I have a dentist that would like all new patients to receive a D1110 before exam and x-rays are taken or perio charted. Our concern is that if after patient has exam and x-ray and perio chart, patient needs D4341/ D4342 wouldnt it be questionable one why did a D1110. I have told her about D4355 but refuses to use code stating patients dont need D4355.We have 5 dentist in total 4 disagree with her, so now its has fallen on me , stating that it is an insurnace issue. As far as I am concern we dont let insurance dictate treatment but again how do we justify a doing a D1110 and a week later D4341/D4342.

  • Ask the Coder
  • I have a dentist that would like all new patients to receive a D1110 before exam and x-rays are taken or perio charted. Our concern is that if after patient has exam and x-ray and perio chart, patient needs D4341/ D4342 wouldnt it be questionable one why did a D1110. I have told her about D4355 but refuses to use code stating patients dont need D4355.We have 5 dentist in total 4 disagree with her, so now its has fallen on me , stating that it is an insurnace issue. As far as I am concern we dont let insurance dictate treatment but again how do we justify a doing a D1110 and a week later D4341/D4342.

I have a dentist that would like all new patients to receive a D1110 before exam and x-rays are taken or perio charted. Our concern is that if after patient has exam and x-ray and perio chart, patient needs D4341/ D4342 wouldnt it be questionable one why did a D1110. I have told her about D4355 but refuses to use code stating patients dont need D4355.We have 5 dentist in total 4 disagree with her, so now its has fallen on me , stating that it is an insurnace issue. As far as I am concern we dont let insurance dictate treatment but again how do we justify a doing a D1110 and a week later D4341/D4342.

Answer Question
0
Marked as spam
Asked on December 13, 2011
46 views
Add comment

Answers (1)

-3
Private answer

It is not a good idea to take x-rays after a cleaning (D1110) for the fact you just stated above. If a patient has moderate to severe plaque/claculus you want it visible on the x-ray. In order to bill root planning/scaling D4341/D4342 you need to the following;
1. Indications of moderate to severe calculus
2. Presence of periodontal disease
3. Part of a pre-surgical procedure or to prevent surgery

Most offices will take x-rays, then cleaning, then exam.

Marked as spam
Answered on December 14, 2011
Add comment

Post your Answer

Attach YouTube/Vimeo clip putting the URL in brackets: [https://youtu.be/Zkdf3kaso]