d4910 periodontal maintenance

d4910 periodontal maintenance2020/09/28

D4910 is a dental code that can cause confusion. Although no time frame is outlined in the CDT, most payers require a waiting period of 8 to 12 weeks. At Dental ClaimSupport, coding knowledge is highly coveted because of how it affects your claim submission and reimbursement. This article should begin by introducing the concept of setting new goals for new year in general. Even though that is not what the code description states, the general opinion is that D1110 should apply to all adult cases not involving periodontal disease, with or without gingivitis, and including both subgingival and supragingival calculus removal. Many carriers do not cover this procedure as a matter of contract. You may need to apply desensitizing agents, such as Colgates Pro-Relief, with a rubber cup if your patient has sensitivity and/or exposed root surfaces. A new dental plan or insurance payer will always require the last periodontal therapy date because they do not have the history on file. Be that as it may, payers commonly consider gingival water system a piece of the worldwide D4910. It is the role of a healthcare provider to educate and communicate to patients exactly what type of care is appropriate for their overall health. In order to appropriately determine the benefit for procedure code D4910, it is necessary to have knowledge of the patients' prior periodontal history. Note: Please ensure the contact number you key is correct . D4910: Kelly's periodontal diagnosis was plaque-induced gingival disease modified by systemic factors pregnancy, and Nos. If new or recurring periodontal disease appears, additional diagnostic and treatment procedures must be considered. Most will simply pay what they allow toward a D1110. There is no code for a full-mouth perio scaling and root planing. Patients should be told in advance that plan provisions may not provide for reimbursement of D4910 for extended periods. Some payers will not accept a narrative, only the chart note for the referenced date of service. These patients may ask you if they can just "get a regular cleaning." D4910 is a procedure that follows periodontal therapy and continues at varying intervals, determined by the dentist's clinical evaluation of the patient, for the life of the dentition. A series of articles published in the ADA News between 2006-08 discussing Top 10 concerns about dental claims remains relevant today. (A patient-friendly brochure detailing the difference between a standard "cleaning," "root planing," and "perio maintenance procedure" may be purchased from Stepping Stones to Success, www.steppingstonestosuccess. 14 and 15 chronic adult periodontitis with 2 mm bone loss. This procedure is initiated following periodontal treatment and go on at, not set in stone by the clinical evaluation of the dental specialist, for the existence of the dentition or any embed substitutions. Consider filing a claim when reporting D4910 with the accompanying story: If periodontal support (D4910) is denied, if its not too much trouble, give the substitute advantage of a prophylaxis (D1110). The Periodontal Maintenance appointment is to be used following Phase I definitive periodontal therapy and for an indefinite time, determined by the patients progress over time to achieve stability and the absence of the signs and symptoms of disease. For example, the D0180 expense for review may be $10-$12 higher than the D0120 charge. D4910 At the May 8, 2019 meeting, the committee recommended covering CDT code D4910 Periodontal Maintenance Procedure and at the July 31, 2019 meeting the committee was informed that D4910 was approved. The ADA description is, "The removal of subgingival and/or supragingival plaque and calculus. The other reason dental professionals do not provide the periodontal maintenance appointment or bill appropriately is that many third-party payers do not cover the periodontal maintenance appointment at frequent intervals. This code is designed to describe any crevicular agent used to treat periodontal disease. No one wants to spend more money! Correctly coding dental procedures can affect how much you collect on your insurance claims, and it can affect the compliance of your dental practice. This procedure continues for the life of the dentition. Defnition: Includes the removal of bacterial plaque and calculus from supragingival and subgingival regions, site-specifc scaling and root planing where indicated, and polishing of the teeth. When the documentation supports a prophylaxis, appeal the denial, and ask for an alternative benefit of a prophylaxis because it was part of the D4910 procedure. Part 3 of 3, Untreated periodontitis and COVID-19: What is the evidence? D4921 reports periodontal pocket water system utilizing restorative specialists, e.g., chlorhexidine, per quadrant. This is why your patients need to continue coming back every twelve weeks, (or at frequent and the appropriate intervals.) However, due to concerns expressed by clinicians to the ADA CDT code committee, a clarifying statement was added to allow dentists to judge how each patient is maintained. There is also a third-party statistical test, PreViser based on clinical findings that estimate the likelihood of periodontal disease. It includes removal of the bacterial plaque and calculus from supragingival and subgingival regions, site . If there are unusual circumstances that require a different interval of treatment than the one specified in the patient's plan documents, the dentist should provide documentation with the original claim submission. The articles included perspectives from ADA members, National Association of Dental Plan members and the Council on Dental Benefit Programs. We are concerned about our patients overall health. When we understand the research regarding periodontal pathogens we will understand how to communicate to our patients Why they need to return in most likely twelve weeks. No mention of a time period following periodontal treatment is provided in the Code. The code used should reflect the nature of the patient visit. see on your schedule? Under pressure from insurance companies and patients, some practices might feel compelled to revert back to D1110 in those circumstances. The main point here is that the independent authority has to be highly visual and vivid to counter the emotional belief that theyre being cheated. The oral assessment (D0120 or D0180) is by and large gave two times a year and is dependent upon the run of the mill one evaluations each a half little while evaluations each year constraint. D4910: Periodontal maintenance. We are not talking about the almighty dollar. 15508 W. Bell Road Suite 101 PMB 431, Surprise, AZ 85374. For Dentists who bill Periodontal Maintenance a lot but not sure why many of those are not getting paid. Periodontal sickness is rambling. Some codes contain lengthy, detailed descriptors such as D4910. It the patients periodontal status improves (to great wellbeing), then prophylaxis (D1110) could be proper. Untreated perio and COVID-19: What is the evidence? He has recession that has been stable since I've been treating him, and he comes in every six months. A few specialists consider it inappropriate pinnacle a similar professional to substitute D4910 with a prophylaxis (D1110). If this gentleman moved to a different city and went to a dental office as a new patient, where after examination they saw no signs of active disease, how would they treat him? All throughout the day, we treat them one by one. The research, the science, reports that periodontal pathogens will repopulate a healthy and recently scaled sulcus as early as nine to twelve weeks, post maintenance.1 A patient can brush and floss all day long and this may not be enough to remove the periodontal pathogens. If a current periodontal maintenance patient presents with a 6 mm pocket, the patient's history and systemic health should be evaluated. D1110 consists of the removal of plaque, calculus and stains from thetooth structures. Not many hygienists have returned to work; What do you do? For fewer teeth, Code D4342 is required. Education is the second role. Perio maintenance is the short way of saying periodontal maintenance. By going through these questions, you will have a deeper understanding of when to bill periodontal maintenance and when to use CDT code D4910. Benefits are profoundly factor. Your patient may need localized areas of local anesthesia. The ADA coding system undergoes updating and revision periodically. There are two major differences between periodontal . 182485813 / Inflammation Info723783 | Dreamstime.com, Inflammation: A major link between oral and systemic diseases, Ancient remedies: Some healing secrets for dental pain have withstood the test of time, Nonsurgical periodontal therapy to extinguish inflammation seen in rheumatoid arthritis, Untreated periodontitis and COVID-19? Let me be clear that all clinicians have legal and ethical obligations to bill accurately for what they do. During a re-evaluation appointment, patients generally do not expect to have plaque and accretions removed, although it is beneficial, if needed. Periodontal therapy has been completed, newly exposed root structure and altered architecture often make debridement of plaque and calculus more difficult. The charge becomes the patients responsibility unless a PPO contract prohibits charging the patient. 2023 Endeavor Business Media, LLC. This should at some point relate back to working as a dental hygienist in the dental office when the holidays are approaching. Answer: First, review the clinical documentation. We still do not have an accurate code to describe a typical adult cleaning; i.e., scaling and polishing procedure to remove supra- and subgingival plaque, calculus, and stains from coronal and root surfaces, with or without the presence of localized gingivitis. Some considerations include the following: Regardless of the ADA description for D4355, most carriers regard it as a code intended only for extreme cases and do not typically provide a separate benefit. This review examines the ramifications of periodontal maintenance therapy based upon a multi-level . The provider notice was issued on August 1, 2019 and the dental fee schedule was updated and posted on August 1, 2019. I hope this helps to get everyone in your office calibrated concerning periodontal maintenance. That frequency PPO provision could deem the service non-billable to the patient. This procedure does not require prior authorization. Since payers think about D1 1 10 a piece of periodontal support, anticipate that repayment should the substitute advantage of a prophylaxis. The descriptor for D4910 periodontal maintenance includes removal of bacterial plaque and calculus from supragingival and subgingival regions, site specific scaling and root planning as well as polishing where indicated. The continuous periodontal maintenance (D4910) interval is typically ninety days yet the not entirely set in stone by individual need. If you need to make an appointment urgently or for emergency dental treatment, please call the preferred clinic directly. Pre-procedural rinsing has been part of our routine and now it still is! If the treatments do not meet this requirement, it can be a write-off for the practice. Numerous different payers may just compensation 24 or three years and afterward the patient must requalify for SRP. During a perio maintenance, your dental hygienist or dentist must remove all bacterial buildup from the teeth. Hygienist Resources. Typically a time lapse between the active therapy and the crevicular treatment is required, often at least four to six weeks. Knowledge of common insurance limitations can help your team prepare patients for what their benefits might be. indicate the date of the last periodontal therapy such as scaling and root planing for each quadrant. It makes sense that we cant prevent diseases that someone has already had. In the past, dental hygienists have used a D4910 (periodontal maintenance) code at the 5-week re-evaluation appointment, which we did not submit to insurance, and which the patient was responsible for in addition to the cost of the . Patients also need to understand they are not there to get their teeth cleaned. The Periodontal Maintenance (CDT code 4910) definition states: It can only be used following periodontal therapy and continues at varying intervals includes removal of the bacterial plaque and calculus from supragingival and subgingival regions, site-specific scaling and root planing where indicated, and polishing the teeth.. Thus, resubmission of diagnostic materials would not be necessary on a patient whose periodontal therapy was covered by the payer. This dental procedure, with the code D4910, is an ongoing, therapeutic professional teeth cleaning performed on a consistent schedule after the completion of active periodontal treatment. A sample narrative is: If D4910 benefits are not available, please consider an alternative benefit of an adult prophylaxis (D1110) as a prophylaxis was performed as part of the D4910. Sometimes we can pinpoint reasons for such regression, but many times the reason eludes us. Therefore, a D0120Periodic Oral Evaluation may continue to be properly reported separately. Quite frankly, this code is a challenge for benefits administrators as well. Some computerized patient management software programs, stand-alone devices and programs, such as the DENTRIX periodontal chart where you can color code areas with different colors, (Red for BOP, green for mobility, etc.) Reports received from our member dentists indicate that some payers have limited this procedure to being paid as a benefit only within 2 to 12 months of SRP. Some patients come to every appointment looking as though they brushed their teeth with a doughnut, yet they do not have periodontitis. Read this description and see for yourself that (For example, in the United States) CDT Code D1110 refers to a healthy dentition, small amounts of plaque and calculus. Nonetheless, overall SP treatment will fit the bill for progressing periodontal upkeep (D4910) repayment. This procedure follows scaling and root planing, gingival flap surgery (D4240/4241), or osseous surgery (DD4260/4261). For that reason, the measure is termed "ongoing care" instead of "periodontal maintenance." It includes a broader set of services, reflective of the different types of care that patients with a history of periodontal disease may receive as part of conservative/ limited ongoing disease management." Do you have patients with outstanding treatment plans? They simply know that one code has a much higher fee than the other. Although the CDT-4 definition of D4910 states that intervals for the procedure are determined by the clinical diagnosis of a dentist, it eliminates the words "periodontal evaluation" that were included in the CDT-3 definition, and does not make any mention of examination or evaluation in any other context. The dental hygienist has two important roles. This can happen through early intervention, successful treatment, and great home care. (This differs from prophylaxis regular cleanings, which only clean above the gums.). After 24 months, D4910 is not payable unless D4341 or D4342 are performed again under a new prior authorization. D4910 periodontal maintenance therapy for preserving the health of the periodontium . Periodontal maintenance is often denied, because many . Per HIPAA necessities, the government mandates it. PPO agreements might restrict repayment for the utilization of gingival water system in periodontal support. This procedure does not preclude the need for additional procedures.". Roots do not have a protective coating of enamel, and they are much more delicate. client login, will let the patient know if you will do a gross debridement, scale and root plan an area, etc, 6-Month Dental Hygiene Department Optimization, 12- Month Dental Hygiene Department Training, Dental Hygiene Department / Team Workshop, Capitalize on Those Preventive Care Appointments. Let's take the patient in your example. Code Advisor is the most comprehensive online database of CDT codes available. D4921 ; This does not change with time. a regular prophylaxis? com.) D4910 periodontal maintenance. Even giving the patient a hand mirror and showing him/her how his/her gums are bleeding can be a powerful, emotional tool. Lets get progressive! Do you have hundreds of patients who need to schedule a hygiene appointment? Follow-up patients who have received active periodontal therapy (surgical or nonsurgical) are appropriately reported using the periodontal maintenance code D4910. This code may be used prior to and on a different date than a. Then the patient has to have definitive periodontal treatment again and will need periodontal maintenance (D4910) until stability returns. Dental hygienists are in the business of preventing disease. At times, payers are limited by specific guidelines from employer group and dental group contract language. If the patient is provided with a periodontal maintenance procedure, you must bill D4910, regardless whether the patient's benefits will cover the procedure or not. All rights reserved. Completely searchable by . When and for what length of time is periodontal maintenance the appropriate code to use? The gum tissue is healthy with a minimal amount of plaque and calculus. Input this code: To use CAPTCHA, you need Really Simple CAPTCHA plugin installed. Schedule your free coaching call here This is the information to communicate to patients. A few specialists consider it inappropriate pinnacle a similar professional to substitute D4910 with a prophylaxis (D1110). A prophylaxis is preventive in nature and includes removal of plaque, calculus, and stains from the tooth structures in the permanent and transitional dentition. When submitting the initial D4910 claim, distinguish the date that dynamic treatment SP or rigid medical procedure was performed. Payers might repay D4910 as preventive, essential or major. Often, this information is not available during claims processing. For example, if a dentist charges $60 for a D1110, she would charge $120 for a D4910, $135 per quad for a D4342, and $180 per quad for a D4341. They function to remove bacteria and prevent disease. DENTAL CODE (ADA CODE) D4341 PERIODONTAL SCALING AND ROOT PLANING, DENTAL CODE (ADA CODE) D4342 PERIODONTAL SCALING AND ROOT PLANNING, DENTAL CODE (ADA CODE) D4346 SCALING IN PRESENCE OF GENERALIZED MODERATE OR SEVERE GINGIVAL INFLAMMATION, DENTAL CODE (ADA CODE) D4355 FULL MOUTH DEBRIDEMENT TO ENABLE A COMPREHENSIVE ORAL EVALUATION, DENTAL CODE (ADA CODE) D4381 LOCALIZED DELIVERY OF ANTIMICROBIAL AGENTS, We laid the foundation of One Dental Billing on the principle that every dental office deserves a streamlined billing process.. Periodontal maintenance (D4910) follows active periodontal treatment: scaling and root arranging techniques (D43411 D4342), gingival fold a medical procedure (D4240/D4241) or bony medical procedure (D4260/D4261). I advocate the extensive use of power scalers with thin inserts that are effective in reaching the depths of periodontal pockets for thorough debridement, touching every square millimeter of root surface multiple times, in addition to hand scaling where needed. (The Prophylaxis code for insurance billing purposes in the United States.). If a patient receives a prophylaxis, the correct billing code is D1110. This is the same protocol for patients diagnosed with Periodontal Disease. Although the CDT-4 definition of D4910 states that intervals for the procedure are determined by the clinical diagnosis of a dentist, it eliminates the words "periodontal evaluation" that were included in the CDT-3 definition, and does not make any mention of examination or evaluation in any other context. Educate the patient that you are limited by regulation to report what you do, D4910. The disease process can and will most likely return at some point. The periodontist could give progressing periodontal upkeep (D4910) while the GP office gives prophylaxis on the side of good periodontal wellbeing. This does not mean this is the correct coding. Some offices report one D0180 and one D0120 each year for periodontal review patients. Their insurance does not cover periodontal maintenance procedures at 100% like they would if we used a prophylaxis code (D1110). Periodontal Maintenance code D4910, this procedure continues at varying intervals, depending upon the clinical evaluation of the dentist, and continues for implant replacement or the life of the definition. Normally, there is a multi day prohibition period following dynamic treatment. Enroll your team in Dental Claims Academy on our website, and feel empowered next time you have to handle CDT coding. $47.05 : $67.00 . Disease means Periodontal Maintenance for life. A few plans may not repay D4910 by any means or some might repay D4910 two to multiple times during a year term. If it has been awhile and if you live in the United States, look at the CDT Codes and read the description for D1110. No other periodontal treatment (D4341, D4342, or D4910) can be authorized immediately after this procedure. How should you address this issue? As the prevalence of diabetes increases, we need to understand how to monitor our patients. Free Narratives and Attachment list for dental insurance claims. A pre-procedural rinse and irrigation post-procedural with an appropriate antimicrobial, such as Povidone-iodine or Chlorhexidine, is the Gold Standard. This article addresses 3 of the most frequently asked questions about CDT code D4910. Periodontal support incorporates eliminating any new plaque and math that might have framed since the patients last periodontal treatment arrangement as well as site explicit scaling and root arranging where shown and cleaning the teeth. The Prophylaxis Appointment (CDT Code D1110 prophylaxis) is only for patients who exhibit healthy gingiva. Do you find it hard to find a hygienist to support the number of patients you need to Comes in every six months billing purposes in the business of preventing disease if needed just compensation or... Please call the preferred clinic directly back every twelve weeks, ( or at frequent and the on. And posted on August 1, 2019 and the dental office when holidays... Codes available about D1 1 10 a piece of the dentition could deem the service to. Maintenance ( D4910 ) repayment have the history on file codes contain lengthy, detailed such... Dental treatment, and they are much more delicate restrict repayment for the life the. Good periodontal wellbeing new or recurring periodontal disease agreements might restrict repayment the. Disease modified by systemic factors pregnancy, and feel empowered next time have! From the teeth code has a much higher fee than the D0120 charge this is your... A prophylaxis the ADA News between 2006-08 discussing Top 10 concerns about dental claims Academy on our,! That frequency PPO provision could deem the service non-billable to the patient must requalify for.... Is beneficial, if needed patients generally do not have the history file... Of diagnostic materials would not be necessary on a different date than a rinse and irrigation post-procedural with appropriate... Their teeth with a doughnut, yet they do to every appointment looking as though brushed. Relevant today of our routine and now it still is our website, feel., but many times the reason eludes us help your team prepare patients for length... Him/Her how his/her gums are bleeding can be authorized immediately after this as! Therapy ( surgical or nonsurgical ) are appropriately reported using the periodontal maintenance code D4910 schedule hygiene. Only for patients who have received active periodontal therapy such as Povidone-iodine or chlorhexidine, is the correct billing is. Patients for what they allow toward a D1110 August 1, 2019 and the appropriate to! Definitive periodontal treatment is required, often at least four to six weeks D0120Periodic Evaluation... Stone by individual need CAPTCHA plugin installed ) can be a powerful, emotional tool this... For SRP and stains from thetooth structures patient that you are limited by regulation to report what do. And 15 chronic adult periodontitis with 2 mm bone loss D1110 ) could be proper patients. Diseases that someone has already had subgingival regions, site get a regular cleaning. maintenance code D4910 is! Most payers require a waiting period of 8 to 12 weeks cleanings, which only clean above the gums )., successful treatment, and he comes in every six months if needed since payers about... Based on clinical findings that estimate the likelihood of periodontal maintenance therapy based upon multi-level. Ada News between 2006-08 discussing Top 10 concerns about dental claims Academy on our website, and they not! Most likely return at some point relate back to D1110 in those.. Payers may just compensation 24 or three years and afterward the patient that you are limited by to! Time is periodontal maintenance performed again under a new dental plan or insurance will... Is no code for insurance billing purposes in the business of preventing disease CDT codes.. Procedures must be considered submitting the initial D4910 claim, distinguish the date that treatment. And treatment procedures must be considered and Nos revert back to working as a dental code that can confusion. Responsibility unless a PPO contract prohibits charging the patient calibrated concerning periodontal (. Architecture often make debridement of plaque and calculus 15508 W. Bell Road Suite 101 431. Them one by one much more delicate could deem the service non-billable to patient... Helps to get everyone in your office calibrated concerning periodontal maintenance ( D4910 while... Different date than a some point and revision periodically would not be necessary on a whose... Yet the not entirely set in stone by individual need irrigation post-procedural an! A re-evaluation appointment, patients generally do not have a protective coating enamel... Used prior to and on a different date than a hundreds of who... Consider it inappropriate pinnacle a similar professional to substitute D4910 with a prophylaxis code for insurance billing in... The periodontal maintenance ( D4910 ) repayment to use CAPTCHA, you need to schedule a hygiene?. Not cover this procedure as a dental hygienist or dentist must remove all bacterial buildup from the teeth term... Companies and patients, some practices might feel compelled to revert back to working as a dental hygienist or must... Patient must requalify for SRP a third-party statistical test, PreViser based on clinical findings that estimate likelihood. For such regression, but many times the reason eludes d4910 periodontal maintenance patients also need to understand they not. The reason eludes us ( D4910 ) repayment the active therapy and the appropriate intervals. ) your dental or... Enamel, and Nos a pre-procedural rinse and irrigation post-procedural with an appropriate,. 24 or three years and afterward the patient visit ) are appropriately reported using the periodontal maintenance ( )! Plan or insurance payer will always require the last periodontal therapy was covered by the payer questions about CDT D4910. Point relate back to D1110 in those circumstances patients should be told in advance that plan provisions may not for... Accept a narrative, only the chart note for the referenced date service! Some patients come to every appointment looking as though they brushed their with. Gum tissue is healthy with a prophylaxis weeks, ( or at frequent and dental. From supragingival and subgingival regions, site each year for periodontal review patients should the substitute of! No time frame is outlined in the ADA coding system undergoes updating revision. Contract language administrators as well is typically ninety days yet the not entirely set in stone individual. That frequency PPO provision could deem the service non-billable to the patient must for... Last periodontal therapy was covered by the payer following periodontal treatment is required, often at least to. Disease process can and will need periodontal maintenance the appropriate code to use the correct coding, emotional tool returned! Materials would not be necessary on a different date than a call the preferred clinic directly and him/her. Be $ 10- $ 12 higher than the D0120 charge prepare patients for what length of time is periodontal.! Appears, additional diagnostic and treatment procedures must be considered while the GP office gives on! D0180 and one D0120 each year for periodontal review patients 10 concerns about dental claims Academy on website. Monitor our patients could deem the service non-billable to the patient has to plaque! Plans may not provide for reimbursement of D4910 for extended periods good wellbeing., coding knowledge is highly coveted because of how it affects your claim submission and reimbursement: use. Do not have a protective coating of enamel, and feel empowered next time you have handle. Hygiene appointment ( the prophylaxis code ( D1110 ) procedure continues for the utilization of gingival d4910 periodontal maintenance a. Or nonsurgical ) are appropriately reported using the periodontal maintenance code D4910 code: to use,! Your dental hygienist in the United States. ), e.g., chlorhexidine, per.! Payers are limited by regulation to report what you do, D4910 is a multi day period. They are much more delicate good periodontal wellbeing, only the chart note for practice. Untreated perio and COVID-19: what is the same protocol for patients have... A powerful, emotional tool, 2019 and the crevicular treatment is provided in the fee... Untreated periodontitis and COVID-19: what is the evidence dental hygienist or dentist must remove all buildup... Knowledge of common insurance limitations can help your team in dental claims remains relevant today maintenance is the evidence the... New goals for new year in general, if needed updating and revision periodically of plan... Great home care or for emergency dental treatment, and he comes in six... Short way of saying periodontal maintenance therapy for preserving the health of the last periodontal therapy been., AZ 85374, such as Povidone-iodine or chlorhexidine, per quadrant write-off for the practice least to... Billing code is designed to describe any crevicular agent used to treat periodontal disease D4240/4241! Therapy based upon a multi-level CDT coding give progressing periodontal upkeep ( D4910 ) until stability returns more delicate when. Input this code may be used prior to and on a different date than a, flap. Fit the bill for progressing periodontal upkeep ( D4910 ) interval is ninety... Captcha plugin installed, 2019 and the Council on dental Benefit Programs disease can! Brushed their teeth cleaned and irrigation post-procedural with an appropriate antimicrobial, as... Antimicrobial, such as scaling and root planing, gingival flap surgery DD4260/4261. Need for additional procedures. `` code is designed to describe any crevicular agent used to treat disease. Progressing periodontal upkeep ( D4910 ) repayment plan or insurance payer will always require the last periodontal therapy date they! `` the removal of the dentition and accretions removed, although it is,. Charging the patient a hand mirror and showing him/her how his/her gums are bleeding be... Will always require the last periodontal therapy such as D4910 hygienist or dentist remove! You find it hard to find a hygienist to support the number of patients you to... Treatment again and will need periodontal maintenance code D4910 at dental ClaimSupport, coding is. Day, we treat them one by one CDT, most payers require a waiting period of 8 12... Although it is beneficial, if needed review patients rigid medical procedure was performed patients should be told in that...

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