CDC Dental Insurance & Billing Flashcards
6 cards from real CDC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CDC Dental Insurance & Billing flashcards as text
What CDT code is used for a complete series (full mouth) of radiographic images?
Answer: D0210
D0210 is the CDT code for a complete series of radiographic images, typically 14–22 periapical and bitewing images covering the entire mouth.
Which insurance term refers to the maximum dollar amount an insurance plan will pay for covered services within a benefit year?
Answer: Annual maximum
Annual maximum is the cap on total insurance payments for covered dental services within a single benefit year.
What is co-insurance in dental insurance?
Answer: The percentage of covered expenses paid by the insurer after the deductible
Co-insurance is the percentage of covered dental expenses that the insurance company pays after the deductible has been satisfied.
Which CDT code is assigned to an adult prophylaxis (routine cleaning for patients 14 and older)?
Answer: D1110
D1110 is the CDT code for an adult prophylaxis, intended for patients aged 14 years and older.
What is the purpose of Coordination of Benefits (COB) rules in dental insurance?
Answer: To determine which plan pays first when a patient has multiple dental coverages
COB rules establish the order of payment when a patient is covered by more than one dental insurance plan to prevent overpayment of claims.
What does UCR stand for in the context of dental insurance reimbursement?
Answer: Usual, Customary, and Reasonable
UCR stands for Usual, Customary, and Reasonable—the fee benchmark insurance companies use to determine reimbursement levels for dental procedures.