Clinical
What does SSC stand for?
Stainless Steel Crown
What bill type is state insurance?
17
How many types of sedation do we offer for peds?
5 - IN, MODINH, SEVO, LMA, DEEP
How many types of sedation do we offer for Oral Surgery?
4 - SEVO, MOD, LMA, IV
What are 2 reasons someone could be dismissed by sedation?
No call/no show, refusal to follow treatment plan, inappropriate behavior toward staff, leaving their sedated child unattended,
2
Name 5 private insurances
BCBS, Nova, Cigna, DD, DPP, Aetna, UCC, etc
Name 2 medical reasons we may not be able to see a child in office
Obstructive sleep apnea, diabetes (insulin dependent), malignant hypothermia, seizures in the last 6 months, certain bleeding disorders, etc.
How many MOD's are we allowed to have on the schedule in one day?
3 - and they need to be spaced out
If a parent is screaming and swearing at you on the phone, what do YOU need to say before hanging up?
"I'm ending the call now"
Height and weight
Charlie XCX is a new patient and has Dental Pay Plus primary and Molina secondary. She wants to schedule a consultation with Dr. Votta. Can we?
No
Tom Hanks is a 5 year old male who needs 3 SSC's. Based solely on that treatment plan, what type of sedation do you think he would need?
SEVO
When is the only day we are allowed to put locals?
All day consults
When does Dr. Votta work in the OR? (specific day/week of the month)
3rds Wednesday of the month
Sally, DOB 12/1/2022, needs an 8 pack (SSC's on all baby molars) under sedation. Her weight and BMI are within our acceptable range, as well as her mallampati and tonsils. Her mother circled no to everything on the sedation paperwork. Why did the program say she is an OR?
She won't be 4 until December
Scarlett Johanson is scheduled for surgery next week, but her mom called in to state that they are now covered under dad's dental insurance (Cigna). Julia sent the pre-d in under Liberty, which was approved and fully covered. What do you do next?
Let Julia know about the new insurance.
Let mom know there may potentially be a change in fee JUST in case.
How many XL LMA's can be scheduled in one day?
4
Thor consulted for exo of 1 & 17. He is scheduled in August and received a denial from DQ. The teeth are not impacted and he has no "medical necessity" to require sedation (per DQ). Thor wants us to resubmit to his insurance. What do you do?
Tell him he can appeal, we have nothing to resubmit, and if he wants to keep the appointment he needs to put a deposit down.
What is the NEW age maximum for peds sedation?
Through the 14th year
Mesial, distal, lingual, facial
Marley and Andrew both hold private dental insurance for their 10 children. Marley has DDNY and Andrew has Nova. Marley's birthday is 7/27/1987 and Andrews birthday is 4/20/1987. Who is listed first as primary and why?
Andrew, because his birthday is first in the year.
Baby Benito is schedule for IN sedation at 630 am. He is a 2 year old who is still breastfed throughout the night. Per mom, he will wake up every 4 hours to nurse between 10pm and 6am. Because we are not fully sedating him, this is allowed. True or false?
FALSE!!!!
What docs and procedure do we NOT accept for Dr. Votta?
Falsafi, Rouff, expose and bonds
Laryngeal Mask Airway