CDC CDC Dental Insurance & Billing 2

Question 1

Which organization develops and maintains the Current Dental Terminology (CDT) code system?

Accepted Answer

American Dental Association (ADA)

Answer

The American Dental Association (ADA) owns, develops, and annually updates the CDT code system used for dental procedure reporting.

Question 2

What is a predetermination in the dental insurance process?

Accepted Answer

A prior estimate of insurance benefits for planned dental treatment submitted before services are rendered

Answer

A predetermination is a voluntary submission to the insurance company before treatment begins to estimate covered benefits for proposed procedures.

Question 3

What is the standard claim form used to submit dental insurance claims in the United States?

Accepted Answer

ADA Dental Claim Form

Answer

The ADA Dental Claim Form is the nationally standardized form used for submitting dental insurance claims; electronically it is transmitted as the HIPAA 837D transaction.

Question 4

What is a fee schedule in the context of a participating dental insurance plan?

Accepted Answer

A predetermined list of fees the insurance plan will pay for specific dental procedures

Answer

A fee schedule is the fixed list of maximum allowed fees for each procedure that contracted dentists agree to accept as payment in full from the insurance plan.

Question 5

Which CDT code represents a periodic oral evaluation for an established patient?

Accepted Answer

D0120

Answer

D0120 is the CDT code for a periodic oral evaluation—a routine recall exam for an established patient.

(CDC) Certified Dental Consultant Practice Test

(CDC) Certified Dental Consultant Practice Test

CDC CDC Dental Insurance & Billing 2