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Dental coverages, What does ADA dental codes mean ?

Two days ago I went in for my regular dental cleaning, check up visit.  My dentist told me all and all I was in good shape but that I needed to have a deep cleaning.  I told him I would look into it and see if I can afford to have it done after speaking with my insurance company.

So I called my dental insurance company that stated that without a the ADA codes they could not tell me my cost for the service.  I told them it is just a deep cleaning but they said it was not enough information for them to tell me cost.   I though a deep cleaning is just a deep cleaning what is a ADA code and were would I get that from?

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Posted on Monday, May. 31st 2010 6:26 AM | by Dental | in ADA Codes, Dental help, Dental Insurance | 2 Comments »

2 Comments on “Dental coverages, What does ADA dental codes mean ?”

  1. Caroline Jackey Says:
    Tuesday, Jun. 1st 2010 11:32 AM at 11:32 am

    You would get the ADA codes from the dentist that you are going to. There are many different types of deep cleaning codes depending on what your dentist feels would be best for you.

    That is why some insurance company may not quote out a rate for dental services without knowing the ADA codes. The insurance company does not want to give you the wrong cost information so they will not guess as to what it is you are going to have done. To give you an idea of codes for periodontics dental work I listed some of those codes for your review.

    4210 Gingivectomy/gingivoplasty, per quad
    4211 Gingivectomy/gingivoplasty, per tooth
    4250 Mucogingival surgery, per quad
    4260 Osseous surgery, per quad
    4341 Periodontal scaling & root planing, per quad
    4355 Full mouth debridement
    4381 Delivery of chemotherapeutic agent
    4910 Perio maintenance (following active therapy)
    4999 Initial perio charting for moderate or
    advanced cases

  2. Troy Hilbert Says:
    Wednesday, Jun. 2nd 2010 1:25 PM at 1:25 pm

    Your dentist should give you the ADA codes with out any issues. I would just call the dentist to get the code because there is a big different in cost from one ADA code to the next ADA code even though they may both be a type of deep cleaning.

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