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

D0210 is the CDT code for a complete series of radiographic images, typically 14–22 periapical and bitewing images covering the entire mouth.

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

Annual maximum is the cap on total insurance payments for covered dental services within a single benefit year.

Question 3

What is co-insurance in dental insurance?

Accepted Answer

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

Answer

Co-insurance is the percentage of covered dental expenses that the insurance company pays after the deductible has been satisfied.

Question 4

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

Accepted Answer

D1110

Answer

D1110 is the CDT code for an adult prophylaxis, intended for patients aged 14 years and older.

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

COB rules establish the order of payment when a patient is covered by more than one dental insurance plan to prevent overpayment of claims.

(CDC) Certified Dental Consultant Practice Test