Teledentistry: What Dental Billers Need to Know
Published by the American Dental Coders Association
Teledentistry is rapidly transforming the dental care landscape, offering convenience and improved access to care. As virtual dental services become more mainstream, it’s crucial for dental billers and coders to understand how to correctly document, code, and bill for these services. This blog post breaks down the essentials for successful teledentistry billing in 2025 and beyond.
What Is Teledentistry?
Teledentistry refers to the use of telecommunications technology to provide dental care, consultation, education, and treatment remotely. It includes both real-time (synchronous) and store-and-forward (asynchronous) methods.
Common Scenarios in Teledentistry
- Initial triage and assessments
- Post-operative check-ins
- Remote monitoring of orthodontic cases
- Specialist consultations via video call
CDT Codes to Use
The ADA introduced specific codes for teledentistry to ensure proper documentation and billing. These codes must be used in addition to the service performed.
- D9995 – Teledentistry – synchronous; real-time encounter
- D9996 – Teledentistry – asynchronous; information stored and forwarded
How to Apply These Codes
- Always pair D9995 or D9996 with the appropriate procedure code (e.g., D0140 for limited oral evaluation).
- Include detailed documentation in the clinical record about the virtual encounter.
- Ensure the location, date, provider credentials, and patient consent are documented.
Reimbursement Considerations
Insurance reimbursement for teledentistry varies widely. Here’s what dental billers should keep in mind:
- Verify benefits: Always confirm whether the patient’s plan covers teledentistry.
- State regulations: Reimbursement policies differ by state and payer. Some states mandate coverage while others leave it optional.
- Medicaid: Many state Medicaid programs do reimburse for teledentistry, but requirements may be stricter.
Documentation Best Practices
- Document the technology used (e.g., secure video call, dental app).
- Include screenshots or stored data for asynchronous encounters.
- Ensure HIPAA-compliant platforms are used to protect patient data.
- Always record patient consent for virtual services.
Challenges to Be Aware Of
- Lack of payer uniformity in teledentistry coverage
- Technology barriers for some patients and providers
- Billing errors due to misunderstanding how to pair codes
Training and Resources
For billers new to teledentistry or those wanting to refresh their knowledge, proper training is key. Learn how to code, document, and bill for teledentistry effectively in our online courses:
➡️ Certified Dental Billing Specialist (CDBS)
➡️ Certified Dental Coder (CDC)
Conclusion
Teledentistry is no longer a fringe offering—it’s a core part of modern dental care. As it continues to grow, so does the need for knowledgeable dental billers who understand the intricacies of coding and reimbursement for virtual services. Stay ahead of the curve by training with the American Dental Coders Association and mastering the billing skills that will define the future of dental care.