American Dental Coders Association

Dental Billing & Coding Training

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When the doctor notes two separate areas of decay on a single tooths O surface, for example spotting decay on a molar tooth and the doctor calls out "O, and OL", how should we file this? Similar situation when there is decay on the O, and the doctor wants to seal up the groove and completes a connected OL & OB composite. Should it be filed this way, as two - two surface fillings or is it a 4-surface filling? Or should it just be considered an O filling, even if the doctor fills any remaining L or B grooves? We had a lot of confusion on this!
updated 12 years ago
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Another question about code D9951 (Occlusal Adjustment - Limited). If the doctor does both upper and lower adjustments in one visit, should it be entered twice or does this code cover upper or lower as well as upper and lower? Thanks!
updated 12 years ago
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I need more clarification on Code D9951 (Limited Occlusal Adustment - Limited) I see in my ADA CDT book it states it is not supposed to be used when the procedure is for a bite adjustment when doing it post-delivery of something such as a crown/bridge. Is there another code to use when the doctor adjusts the bite after delivery or should it relate with another code? Thanks!
updated 12 years ago
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I am new to orthodontic and dental billing. The patient may have a 27-month or 30-month treatment, but our office likes to have the bill paid in 24 months. So the private pay part is divided up, % down and 24 monthly payments. In submitting claims for insurance, I have seen others put in the number of months of treatment remainnig (box 42 J400) accurately as 27 or 30, but then put the code, total case fee, initial banding fee, and something like "24 months to be billed at $____ per month." Is it okay to bill insurance this way?
updated 12 years ago
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I need to find out how to code for 3rd molar extractions on the CMS-1500 claim form.
updated 57 years ago
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what is the best icd 9 code for an amalgam tattoo?
updated 12 years ago
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Filing a medical claim. CPT 21040 ICD-9 526.0, the doctor grafted the defect using code 21215. I am not sure what modifier to use, he also did this procedure under IV anesthesia 3 units of 00190.
updated 12 years ago
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i just signed up for membership of adca and would like to get the 25% discount on my isp study program…Do I get this coupon code from you?
updated 12 years ago
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Greetings - I have 2 questions 1. I am trying to take the Module 1 practice exam but I am unable to log in with my ADCA username and password. do I need to set-up another one? 2. I have 2 dental billers in my office and I would like to register them as members so that they can take the certification exam,also. Is there a way that I can do this for them and pay the fee through our organization?
updated 12 years ago
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My pt is 24 years old (DOB 12/26) and lives at home, she has her own policy through MetLife Dental and her mother (DOB 12/27) has a policy through Delta Dental. I want to confirm that her policy is primary and mothers is secondary. Is this correct???
updated 12 years ago
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