Answers
Question
0
answers
1
Dentist referred me to an oral surgeon who was out of network so I choose a different surgeon. I had a referral to the first oral surgeon but not for the actual provider seen. My initial visit was coded as D9310 which is not covered by my insurance, ...
1
answer
0
Can you please let me know what are the free resources, text books available and where to get them?
Admin May 27, 2025 11:42 am
The CDBS class and exam does not require any extra material or books. The CDC course and exam requires 1 book: CDT 2025: Current Dental Terminology - Available on Amazon.
0
answers
0
The patient presented with #7 needing a rct/ post and core. She could not afford the crown at the time so she waited till This year to do it. They are denying because it wasn’t done the same day as the crown, even after we were told they would pay. I...
0
answers
0
I keep getting denials for a D2954 when the patient has an existing crown and needed a rct and the Dr did a post and core after . What is the best way to file that?
3
answers
0
what are the codes for a child recall for prophy, bitewings, fluoride and exam
Anonymous May 15, 2025 2:13 pm
Depending how old the child is the bitewing could also be D0272
1
answer
0
If I treat a patient for scaling in one to three teeth code 4342 and all four quadrants will the patient's insurance company allow for a D 4910 for maintenance every three months
AR April 7, 2025 3:54 pm
Hello! This is a great question. For D4910, each insurance plan is different. If the patient has coverage for D4910, typically, the insurance will want the date of the initial scaling and root planing along with x-rays and perio charting less than 12 months old. When it comes to the perio maintenance frequency, that also (more)
1
answer
0
Hi all, my office keeps running into situations where patients will come in to see a dentist but no exam is performed. The patient will come in solely to ask questions about their situation or go over a treatment plan with the dentist with different ...
AR April 7, 2025 3:57 pm
Hi! In past offices, we have used code D9310: Consultation - Diagnostic service provided by dentist or physician other than requesting dentist or physician.
3
answers
0
Can someone help me with filling out a medical claim form for wisdom teeth extractions? My Dr. performed D7220 and D7230's on a patient. Their dental coverage is requiring filing with medical coverage first before dental will pay anything. I believe ...
Christina February 27, 2025 10:48 am
Your CPT code is the D7220 and D 7230. (The extraction is the procedure) You won’t have a modifier. Your diagnosis code will come from a ICD 10 code book. This is the why it’s being pulled. Are they impacted,, etc that’s the code you would put . If you tell me why it’s being (more)
1
answer
0
If you are in network and the insurance downgrades the code can we collect from the patient?
Anonymous January 29, 2025 6:59 am
It depends on your contract with the insurance company. If the EOB states you can charge the difference, then you can. If it does not, then you cannot. Most insurances will let you charge the difference of the MAC of the submitted charge and the payment of the downgraded code. But if you are in (more)
6
answers
0
I have a patient that has had SRP. He has been on perio maintenance (4910) for a year. If they have improved can they go back to an adult prophy (1110) or do they have to stay at a 4910? I was told once we use 4910 they have to stay with that code.
Lori May 7, 2025 2:13 pm
The American Dental Association has said it's a matter of clinical judgement of the dentist. It is appropriately reported as D4910, but if the treating dentist determines the patient can be treated with routine prophylaxis, then D1110 may be appropriate.
