Answers
Question
All the codes I am locating are obsolete; our provider wants to make a clear retainer instead of partial for financial reasons for patient that will be missing front tooth.
Simme1 February 10, 2026 4:04 am
D8680 D9938 fabrication D9939 placement
asked 3 months ago by
Super Admin February 9, 2026 12:39 pm
As long as the surfaces do not connect, they are separate. Insurance will combine to pay less.
asked 15 years ago by
For example, there is the impression, the wax up, the try ins (and all of the times it takes to get this right with the lab). By the end of the process, being in network with their insurance causes us to lose out on money when we simply bill out the ...
Oanh Phan September 13, 2022 2:43 pm
To my knowledge, there is no way to bill for the lab ( steps involved until denture is complete ) to the insurance. if patient does not show up to pick complete the process, you can bill with a narrative to get some payment ( reimburse for your time and lab fee). I know my (more)
asked 4 years ago by
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.
asked 1 year ago by
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 ...
ashley January 16, 2026 1:47 pm
i did submitted with d7240 with diagnostic code K01.1 still medical ins denied due to invalid/ missing diagnosis code what code i am missing, please help me
asked 1 year ago by
i am curious as to what code to use for a buccal IV
Austinida December 15, 2025 10:11 am
For anterior buccal class V, you would use D2331. For posterior, it is D2391.
asked 5 months ago by
Anonymous
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 December 13, 2025 9:44 am
Do pre-estamite first
asked 8 months ago by
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 11 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 6 months 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
