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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)
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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.
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What is the code for the visit between extraction and dental implant
JLOUD April 8, 2025 1:34 pm
D0171
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If I send a claim to a primary insurance and they pay a portion and have a contractual adjustment that covers the remaining portion of the balance leaving no patient balance, is it appropriate to send the claim to the patients secondary insurance hop...
Austinida April 8, 2025 1:29 pm
The claim should be submitted to secondary insurance even if there is a remaining balance. It's crucial to ensure that the patient's primary and secondary insurance records accurately reflect their procedure history.
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If I send a claim to a primary insurance and they pay a portion and have a contractual adjustment that covers the remaining portion of the balance leaving no patient balance, is it appropriate to send the claim to the patients secondary insurance hop...
Austinida April 8, 2025 2:15 pm
Hello! The patient's secondary insurance always needs to be billed to ensure accurate procedure history, regardless of the amount of the primary insurance's payment. Hope this helps!!
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d0470 diagnostic casts, what code is for the wax up
Anonymous August 19, 2024 3:12 pm
This is considered the same as a diagnostic. Therefore, the appropriate code would be D0470
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My dentist referred me to another dentist at another company for procedure D3348. After the procedure, I was billed D9310 in addition to D3348. I personally did not need a consultation and only required D3348. Do I have to pay this invoice and if not...
Anonymous June 29, 2024 5:11 pm
I think yes he can charge you. D9310 is consultaion- diagnostic service provided by dentist or physician other than requesting dentist or physician. It means a patient encounter with a practitioner whose option or advice regarding evaluation and or management of a specific problem may be requested by another practitioner. The consultation includes an oral (more)
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If 2 bitewing images was taken on a pano machine (where the image is split done the middle to create bitewing image) what is the appropriate code? D0272 or D0251?
Katie March 18, 2025 4:17 pm
Should D0251 be used twice to indicate both left and right?
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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.
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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.
