ADA Codes
What is the definition of D1120?
Removal of plaque, calculus and stains from the tooth structures and implants in the primary and transitional dentition. It is intended to control local irritational factors.
Is my Plan Active? If so, what's my Plan Summary?
Plan Summary- PV
Claim DOS 09/24/2025 is the Dentist In-network or Out-of-Network?
In-Network
Dr. Hanjrah is In-network with which PPO II Network?
CS Folder - Aetna Websites - DocFind Printer Friendly
What is the definition of D4211?
It is performed to eliminate suprabony pockets or to restore normal architecture when gingival enlargements or asymmetrical or unesthetic topography is evident with normal bony configuration.
Anne is getting fluoride on tooth 16? Is this covered? If yes, what are the benefits? If no, why not?
No, due to the age limit!
How much did we pay on Claim DOS 02/05/2026? Who did we pay it to?
$377.40 paid to provider.
Does Dr. Hanjrah have any Flags?
Yes, 2 active (AAOPTOUT, STMDCAID); 3 expired (STMDCAID x3)
Do I handle CA DMO plans?
No- CS- Toolbar - Dental Tools and References- Job Aids- Take the Call Where is Lands
What is the definition of D4341?
This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. It is indicated for patients with periodontal disease and is therapeutic not prophylactic, in nature. Root planning is the definitive procedure designed for the removal of cementum and dentin that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some soft tissue removal occurs. This procedure may be used as a definitive treatment in some stages of periodontal disease and/or as a part of pre-surgical procedures in others.
How is Coordination of Benefits covered on my plan?
Standard - 100% ALLOWABLE EXPENSES (NON-PROFIT) - CALENDAR YEAR. ALL GROUP PLANS. INCLUDES NO-FAULT BENEFITS
Anne needs a Panoramic X-ray, is she eligible? Verify history.
Anne got an FMX on 01/23/2026 - not eligible
1 FULL MOUTH X-RAY (or Panoramic) LIMITED TO ONE SET EVERY 3 ROLLING YEARS
Where did Dr. Hanjrah graduate?
New York University College of Dentistry
Where can I find important updates about Dental. I need to review this at least once per day.
CS Folder - START MY DAY
Endosteal implant – surgical placement
What is the Timely Filing?
12 Months
What is the Denial Action Code under Claim E5AC48WLZ00?
026- Dental Frequency Met
When did Dr. Hanjrah become in-network with NETID 01845 Georgia?
09/12/2007
Where can I find information on CPI?
CS Folder - Service with Heart Initiatives (CPI)
What is the definition of D8080?
Comprehensive orthodontic care includes a coordinated diagnosis and treatment leading to the improvement of a patient's craniofacial dysfunction and/or dentofacial deformity which may include anatomical, functional and/or aesthetic relationships. Treatment may utilize fixed and/or removable orthodontic appliances and may also include functional and/or orthopedic appliances in growing and non-growing patients. Adjunctive procedures to facilitate care may be required. Comprehensive orthodontics may incorporate treatment phases focusing on specific objectives at various stages of dentofacial development.
Anne needs D4910. Please provide the full breakdown of benefits. She is going to an In-Network provider.
D4910- Preventative 100%
Does not apply to deductible or max.
PERIO MAINT - 2 PER CAL YEAR - NO PERIO HISTORY REQUIRED
Why is there no payment released on Claim E5AC48WQ900?
This is a pre-determination.
What is Dr. Hanjrah PPO Fee under the organic contract?
G4X
Where can I find the Claim Documentation Guidelines DR 08-01?
CS Folder - e.Policies - Most Common DRs
CS Folder - e.Policies - DCs-DRs - DRs by Number