Oral Surgery
Periodontics
Endodontics
Orthodontics
Hygiene
100

This X-Ray is required for all referrals

What is a Pano.

100

This Provider owns the Perio Referral

What is the RDH/ DDS

100

This procedure code was released 1/1/2022 and processing criteria for each payer is still being learned

What is Intra-Orifice barrier

100

This X-ray provides the Orthodontist with a lateral view of the Pt's teeth and Jaw

What is Ceph.

100

This procedure will remove plaque, calculus, and stain from the tooth structure above the gumline

What is a Prophy.

200

This Consent Form has the treatment written out with no abbreviations & requires a printed name & signature from the patient & provider

What is a Surgical Treatment Consent 

200

This folder holds providers Bio, FA, Periodontal Progression, DDS Referral, Etc.

What is a Perio Specialty Folder

200

Most Carriers will not cover this procedure

What is a Ceph

200

These Insurances have specific Fee calculator Formula's

What is Aetna, Cigna, and DeltaCare

200

It is performed when there is so much plaque and calculus present that the dentist is unable to perform a comprehensive exam

What is Debridement Procedure, Code 4355

300

California New Age Sedation guidelines

What is a 13 year old

300

This Clinician Reviews Consequences, Urgency, Specialist name & Schedule access

What is Referral verbiage

300

Testing to determine if a Root Canal Therapy Tx is required

What is Pulp Vitality Test

300

This code is used when a pt. has been Financially/ Clinically Dismissed and would like to Cont. Tx

What Is Restart Code

300

Used in closed subgingival instrumentation procedures without displacement or flapping of the gingival tissue

What is Bacterial Decon.

400

Ideal Oxygen levels while sedated

What is 95 and above

400

1wk out Tx confirmation, consults expectation communication, referral order complete w/ dds notes attached & printed, FA finalized, Specialist & SHC review schedule 2 days before

What is Prep Work

400

RCT Initiated, but during the procedure the tooth became inoperable or not restorable

What is Incomplete Endo Therapy

400

Commonly Known as a MARA or Herbst (does not include expanders)

What is a Harmful Habit Appliance

400

This procedure is considered to be full mouth and is expected to be completed on a single date of service

What is SRPs

500

Oral Surgery Specialty DA's need to renew this every 2 years 

What is an OMSA (Oral & Maxillofacial Surgical Assistant) 

500

Listed in Epic as the next step after Implant placement

What is 2nd Stage

500

What is the only RCT procedure with no code

What is Root Canal Cleanser

500

This is used to complete the Consult/ Exam notes

What is Flow-Sheet

500

Dental Hygiene Length and cost in Ca.

What is 20-30 Months and average $58k

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