American Dental Coders Association

Dental Billing & Coding Training

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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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I noticed one of the publications mentioned on the ADCA website is Oral Maxillofacial coding/billing book published by PMIC. I wondered if you have any experience with this book and if this is beneficial for the dental coder in Oral Maxillofacial surgery? Thank you! Lynette Kardell, CPC,CDC
updated 13 years ago
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Is there documentation to support when it is appropriate to bill D0470, Diagnostic Casts? I have a provider that seems to think that he can bill this code when taking impressions and bite registration for a sleep apnea appliance. I would like to have something in writing to support the explanation of this code. Thank you.
updated 13 years ago
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9
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What is the dental code for medical code 20902?
updated 13 years ago
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If 20900 is the code for bone graft, any area, minor or small, what is the cpt and d codes for major grafting?
updated 13 years ago
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D0350- Are more and more providers using this code for diagnostic purposes, if so why?
updated 13 years ago
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