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D0340 Cephalometric radiographic image No Charge Not Covered D0350 Oral/Facial photographic images No Charge Not Covered D0431 Adjunctive pre‐diagnostic test that aids in detection of mucosal abnormalities including premalignant and malignant lesions, not to include cytology or biopsy procedures
Procedure Code Rate Effective Date Prior Authorize EXAMINATION D0120 21.35 10/1/2019 N D0140 30.50 10/1/2019 N ... D0340 60.98 10/1/2019 N D0350 30.50 10/1/2019 N
plan administrator through its medical staff and/or dental consultants based on comparable or similar services, unless such procedure is specifically excluded in this schedule or by other terms and conditions of coverage. "nc" indicates non covered. procedure code class i. diagnostic and preventive allowance (payable @ 100% of state allowance)
D9110 is a misunderstood code as many offices code D0140 for emergency visits when treating a patient for pain or discomfort. D0140 is an evaluation code and limited to the “one evaluation per six months” or “two evaluations per year” rule. Consider reporting D9110 for...
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D0340 Cephalometric radiographic image $0.00 Capitation D0460 Pulp vitality tests $0.00 Capitation D0470 Diagnostic casts $0.00 Capitation D1110 Prophylaxis: Adult $0.00 Capitation D1120 Prophylaxis: Child $0.00 Capitation D1206 Topical application of fluoride varnish $0.00 Capitation