Ask the Coder (515) All questionsAnswered questionsUnanswered questions >« Back to Full Questions ListAnswersViewsQuestion1answer26views Is it possible to get a Gingivectomy paid for non perio reasons? My doctor performs them often to reach decay under the gum line. Thanks for any input!!!1answer26views I need to know the correct way of handling failed and/or ongoing procedures and how to bill for them. This has been a debate in our office. If a patient's restoration has failed, whatever the reason, and they have insurance, do you report that to the insurance company? For example, a patient gets an amalgam filling and six months later it needs to be redone. What is the most appropriate course of action, doing an adjustment in house, or filing it to the insurance company and adjusting it off afterwards? Some do not want to file and some do. If it was a self pay patient we would adjust it off and not make them responsible. Our insurance patient's are not responsible either, but is it necessary to report it to the insurance company? Please let us know the most appropriate course of action. Thank you.1answer26views 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!1answer26views I have a insurnace question:Say that Dentist Joe is in Network with BlueCross Blue Shield They have agreed in their signed PPO contract that Dr. Joe will do crowns for 600.00. Dr. Joe calls this crown his Regular Crown. However, Dr. Joe has another level called the super duper duper crown. He utilizes a totally different lab, puts more levels of shading, really makes it shine. He has a 500.00 elective upcharge.So Chris the patient comes in and needs a crown. Dr. Joe says, “Chris you can get the regular which your insurance will cover, but for just a few bucks more I will give you the super duper duper which will look great!”. I say “o.k. Dr. Joe lets do it!”Dr. Joe submits the regular crown to insurance to get his 600.000 from BCBS. He also pockets the additional 500.00 buck and has a signed authoriztaion of understanding from Chris stating he fully knew the dealio.Is this o.k.?1answer26views Hi there, I would like to ask, what is the code to use for implant overdenture?1answer26views Is there an age when Medicare is automatically the primary insurance carrier in the state of Massachusetts?1answer26views what is the best source for guidelines on medicare billing and dental.1answer26views what would i submit to assist with coding D4211 to obtain payment & not a denied as "part of the service" reply1answer26views what are the appropriate medical and dental codes to bill for 3d cone beam scanning. Is there a separate code to bill when views are reconstructed to tomography, panoramic and submentovertex1answer26views If dentist does procedures in operating room should the place of service be 22? « Previous 1 … 36 37 38 39 40 … 52 Next » Ask a Question