Comprehensive Guide to D1120 Dental Code and Cleanings

What ADA CDT dental code is D1120?

D1120 is the ADA CDT dental code for a child prophy, or general dental cleaning for a child. The code description is officially “prophylaxis – child.”

Frequently Asked Questions About D1120 Dental Code

What procedure does D1120 refer to?

This code covers a routine cleaning for child patients, including scaling and polishing to remove plaque, tartar, and stains.

What are the documentation requirements and best practices for D1120?

Documentation should include detailed notes on the child’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 D1120?

Costs typically range from $50 to $100, with reimbursement varying. It is often covered under preventive care benefits for routine pediatric dental visits.

Are there any common errors or pitfalls to avoid with D1120?

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

How should D1120 be submitted on an insurance claim, and should a site be included?

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

Is D1120 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 crucial for maintaining pediatric 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 pediatric cleanings under preventive care benefits.

What are the ethical considerations and common fraud indicators associated with D1120?

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?

D1120 is for child cleanings, while D1110 is for adult cleanings. Use D1120 specifically for patients aged 13 and younger.

Why was D1120 specifically used for my treatment, and are there alternative treatments with different codes and costs?

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

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