Answers
Question
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 1 week 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 1 week 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 weeks ago by
Anonymous
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 weeks 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 weeks ago by
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 1 month ago by
Is it possible for a fresher to clear CDBS exam after taking classes and having no prior billing experience as clearing the exam requires intuitive effort towards EOBs interpretation, Denial patterns, PPO fee schedule and hands-on exposure on dental ...
Admin August 4, 2025 6:19 am
Yes, after taking the Certified Dental Billing Specialist online class you should be able to clear the exam with no problems.
asked 2 months ago by
Looking for what CPT code I would use for Dental code D0368
asked 2 months ago by
My dentist office says that once I have received a D4910 coding for Periodontal Maintenance that it will never to able to be considered D1110 even if I just get a routine cleaning after that. I feel that they are trying to get more money for a basic ...
asked 2 months ago by
I just purchased a membership and I can't seem to register for a class.
Admin July 16, 2025 6:06 pm
Yes please contact support@adcaonline.org for help
asked 2 months ago by
