American Dental Coders Association

Dental Billing & Coding Training

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What is the appropriate code for removal of a mandibular tori fragment?

Patient was administered anesthetic, gum tissue was opened, & a burr was used to grind off a piece of tori that was protruding from LR lingual area.

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Do dental insurances accept ICD-9 diagnosis codes when processing claims?
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79
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i just had the membership of adca..how should i get the 25% discount on my isp study program...should u provide me with a copoun code?
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790
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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.
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143
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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?
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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???
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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
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498
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Is there a CPT code for an occlusal guard? (D9940 CDT)
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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?
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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
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