For example, there is the impression, the wax up, the try ins (and all of the times it takes to get this right with the lab). By the end of the process, being in network with their insurance causes us to lose out on money when we simply bill out the denture itself. Is there a way to bill out all of the different steps to insurance so that the costs are covered even though the negotiated rate with their insurance is so low?
Needing some clarification on code 7950. A tooth was previously extracted and we are now going in to graft the site for future implant. Is 7950 the correct code? 7953 won't work bc the tooth was previously extracted and 6104 won't either bc we are not placing implant yet. Thank you!
How to claim delta dental x ray? I just claimed New exam 0150 and FMX, they denied for FMX service.
General dentist coded D0140 for tooth pain. Recommended RCT and got RCT at endodontist through referral. Endodontist coded D0140 again. Went back to general dentist for filling of crown. Got billed with D0140 again. Does this look correct to keep billing D0140 even though was evaluted for problem focused first time by general dentist?
Since the root canal was performed & resolved my issue & crown isn’t necessary, would there be a need for “build up” since there will be no crown? Is the only reason for the build up, to support a crown??
Could reporting two restorations for the same tooth on different surfaces be considered unbundling? Anesthetic, rubber dams, review of radiographs, may be part of the “first” restoration
I’ve found conflicting information about billing more than one restoration on the same tooth on the same day. I’ve seen information state that if the surfaces are not touching, then it is appropriate to report more than one restoration; however, I’ve also read that this practice may be considered fraudulent or abusive as more specific restoration codes are available. That this maybe considered unbundling. Which is true?
(D0272) and (D0330) are the bwx's included in a pano or are they to be separated?