Answers
Question
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.
asked 10 months ago by
Hi all, my office keeps running into situations where patients will come in to see a dentist but no exam is performed. The patient will come in solely to ask questions about their situation or go over a treatment plan with the dentist with different ...
AR April 7, 2025 3:57 pm
Hi! In past offices, we have used code D9310: Consultation - Diagnostic service provided by dentist or physician other than requesting dentist or physician.
asked 4 months ago by
If I treat a patient for scaling in one to three teeth code 4342 and all four quadrants will the patient's insurance company allow for a D 4910 for maintenance every three months
AR April 7, 2025 3:54 pm
Hello! This is a great question. For D4910, each insurance plan is different. If the patient has coverage for D4910, typically, the insurance will want the date of the initial scaling and root planing along with x-rays and perio charting less than 12 months old. When it comes to the perio maintenance frequency, that also (more)
asked 4 months ago by
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?
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 ...
Christina February 27, 2025 10:48 am
Your CPT code is the D7220 and D 7230. (The extraction is the procedure) You won’t have a modifier. Your diagnosis code will come from a ICD 10 code book. This is the why it’s being pulled. Are they impacted,, etc that’s the code you would put . If you tell me why it’s being (more)
asked 5 months ago by
SFD February 13, 2025 4:59 am
Can you charge each individual tooth as a single unit or a one fee for the whole bridge?
asked 12 years ago by
(D0272) and (D0330) are the bwx's included in a pano or are they to be separated?
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katana
asked 2 years ago by
cdt for antibiotic prophylaxis
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katana
asked 3 years ago by
Enter your nickname February 10, 2025 6:37 am
katana
asked 8 years ago by
CC: NONE HX: No Change DX: #K buccal resorption under crown Eye Protection Used: Yes Anesthetic: Denti-Care Denti-Freeze topical, 4% Septo c/ epi 1/200,000 x 1.7cc, mental TX: K core/crown prep ALGINATE IMP FOR TEMP, PRE SCAN UPPER AND LOWER ARCHES W...
Enter your nickname February 10, 2025 6:37 am
katana
asked 1 year ago by
