Ask the Coder (541)

decidious teeth usually do not have what we recognize as root tips, you would still use D7111 for decidious teeth.

No, this is not within the scope of practice for a dental hygienist. The dentist must be present and review the documentation as well as add to the documentation to make this a valid billable code.

If billing medical for the extractions you will use 41899 and list it however many extractions were performed. In box 19 of the CMS-1500 form you will put D7140 teeth involved and list the teeth numbers. You will need to check with your carrier for specific guidelines on extractions and what is and is not (more)

You may not collect more than the UCR fee for the service provided. If both primary and secondary paid the write off would come from the primary payer.

CEU's may be submitted starting June 1st of each perspective year...you must sign into your members dashboard and select the "upload CEU" button.

If they are new to the practice 99203, if the patient is established 99213. Please note the documentation MUST be complete to meet these levels of service.

The appropriate way to submit the claim would be to have the attending provider’s information in box 45-52a and the treating/resident/hygienist information placed in box 53-58 of the ADA 2012 claim form. You may submit the claim with the hygienist or residents NPI number only as long as the attending has both NPI and license (more)

This question is to vague please give more detail...

No, the provider must document clearly each day what was done and each day needs to be signed off on.

Hi! This varies per insurance company. I do have a few questions in order to be able to answer a bit more in detail: On the date that you called for benefits on the D2954, was the question specifically asked if the crown would be covered if done on a separate DOS than the D2954 (more)