American Dental Coders Association

Dental Billing & Coding Training

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You have a patient that is in following planned treatment for operative. Patient had tooth #30 extracted 2 months prior to this visit. When the patient is in for operative a none spicule was removed from #30 extraction site. What code should be used to code the removal of the bone spicule with the operative that was done this day. There is no notation that the patient was expieriencing any type of pain.
updated 12 years ago
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When the doctor completes a posterior resin filling D2391, but wants to seal any additional grooves connected to the cavity surface, can we also use code D1352? Or, can we use code D1352 if the doctor fills a groove not in connection with the cavity getting filled with the D2391?
updated 12 years ago
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We could not apply varnish fluoride in the office on little kids due to cooperation. We send varnish fluoride home so parents could apply. Can we charge for varnish fluoride to insurance?
updated 12 years ago
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You have a patient that is scheduled with your hygieneist and your dentist in the same day. Your hygieneist does perio charting and discusses perio disease in depth with the patient. The patient then sees the dentist for there appointment and he does panoramic film and a complete comprehensive dental exam. Can you charge D0180 and D0150 at the same visit<
updated 12 years ago
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35
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Are there any dental insurance companies that cover the D1330 Oral Hygiene Instructions? Am I obligated to submit this charge to the patient's insurance when they are not paying for this service?
updated 12 years ago
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14
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If a Dentist has an anesthesiologist come to his/her office to administer and monitor an IV sedation procedure, can the dentist submit an iV sedation claim using the deep sedation code even if the anesthesiologist was the one to perform the action while the Dentist did all of the dental work? And if not, is there a different code I could use?
updated 12 years ago
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8
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If x-ray were not diagnostic, do we still charge for them?
updated 12 years ago
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12
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My PT wants a set of upper and lower partial dentures. I'm using codes D5213 and D5214. The CDT book says these codes should include "any CONVENTIONAL clasps." My PT needs a special type of clasp, in addition to the standard clasps, called a flexi clasp which will incur higher lab fees for our office. Is there a code for additional, non-conventional, clasps?
updated 12 years ago
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7
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Do you have a sample of an appeal letter for a denial for treatment that had been given prior-authorization?
updated 12 years ago
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13
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If single bitewing was taking, can it be charge out as a PA?
updated 12 years ago
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