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Can a general dentist use D0180 and will insurance pay it? My answer would be NO. D0180 would be downgraded to D0150. Only Periodontist can use D0180.Is this correct?Thank you!!

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  • Can a general dentist use D0180 and will insurance pay it? My answer would be NO. D0180 would be downgraded to D0150. Only Periodontist can use D0180.Is this correct?Thank you!!

Can a general dentist use D0180 and will insurance pay it? My answer would be NO. D0180 would be downgraded to D0150. Only Periodontist can use D0180.Is this correct?Thank you!!

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Asked on February 22, 2015 9:15 pm
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According to some carriers D0180 may be used by a general dentist if the patient is considered a "perio" patient and proof of periodontal disease "medical necessity" is present. Having said that the majority will only pay D0180 when submitted by a periodontist.

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Answered on February 23, 2015 9:15 pm
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