CDC CDC Dental Insurance & Billing

Question 1

What CDT code is used for a complete series (full mouth) of radiographic images?

Accepted Answer

D0210

Answer

D0220

Answer

D0230

Answer

D0240

Question 2

Which insurance term refers to the maximum dollar amount an insurance plan will pay for covered services within a benefit year?

Accepted Answer

Annual maximum

Answer

Deductible

Answer

Co-insurance

Answer

Premium

Question 3

What is co-insurance in dental insurance?

Accepted Answer

The percentage of covered expenses paid by the insurer after the deductible

Answer

The monthly premium paid by the patient

Answer

The flat dollar amount paid per visit

Answer

The maximum out-of-pocket cost for the patient

Question 4

Which CDT code is assigned to an adult prophylaxis (routine cleaning for patients 14 and older)?

Accepted Answer

D1110

Answer

D1120

Answer

D1206

Answer

D1310

Question 5

What is the purpose of Coordination of Benefits (COB) rules in dental insurance?

Accepted Answer

To determine which plan pays first when a patient has multiple dental coverages

Answer

To set maximum benefit amounts

Answer

To establish in-network provider fees

Answer

To govern HIPAA privacy requirements

Question 6

What does UCR stand for in the context of dental insurance reimbursement?

Accepted Answer

Usual, Customary, and Reasonable

Answer

Universal Coverage Requirement

Answer

Uniform Claims Requirement

Answer

Underwriting Coverage Ratio