Admin – Answers

posted January 3, 2012 7:28 pm in reply to When charging for Biologic Materials, is it done per tooth, quadrant, or site?

posted January 3, 2012 7:20 pm in reply to Can I code for a 4 or more teeth for periodontal osseous surgery if the actual teeth with pockets are only 3 but extends between 4 or more teeth? For example teeth with 5 mm pockets are #'s 17, 18, 24. Would this be considered 4 or more teeth since the surgeon would need to access over 4 teeth to effectively perform the surgery?

posted December 20, 2011 9:45 am in reply to If the doctor trims some healthy gum tissue to give a crown or bridge more tooth to adhere to, what gingivectomy type code should we use? Thank you.

posted December 17, 2011 1:28 pm in reply to If a patient wants a crown fabricated at a lab that is more expensive than the lab usually used for a better cosmetic outcome- can I balance bill the patient for the amount that is not covered by her dental insurance?

posted December 15, 2011 1:05 pm in reply to What can be done when two insurances are claiming to be secondary? I have called numerous times to both insurance companies and neither wants to budge, I have had the subscriber call and is getting the same result. Any suggestion welcome

posted December 14, 2011 10:11 am in reply to I have a dentist that would like all new patients to receive a D1110 before exam and x-rays are taken or perio charted. Our concern is that if after patient has exam and x-ray and perio chart, patient needs D4341/ D4342 wouldnt it be questionable one why did a D1110. I have told her about D4355 but refuses to use code stating patients dont need D4355.We have 5 dentist in total 4 disagree with her, so now its has fallen on me , stating that it is an insurnace issue. As far as I am concern we dont let insurance dictate treatment but again how do we justify a doing a D1110 and a week later D4341/D4342.

posted November 30, 2011 3:49 pm in reply to I have a question, I work for a Endodontist and Dr. wants to start billing for a 6 month check up how would I bill that?

posted November 29, 2011 6:18 am in reply to Can biller make a correction in Doctor's note? For an example: patient is 20+ year old. Medicaid does not pay for Fluoride Treatment. It is not in charges but dentist put in his note fluoride was done. It was put in in error. Can Biller make a correction that fluoride was not done?

posted November 26, 2011 12:43 pm in reply to I work for a general dental office, but we have a traveling oral surgery dentist that works in our office every other week. I wanted to know if a patient came in with wisdom teeth issues and the general dentist took a panorex x-ray and did an exam would they code the visit as a D0160 – Detailed exam and D0330 – panoramic film. If so, what would the specialist code for the exam they have to perform.If the specialist does the exam and performs the procedure the same day, would they be able to charge an exam fee or consultation fee?

posted November 23, 2011 6:55 am in reply to Hello,I would like to know if the dentist states that he performed D9971 on teeth #8 and #9 do you charge the code D9971 one time for both teeth involved or per tooth? Thank you! Have a nice holiday.