Relates to the CDT codes which are published and managed by the American Dental Association (ADA)
The words “consultation” and “evaluation” may sound similar, but in dental billing, the distinction is vital. Misusing codes often leads to insurance denials and administrative headaches. This blog post explores how to choose the correct code based on the actual scope of service performed, ensuring clinical integrity, accurate documentation, and financial transparency for every patient.
For many dental teams, Medicaid is a sea of administrative complexity. Our latest blog post breaks down the “how” of Medicaid/CHIP—from managing “payor of last resort” rules and timely filing to handling non-covered services with signed waivers. Learn how to streamline your workflow, navigate no-show regulations, and protect your practice’s bottom line all while serving your community.
You should never let insurance remapping dictate your clinical records. If you’re placing two separate restorations on one tooth, are you billing these fillings correctly? Discover why coding for the actual procedure performed is essential for clinical accuracy, legal documentation, and fee transparency, all while learning how to code and bill for this unique restorative scenario.
Navigating the nuances of coding for radiographs can be a headache. This blog provides you with clarity on when to utilize different yet appropriate codes for radiographs. We specifically dive into the critical distinctions for bitewings obtained extraorally, ensuring your practice stays compliant, maximizes reimbursement, and maintains clinical accuracy for unique image captures.
Are restrictive PPO fee schedules dictating your clinical standards? This post empowers dental teams to move beyond reimbursement limits by offering optional services as a path to superior care. Learn how to help patients choose to invest in their dental health, regardless of insurance caps, and present high-quality optional services with confidence.