Dental Claims

By: Natalie Lucken, Account ManagerWhat can we tell Mrs. Johnson when the insurance sends a letter of denial for her dental claim? This is a prickly situation to be sure! We always want to convey a message of confidence: that we have seen this before,...

Don’t know the difference between “disallow and deny”?   It is confusing sometimes to be able to distinguish what is the practice’s right to collect.Here are a few definitions to clarify dental insurance talk.ALLOWABLE: The amount used to calculate the appropriate benefit allowance consistent with “Maximum...

Medical coding is more and more becoming part of the insurance processing landscape in the general dentist office.This from the state of Maryland but a preview of things to come with other state requirements.Diagnostic Code ICD-10 Z3A.00 to be on claims for all pregnant...

D4346 is scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation.The removal of plaque, calculus and stains from supra- and subgingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of periodontitis....

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