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 hoping they’ll pay what the primary adjusted off, or should the claim only be sent to secondary if the patient has a balance?
d0470 diagnostic casts, what code is for the wax up
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, on what basis?
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?
I am unsure when the CDC-M05 was updated, but the newest edition removed 99201.
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 for and perform a D2929
Pt presents for cleaning, not due for periodic exam or xrays, but has a question about a tooth so a PA is taken and Dr evaluates. I would typically bill out a periodic with the pa and prophy however it was brought up that D0140 may be applicable.
The Oral Surgeon Charged me $2,500.00 when I made the Appointment and I have to pay another $2,500.00 before I have the Proceedure. There was No Dental code Provided.
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?
Can you use only D0150 for comp exam for a child under 3 or do you have to use D0145?
