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I have a question. I have providers in my peds specialty that want to bill a D1206 Varnish with a regular preventive exam. Can they with the D code? And/or is there a comparable code in CPT?, And would they be reimbursed for it? and what are the RVUs associated with this code?? Thank you so much, cheers, Emily Heed CPC, CDC-A
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I work at a hospital based dental clinic which also has a dental residency program. We are switching from the hospital billing system to Softdent on Monday September 15. During training it came to our attention that the claim forms are generated from the schedule in Softdent. Our current procedure for claims is that all the residents and hygienists are billed under our program director and claims are sent out under his NPI # and license #. With the way Softdent is set up we can have a "billing provider" and a "treating provider". Our problem is that the residents do not have license numbers but they do have NPI numbers. The hygienists have license numbers but no NPI numbers. The ADA claim form has those fields under the treating provider section. Is it ok to have the resident/hygienist listed on the claim form without having a license number or NPI? I hope you can help us solve this problem as we are going live with the new software on Monday. Thank you for your time and assistance.
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Could you help me with the medical claim coding for custom fluoride trays for a patient that had treatment for oral cancer? The radiation causes a decrease in saliva production, resulting in a dry mouth-which leads to an increase in tooth decay. So, the fluoride trays are a preventative measure against tooth decay. I need the medical billing codes (not the dental, as his dental insurance will not pay for the trays.) Thank you!
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Hi Can you tell me how many CEU to maintain for active membership? thanks Cindy
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Where do I look to find the numbers of CE's I have.
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We recently had a patient come in for a filling. About a week after the filling was placed the patient was seen for normal cold sensitivity with the recent filling. What is the proper code to use for the post treatment appointment.
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We did an off hours emergency procedure for a patient. Patient broke off large !! section of filling that lodged into gum and bone. Took an hour to remove and then we need to debride the now gum pocket and infection. This was festering for week so acute gingival infection caused by foreign body. We had to use laser to treat and then did sedative restoration where broken. UC has previously denied laser treatment in other cases. How should we code to get reimbursed?
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What is the corresponding medical diagnostic code and treatment code for dental procedure D3425 apico 1 root molar and D3426 additional root same tooth and D3430 retrograde filling per root
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If a patient presents for a cleaning and it is determined that they need D4341 for each LL & LR quadrants, but only D1110 for the entire upper - how would this be billed out typically? Is the D1110 somehow absorbed into the fees for D4341? Or would it be up to the individual insurance companies? Would your answer change if the number of quads needed changed? Thank you!
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What code can be used to bill a sleep apnea appliance? I thought a D7880? I was told D9940. The NDAS does not give a fee for sleep apnea orthodic devices, what is usually charged? twice more than the occlusal guard?
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