Comprehensive Guide to D1110 Dental Code and Cleanings

What ADA CDT dental code is D1110?

D1110 is the ADA CDT dental code for a prophy, or a general dental cleaning for an adult. The code description is officially “prophylaxis – adult.”

Frequently Asked Questions About D1110 Dental Code

What procedure does D1110 refer to?

This code refers to a routine cleaning for adult patients, which includes scaling and polishing to remove plaque, tartar, and stains.

What are the documentation requirements and best practices for D1110?

Documentation should include detailed notes on the patient’s oral health status, the procedure performed, and any observations or recommendations for further care.

What are the typical costs, reimbursement rates and guidelines for D1110?

Costs typically range from $75 to $150, with reimbursement varying. It is often covered under preventive care benefits for routine dental visits.

Are there any common errors or pitfalls to avoid with D1110?

Common errors include inadequate documentation of the cleaning process and findings, leading to potential claim denials.

How should D1110 be submitted on an insurance claim, and should a site be included?

Submit with detailed notes on the cleaning procedure, patient’s oral health status, and any recommendations. Site-specific details are not typically required.

Is D1110 often used with other codes, and how does it fit into the overall coding system?

Often used with periodic exam codes like D0120. It is essential for maintaining oral health and preventing dental issues through regular cleanings.

How can I verify patient eligibility and coverage for this procedure?

Verify eligibility by contacting the patient’s insurance provider to ensure coverage for routine cleanings under preventive care benefits.

What are the ethical considerations and common fraud indicators associated with D1110?

Maintain accurate and thorough records of the cleaning procedure and findings to avoid fraud. Ensure the cleaning is necessary and clinically justified.

What are the key differences between similar codes?

D1110 is for adult cleanings, while D1120 is for child cleanings. Use D1110 specifically for patients aged 14 and older.

Why was D1110 specifically used for my treatment, and are there alternative treatments with different codes and costs?

D1110 is used for routine adult cleanings. Alternatives include D1120 for child cleanings, depending on the patient’s age and needs.

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