Fees
What is our full fee for a crown?
$1661
What is needed to send SRP's to insurance?
FMX (within 5 years) and perio charting within 6 months
What x-rays are required for a bridge?
Current FMX/PANO
Patient has a federal dental insurance plan, what else do you need to know from the patient?
Must know BCBS FEP medical insurance information. This must be entered as primary insurance.
What is a 2X12 month frequency?
Rolling months not a calendar year.
EX. 12/05/2020 & 06/7/2021
Next eligible would be after 12/06/2021
What is the fee for our KFD Plan?
$338
What information is needed for a claim on a tooth that has an existing crown?
PA within 6 months- must show the entire tooth
Age of existing crown- Month and year
Why is it important not to send the PANO to insurance at the sametime you take an FMX?
Insurance will either pay for a pano OR an FMX not both.
Insurance will always choose to pay for the cheaper service which would be the PANO.
What is needed for a minor to been seen?
Signed HIPPA listing a guardian and or parent.
Guardian or parent must be attached to their file as a non patient if they are not a current patient.
What is the doctor recommended frequency for Orthotic adjustments?
1st- 2 weeks after delivery
2nd- 1 month after 1st adjustment
3rd- 3 months after 2nd adjustment
4th- 6 months after 3rd ajustment
Then once per year is recommended
Are we in network with Aetna Fee Schedule?
NO!
What do we need for a bridge estimate where the patient is missing 3 teeth in the same arch?
FMX
Does the pt have an existing restoration or removable?
How old is the existing?
How long have the teeth been missing?
At what age do we start taking PANO's on children?
5 Years old.
Are we in network with DHL and INO Plans?
NO!!
THESE ARE HMO PLANS
New patient here to get retainers. What do we need to know from the patient?
Is this a replacement set of retainers?
Did we remove the braces?
How long ago did the pt have their 1st set of retainers?
If there is no fee listed for a procedure in Open Dental what is the fee?
What information do we need for a partial estimate?
FMX/PANO
Are we replacing an existing partial or bridge?
Dates of existing or old partial or bridge
When were the teeth extracted?
What is the difference between these two PA's?
PA Intraoral - Periapical first radiographic images and PAadd Intraoral- Periapical each additional radiographic image
PA intraoral is for the 1st PA set complete and the PAadd is for any additional PA's taken.
How do you determine primary and secondary?
a. Children/ b. Spouse / c. Medicare Plan
a. Birthday rule (follows the earlier month in the year between mom and dad not year of birth)
b. Pt's employer's plan is primary then spouses is secondary
c. No matter what Medicare is primary
How old can a PA of a tooth be to present an estimate for a crown?
Less than 6 months.
What fee schedule has dollars and cents listed as their fee?
Dentemax
What must you have for insurance to even consider anterior crown coverage?
Full PA showing entire tooth- including the incisal edge.
How old can an FMX be when presenting and estimate for SRP's?
it's determined by the insurance company.
3-5 years depending on the insurance plans frequency.
What are the 6 types of cleanings that are performed at Klement Family Dental?
GD, AC, CC, PM, SRP and Gingival Scale
What is required for treatment planning an implant?
Evaluation by a doctor
Implant Sheet filled out by doctor
X-Rays (PANO/FMX)
How long has the tooth been missing if the tooth is already missing?