Answers
Question
Admin December 23, 2015 4:11 pm
The ruling from CMS is any provider whose scope of practice permits may assign a diagnosis code, (DDS, DMD, MD, Resident) it does not specifically state as to Hygiene. The common consensus is a hygienist may assign a diagnosis code however, it must be approved/reviewed by the attending/supervising provider.
asked 10 years ago by
if a patient needs an updated pano for 3rd molar removal. Can you down code this for 4 pa's?
Anonymous November 21, 2025 11:59 pm
The answer is No. If the patient's insurance doesn't cover a pano, then charge it to the patient. If you were going to get $70 from ins., charge $70 to patient. That way you get your pano paid and patient doesn't rejects treatment because you change $300 for a pano image.
asked 2 weeks ago by
Provider extracted tooth and made an essix retainer with a fake tooth to cover gap
Anonymous November 19, 2025 3:59 pm
D9938 Fabrication of a custom removable clear plastic temporary aesthetic appliance
asked 3 years ago by
Anonymous
Angie September 30, 2025 2:26 pm
What if it's a bulk payment with other patients, can it be scanned?
asked 13 years ago by
Is perio maintenance covered (4910) on a patient that has elevated probing depths, but has maintained good oral health, and does not have an SRP on record? SRP isn't currently needed but in reality, this is a 4910 not a 1110 code.
Anonymous September 26, 2025 6:56 am
Nope D4910 will not be covered it has to be a history of SRP.
asked 2 months ago by
How many x-rays are allowed before insurance will downgrade to FMX? It’s my understanding. You could bill four bitewings and up to six PAs before it will be downgraded. I am being told that anything more than four bite wings and two PAs will be consi...
Austinida September 26, 2025 5:00 am
Hi! It depends on the insurance's rules. Typically, the rule of thumb is that the total sum of the X-rays cannot exceed the cost of the FMX in the insurance's contracted rate. Example: If an FMX is $90 total and the patient is eligible for an FMX, if you billed 4 BWX and 4 PA's (more)
asked 2 months ago by
I work for a dental office looking to bill medical carriers for sleep apnea cases. I would appreciate any input on this matter. Thank you!
Anonymous September 10, 2025 7:22 am
Is there a cpt cross code for D6114 does anyone know. Implant abutment supported fixed denture for endentulous arches?
asked 3 months ago by
Can you please provide the new 2026 CDT code for cracked tooth syndrome testing?
Anonymous September 18, 2025 11:15 am
Hi Michelle!! the 2026 CDT code book just became available for pre-order yesterday, and they have not sent out the 2026 addition or released the changed codes at this time. I will update this post once they have released the codes and the 2026 book has been received :)
asked 2 months ago by
What are the proper codes for a full arch surgery and prostho for an A04 procedure.
Austinida September 19, 2025 10:12 am
For an all on 4 here are common procedures: -D6010: Surgical placement of implant body (endosteal) -D6114: Implant/ abutment supported fixed denture maxillary -D6115: Implant/ abutment supported fixed denture mandibular -D6118: Interim fixed denture mandibular -D6119: Interim fixed denture maxillary -D6180: Implant maintenance (cleaning of prosthesis and abutments) The provider needs to diagnose and treatment (more)
asked 2 months ago by
Anonymous
Can I bill dental codes to medical insurance for medically necessary dental and orthodontic treatment for a Cleft palate patient?
Austinida September 8, 2025 7:22 am
You are able to bill CDT codes to medical insurance for cleft palate treatment, but CDT codes are not typically the preferred codes for billing medical insurance, especially for surgical procedures. CDT codes may be used for orthodontic treatment, prosthodontic appliances (like palatal obturators, etc), and adjunctive dental services like x-rays and evaluations, but for (more)
asked 3 months ago by
