Admin – Answers

July 1, 2025 by Admin

Votes	Status	Answer
1 vote	approved	According to the ADA it is acceptable to submit a claim for services on the prep date, however, most... posted August 5, 2011 7:54 am in reply to When filing dental insurance for a crown, D2751, and we are not providers with the insruance nor do we have any agreements whether to file on prep or seat date, doesn't the ADA recommend we file our claim on the prep date?
0 votes	approved	As long as it is not in connection with the same tooth, most carriers will not allow any other codes... posted August 5, 2011 5:39 am in reply to I found the code for smoothing a tooth (odontoplasty D9971), can I use that code in conjunction with palliative treatment D9110?
-1 votes	approved	D9971 Odontoplasty 1-2 teeth; includes removal of enamel projections.... posted August 5, 2011 5:35 am in reply to Good Morning. I need a code for smoothing a tooth. I know that there is one, but I can't remember where it is.
0 votes	approved	If the filling is solely on the Occusal surface it is considered a 1-surface filling regardless of t... posted July 29, 2011 9:04 am in reply to When the doctor notes two separate areas of decay on a single tooths O surface, for example spotting decay on a molar tooth and the doctor calls out "O, and OL", how should we file this?Similar situation when there is decay on the O, and the doctor wants to seal up the groove and completes a connected OL & OB composite. Should it be filed this way, as two - two surface fillings or is it a 4-surface filling? Or should it just be considered an O filling, even if the doctor fills any remaining L or B grooves? We had a lot of confusion on this!
0 votes	approved	This code is to be used on a per visit basis, some carriers will allow for it to be billed per quadr... posted June 23, 2011 7:46 am in reply to Another question about code D9951 (Occlusal Adjustment - Limited). If the doctor does both upper and lower adjustments in one visit, should it be entered twice or does this code cover upper or lower as well as upper and lower? Thanks!
-3 votes	approved	According to coding guidelines an adjustment done post delivery of a crown or bridge is included in ... posted June 22, 2011 8:27 am in reply to I need more clarification on Code D9951 (Limited Occlusal Adustment - Limited) I see in my ADA CDT book it states it is not supposed to be used when the procedure is for a bite adjustment when doing it post-delivery of something such as a crown/bridge. Is there another code to use when the doctor adjusts the bite after delivery or should it relate with another code? Thanks!
0 votes	approved	You always want to fully disclose to the insurance company how a contract or treatment is being prop... posted June 19, 2011 1:51 pm in reply to I am new to orthodontic and dental billing. The patient may have a 27-month or 30-month treatment, but our office likes to have the bill paid in 24 months. So the private pay part is divided up, % down and 24 monthly payments. In submitting claims for insurance, I have seen others put in the number of months of treatment remainnig (box 42 J400) accurately as 27 or 30, but then put the code, total case fee, initial banding fee, and something like "24 months to be billed at $____ per month." Is it okay to bill insurance this way?
0 votes	approved	Third molars are coded in box 24 D of the CMS form It should look like this: 41899 UL 41899 UR 59 4... posted January 1, 1970 12:00 am in reply to I need to find out how to code for 3rd molar extractions on the CMS-1500 claim form.
0 votes	approved	The code is located by going to the alphabetic index and looking up the main term Discoloration, fro... posted May 11, 2011 10:06 am in reply to what is the best icd 9 code for an amalgam tattoo?
0 votes	approved	This procedure does not require a modifier as the 21040 (excision of benign tumor or cyst of mandibl... posted May 5, 2011 9:08 am in reply to Filing a medical claim. CPT 21040 ICD-9 526.0, the doctor grafted the defect using code 21215. I am not sure what modifier to use, he also did this procedure under IV anesthesia 3 units of 00190.

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