Dental radiographs for children and the importance of the ALARA
When considering dental radiographs for children, the ALARA (As Low As Reasonably Achievable) principle is used to limit exposure to radiation. Though x-rays are...
Working better together with provider programs
Peer-to-peer program
As a courtesy and an opportunity for a professional exchange of information, Delta Dental of Missouri (DDMO) offers dentists the ability to converse...
How to avoid claim denials for core buildups (D2950)
In this edition of Consultant's Corner, we are going to address one of the more controversial procedure codes in CDT-2023, D2950, "core buildup, including any pins...
Peer-to-peer calls provide opportunity for exchange of information
The review of dental claims to determine whether or not the codes submitted for the service provided is supported by the two-dimensional image and...
Using the ALARA principle with radiographs for children
When considering dental radiographs for children, the ALARA (As Low As Reasonably Achievable) Principle is used to limit exposure to radiation. Though x-rays are...
Adjudication of codes D3331 and D2955
In the fall 2017 edition of The Beacon, the American Association of Dental Consultant’s quarterly newsletter, an endodontist, William Pack, D.D.S., M.S.D., wrote an...
Improve claim processing and turnaround time
There are a number of categories of procedures that require a radiographic image to allow for appropriate claim review. The following are the most...
Summary of 2021 CDT code changes
The CDT updates for 2021 include 28 new codes, seven revised codes and four code deletions. Please see link below for a summary of...
COVID-19: Impact on code submissions
Much has changed as a result of the COVID-19 pandemic. There has been much confusion regarding two vital aspects of dentistry: 1. Infection control...
Extraction Policy Reminder
The following information is a reminder of our reimbursement policies concerning impacted teeth removal procedures and erupted teeth/exposed root removal procedures.
D7230 and D7240 –...
Summary of 2020 CDT Code Changes
The CDT updates for 2020 include 37 new codes and seven code deletions. Please see link below for a summary of the changes. Please...
Frequently Misused Dental Procedure Codes
Dental offices and dental plan administrators like Delta Dental use a common language, the ADA’s CDT codes, to communicate with one another on claim...
Corrected Claim Submission Process
No one is perfect. Mistakes are made by everyone. This is true for the submission of claims to Delta Dental of Missouri. The wrong...
Benefit Determinations for D4355, D4346, D4341, D4342
The following are guidelines and policies for benefit determinations for D4355, D4346, D4341 and D4342.
D4355: full mouth debridement to enable a comprehensive oral evaluation...
