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    3
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    What would be the ADA code for Essix Retainer with a tooth
    Provider extracted tooth and made an essix retainer with a fake tooth to cover gap
    Admin May 25, 2025 8:08 am
    Dental Billing & Dental Coding: D5820 Interim Partial Denture Maxillary D5821 Interim Partial Denture Mandibular See more at: https://www.adcaonline.org
    asked 2 years ago by
    Anonymous
    3
    answers
    1
    What are the codes for a child recall for prophy, bitewings, fluoride and perodic exam
    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
    rachel
    asked 2 months ago by
    Anonymous
    6
    answers
    0
    Can you go back to code 1110 after using 4910
    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.
    GDHDH
    asked 6 months ago by
    Anonymous
    2
    answers
    0
    Can I bill D1110 with D4342 on the same day
    There are no restriction to bill these two codes together for the same DOS. However, you want to make sure you are include supporting documentation as to why you performed both procedures on the same day and the time involved. Make sure to include ch...
    Meg April 9, 2025 6:39 am
    Can you bill a pro on one day of service for the initial visit and then ask the patient back for an SRP and bill out SRP on another day of service? Also, is there any restriction on time on when to bring the patient back for SRP after the apro? An established patient came (more)
    Unitasdental
    asked 2 years ago by
    Dana Apuy
    3
    answers
    0
    when 2 insurances are involed do you adjust the primary or the higher of the 2?
    i was told you should always take only the primary adjustment but was always taught to take the higher amount. which is it?
    medaudsolutions April 8, 2025 3:17 pm
    What is the secondary changed their fees/policy? If 100 allowed, primary paid 80, then I would transfer the $20 to the secondary, let the secondary adjudicate then make my adjustments. I am not saying balance bill. The primary allowed 100, I would transfer up to that just like EOB says to secondary. You could be (more)
    Admin
    asked 6 months ago by
    ADCA Admin
    2
    answers
    0
    Lab fee for a porcelain crown
    Should a Dentist charge a separate lab fee for this type of crown
    medaudsolutions April 8, 2025 3:21 pm
    Agree with prior post, dentist do not usually charge a lab fee. BE careful charging more than the allowed amount on contracted plans and covered services; that is a compliance no no.
    Stacho
    asked 7 months ago by
    Anonymous
    2
    answers
    0
    CPT 2024 removed code 99201
    I am unsure when the CDC-M05 was updated, but the newest edition removed 99201.
    Angela April 8, 2025 7:19 pm
    It was removed jan 2023 if I am not mistaken.
    sonyawits
    asked 1 year ago by
    Sonya M Witsil
    1
    answer
    0
    COB with supplementary plans
    If a patient has a primary plan either through an employer or the open market, will as supplementary plan like AFLAC or Colonial Life with no COB be listed as secondary? I just would like some clarification. COB has rules but when there is no COB som...
    Austinida April 8, 2025 2:41 pm
    Hello! This depends on whether or not the primary plan will even coordinate benefits with a secondary plan. Typically, Aflac and Colonial Life are fee schedule plans where the patient pays the difference between their fee schedule contract fee and UCR. Some Colonial Life or Aflac plans directly reimburse the patient and not the office, (more)
    hhannawood
    asked 1 year ago by
    Hiedi Hanna Wood
    1
    answer
    0
    Billing D0251
    When billing D0251, should we bill 1 or 2 units of this because it's both the right and left side? And does it matter if it's for primary or permanent teeth?
    Austinida April 8, 2025 2:37 pm
    Extraoral images are captured when the image receptor is placed outside the patient’s mouth, such as a CBCT or panoramic X-ray. For D0251, you will bill one unit since it is categorized as an image of the entire posterior dental region. This code can be billed for both primary and permanent teeth.
    smarshall@katyhealth.org
    asked 1 year ago by
    Sarah Marshall
    1
    answer
    0
    downgrade for amalgam on primary
    HI I submitted a prior auth for D2392 and D2929 for several teeth and req to please allow for alt benefit for D2930 and downgrade to amal fee. I received the preauth back with only coverage on D2331 on #R . Can I legally submit a D2930 with our fee f...
    Austinida April 8, 2025 2:24 pm
    Legally, you must bill out for the procedures that were performed by the provider and the charges billed must match the clinical notes.
    jill
    asked 1 year ago by
    Anonymous
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