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If the filling is a final resotration you would use code D2391...
posted August 2, 2012 6:36 am in reply to When the doctor performs a root canal (D3330) through an existing crown, when filling the tooth back up to re-conform tooth strength, is there another code we should be using (such as a buildup D2950) for this fill or would it be included in the root canal code (D3330)?
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The 72 hour period starts when your exam is released....
posted July 30, 2012 11:11 pm in reply to the 72hrs to complete the cdc-a exam is when the actual test is started or when we register?
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Yes, you may make a correction on the claim form in the remarks area stating "Claim Correction" and ...
posted July 29, 2012 8:19 am in reply to I have a billing question regarding sealants. If someone made a mistake and billed out as a sealant and not a preventive resin, and a denial eob was recieved, are we still able to fix the ledger and re-bill for preventive resin?If so, what is the code for preventive resin?Thank you!
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D2950 and D2952 are not to be billed in conjunction with one another, you either get D2950 (core bui...
posted July 24, 2012 8:49 am in reply to Can we bill codes D2950 and D2952 on the same day of service?
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Usually this would be considered an inclusive part of the original procedure and is not billable. H...
posted July 21, 2012 10:13 am in reply to When we bring a patient back in after placement of Arestin, to have the Hygienist check to see if the tissues have improved - what would that be coded as? Thank you.
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