American Dental Coders Association

Dental Billing & Coding Training

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If a patient has periocoronitis on tooth 17 and the dentist burns the flap of skin off, what is the correct code? I say D7971, but the dentist insists that I code it under D7280, since operculectomy is not covered under the patient's insurance (Florida Medicaid). The dentist did not remove any bone, did not make an incision. Who is right?
updated 13 years ago
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Do dental insurances accept ICD-9 diagnosis codes when processing claims?
updated 13 years ago
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Is there an age when Medicare is automatically the primary insurance carrier in the state of Massachusetts?
updated 13 years ago
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I am trying to code for an immediate full implant supported hybrid denture for an upper arch and I am unsure of which codes to use. The oral surgeon will be providing the implants and multiunit abutments and I will be providing the prosthesis. I believe CDT code D6078 is for the abutment supported fixed denture. I cannot find the code for the temporary immediate prosthesis. Is there a separate code? Are there other codes I need to be using for this case? Thank you in advance!
updated 13 years ago
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What are the rules to billing medical carriers and how do you determine diagnosis codes required?
updated 13 years ago
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A patient's dental insurance was billed for 3rd molars and sedation. Insurance charged and paid as follows: D7230 x4 $350; D9241 $300; D9742 $75 for a total of $1775. Dental insurance subtracted the $50 deductible and then paid @ 50% or $862.5 leaving the patient with a balance of $912.50. MY QUESTION THEN is WHAT codes do we use to charge his medical insurance? Also, should we have charged medical insurance first? THANK YOU!
updated 13 years ago
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What Dental Code would you use for a follow-up visit for a patient that wears a sleep apnea appliance?
updated 13 years ago
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I have a questions on code D1203 Topical Fluriode- child vs code D1206 - Topical Fluriode Varnish. Could you please tell me what is the difference between this two? Thank you Paula
updated 13 years ago
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Any Crosswalk codes known for Extraction of a Supernumerary tooth (used D7240-SN)to a CPT code? Thank you Brenda
updated 13 years ago
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When would you expect to see the D7951--sinus augmentation with bone or bonesubstitues code used?The procedure in question is: Placement of implant at site #3 with possibleindirect or direct sinus lifting.The Oral Surgeon documents that an "indirect sinus lift" was performed. Thank you. Brenda
updated 13 years ago
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