D4341 and d4342
D4341 and d4342. 1, 2000. If there were pockets and inflammation an SRP (D4341/D4342) could be delivered. However, you want to make sure you are include supporting documentation as to why you performed both procedures on the same day and the time involved. D4341: Periodontal Scaling And Root Planing, Four Or More Teeth Per Quad - Limited To 4 Quadrantsduring Any 12 Consecutive Months. It is indicated for patients with periodontal disease and is therapeutic, not prophylactic, in nature. Periodontal scaling and root planing – four or more teeth per quadrant One procedure code per : quadrant from this group . Apr 13, 2021 · Question 1: My patient had periodontal maintenance (D4910). This may not matter for SRP while including D4342 for a couple, confined teeth. However, even five years later, most dental D4341 . If there are three or fewe\ Aug 1, 2023 · Before the creation of this new procedure code, dental professionals were stuck with using either D1110/01120—prophylaxis—adult/child or D4341/D4342—periodontal scaling and root planing. Codes D4341 and D4342 are therapeutic procedures, and are indicated for patients who require scaling and root planing due to bone loss and subsequent loss of attachment. Never allow D4341 in a quadrant with three or fewer teeth; R/S to D4342. Jul 4, 2018 · D4341 and D4342 Periodontal Scaling and Root Planing. Appropriate Billing of D4341 and D4342 . every three calendar years 100 % : 0% . Feb 1, 2020 · When to use Ada code d4341 and d4342? • Codes D4341 and D4342 are therapeutic procedures, and are indicated for patients who require scaling and root planing due to bone loss and subsequent loss of attachment. D1110 is a preventive dental code aimed at treating localized mild gingivitis to control irritational factors in the patient and improve their overall hygiene through cleaning out deposits. The dentist submitted $284 for each D4341, and $212 for each D4342, for a total of $992. This scaling (deep cleaning) consists of scraping deposits off a tooth, and smoothing the roots below the gum line. Either a prophylaxis (D1110), scaling and root arranging (D4341/D4342), or reference to a periodontist follows the D4355 strategy on a resulting visit. D4342 : Periodontal scaling and root planing – one to three teeth per quadrant 100 % . Additional information may need to be provided on a case-by-case basis. com Dec 2, 2022 · D4341: Scaling and root planing four or more teeth, per quad. Office Manager Resources - eAssist Dental Billing. D1110 may be billed with D4341 and D4342 one time during initial periodontal therapy for prophylaxis of areas of the mouth not receiving nonsurgical periodontal therapy. 4. However, these codes were limited to patients with localized or generalized severe periodontitis, respectively. 9. global fee for D4341/D4342. This code now bridges the gap between dental procedure codes D1110 (prophylaxis) and D4341/D4342 (scaling and root planing). Teresa highligh Mar 6, 2024 · If a patient presents with generalized moderate to severe gingival inflammation in the absence of periodontitis, procedure code D4346 helps reduce over and underdiagnosing a patient’s periodontal condition and ensures proper treatment. " For an updated version of this coding information, visit DentistryIQ. d) the area of the oral cavity code reported is . Defnition: A primarily preventive treatment intended to control local irritational factors by the removal of plaque, calculus and stains from • D4341, D4342, and D4346 require service authorization for members 21 and older • D4355 – service authorization is not required, this cannot be billed on the same day as D0180. Mar 17, 2022 · D4341: Periodontal scaling and root planing (SCRP) four or more teeth, per quad D4342: Periodontal scaling and root planing (SCRP) one to three teeth, per quad To facilitate dental claim approval, you must make sure your patient meets the insurance plan guidelines prior to performing the treatment and when submitting the dental claim for reimbursement. Two teeth were treated. only when preceded by a periodontal scaling and root planing (D4341-D4342) that has been paid by the Medi-Cal Dental Program. • Four of (D4341, D4342) per 1 day(s) per Provider OR Location in hospital. D7410 Excision of benign lesion up to 1 1. When By: Trevor Miller, DMD Drilldown with Dr. March 10, 2023. If D1110 and D4342 are performed on the same visit, the claim may be denied. On this week’s episode of Fast Facts – Coding Edition with Teresa Duncan, MS Teresa gives us a breakdown of codes D910 & D4341 vs. Mar 10, 2023 · 2023 CDT code updates, and how to appeal a claim denial for SRP. deltadentalins. You don’t start with D1110, D4355 or D4346. On this week’s episode of Fast Facts – Coding Edition with Teresa Duncan, MS Teresa gives us a breakdown of codes D4910 & D4341 vs. Dental Code 5110. "This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. A claim may be paid on Clinical trials support consistent responses making SRP the gold standard for management of periodontally diseased tissue, 3 but according to a report by the American Dental Association, SRP procedures—including D4341 and D4342 specifically—have a higher frequency of denial, or receive more requests for additional information, than other 30. Subsequent claims for D0180 will likely May 16, 2024 · Effective July 1, 2021, D4910 periodontal maintenance is allowed once every 91 days for 730 days following a paid service line with periodontal scaling and root planing (per quadrant) D4341 or D4342. - (provided the DDS performs the D0180). \rIf there are four or more teeth in the quadrant that qualify, then D4341 is allowed. Feb 3, 2023 · Firstly, it is important to understand why D4346 was introduced in the first place. The MDMC defines the intent of this measure as “to identify specific dental care services, indicative Jan 21, 2021 · Members whose plans offer SmileWay Wellness Benefits are eligible for these added benefits each calendar or contract year: 100% coverage for one scaling and root planning procedure per quadrant (D4341 or D4342) and 100% coverage for four of the following in any combination: Prophylaxis (D1110 or D1120) Periodontal maintenance procedure (D4910) The descriptor plainly demonstrates that this code ought not be submitted with D1110, D4341, D4342, or D4355. Dental Code 5120. ☛ The description implies that a D4355 might be thought of as a “gross scaling. See D4342 for subtleties. Removable prosthodontics; D5670 Replace all teeth and Acrylic on Cast metal Framework (Maxillary) Mar 14, 2017 · D6081 peri-implant therapy can be performed in conjunction with D4346, D4342 localized periodontal therapy, or D4341 generalized periodontal therapy. And now, please welcome your host, Teresa Duncan, MS. D4341 periodontal scaling and root planing – four or more teeth per quadrant D4342 periodontal scaling and root planing – one to three teeth per quadrant Dental claims can be denied, delayed or alternate benefited for a myriad of reasons. Descriptor: "This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. Many dental plans deny payment for D4381 unless placed 4-6 Aug 10, 2022 · When submitting multiple procedures on the same date of service as D4921: Gingival irrigant, such as D4341/2: Scaling and root planing and/or D4355: Full-mouth debridement, you should report these procedures on a separate claim form, otherwise the entire claim may be rejected and payment denied. • Two of (D4341, D4342) per 1 day(s) per Provider OR Location per tooth in office. ” But according to the ADA, this should be used only as it applies to facilitating an adequate exam. The descriptor for D4341 states, “This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces” For this reason, many carriers have programmed their computer systems to deny D1110 when performed on the same day as D4341. D4355: full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit. D4346: Dental Procedure Codes Filling the Gap. When two or more different 1-3 teeth services are performed in the same quadrant on the same service date, payment of the 1-3 teeth procedures will be made, not to exceed the quadrant fee of the highest hierarchy service performed. Jan 20, 2016 · Dental coding with Kyle: D4341 and D4342, scaling and root planing - DentistryIQ https://t. The periodontal maintenance code D4910 is appropriate after full or partial quadrant scaling. The D4346 procedure is not applicable since the patient does not present with gingival inflammation. com and read Dental coding with Kyle: D4341 and D4342, scaling and May 30, 2023 · The number of teeth with active periodontal infection, radiographic bone loss, or clinical attachment loss will determine whether the patient needs D4341 or D4342 in each quadrant. The code is officially known as “periodontal scaling and root planing – one to three teeth per quadrant. The ADA guide goes on to explain that codes D4341 and D4342 are therapeutic procedures and are indicated for patients who require scaling and root planing due to bone loss and subsequent loss of attachment. Jun 1, 2006 · ☛ This code may be used prior to and on a different date than root-planing and scaling (D4341 and D4342), or Prophylaxis-Adult (D1110). It was established to fill in the gap between D1110 and D4341-D4342. Sep 19, 2022 · Periodontal scaling and root planing (SRP) procedures (D4341 and D4342) tend to have a higher frequency for denial and/or requests for additional information from dental plans in comparison to many other procedures. D4346 Scaling in Presence of Generalized Moderate or Severe Gingival Inflammation – Full Mouth, After Oral Evaluation . I came back twice during the following week for two sessions of D4341 x2 (all four quadrants over two days), as well as 4 times a year for cleanings Dental Code 4920. D4342 is ordinarily repaid at 50 to 60% of the D4341 charge. Documentation can be in the form of patient records or insurance paperwork showing a You are seeing this page because we have detected unauthorized activity. d. It is indicated for patients with periodontal disease and LC15816ALL1221 GN50740HD Humana claim attachment guidelines . Dianne Watterson, RDH, guides a confused dental professional through the complicated codes of D1110, D4341, D4342, and D4355. • The code should be charged once per treatment episode, regardless of the number of visits required for treating the full mouth. Scaling and Root Planing (Deep Cleaning) – up to 1 per quadrant per calendar year. The D1110 code is a preventive procedure code that was designed for patients with good oral health or with localized areas of gingivitis. D4346 Guide – Version 4 – July 11, 2018 – Page 4 of 11 . You can also refer to the presentation slides covered in the video. May 20, 2020 · Periodontal maintenance (D4910) follows active periodontal therapy: scaling and root planing procedures (D4341/ D4342), gingival flap surgery (D4240/D4241) or osseous surgery (D4260/D4261). a. To use code D4910 regarding periodontal maintenance, there must be evidence that prior active therapy such as scaling and root planing was completed. D4341-Periodontal Scaling and RootPlaning, per quadrant, is described as involving "instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. As for code D4341, this code typically is allowed for Case Type III or higher. 0% . Miller. Dentists may not always understand why claims for SRP are denied when the patient has abnormal pocket depths. Sep 1, 2004 · D4342 Periodontal Scaling and Root Planing - 1-3 teeth, per Quadrant. every three calendar years 100% : 0% . Forbes, BS, RDH. In these cases, providers are required to submit documentation with the claim form that demonstrates the SRP was actually performed within the last 24 months. Payment for D4341 usually is based on four separate quadrants once every two years. Nov 16, 2022 · Can I bill D1110 with D4342 on the same day. Make sure to include chart notes that document BOTH planning and scaling Feb 20, 2023 · February 20, 2023. She returned 1 month later for periodontal scaling and root planing D4342 in one quadrant. This is a form of treatment that dentists and hygienists worked for years to create. \rIf there are one, two, or three teeth in the quadrant that qualify, then D4342 is allowed. D434: Scaling and root planing one to three teeth, per quad. D4910 Periodontal Maintenance • D4341 periodontal scaling and root planing Four or more teeth per quadrant • D4342 periodontal scaling and root planing One to three teeth per quadrant . Mar 27, 2023 · The dental code d4341 is defined by ‘perio scale and root pin 4’ while d4342 is defined by ‘perio scale/root pin-1-3th quad’. only in the 24 month period following the last scaling and root planing. 3. See full list on www1. D4341 Prdontal Scaling&Root Planing 4/More Teeth-Quad; $120 Periodontics; D4342 Prdontal Scaling&Root Planing 1-3 Teeth-Quad; $82 Periodontics; D4910 Periodontal Maintenance; $70 Implant Services; D6010 Surg Placement Implant Body: Endosteal Implant; $1,127 Oral Surgery; D7140 Extraction Erupted Tooth Or Exposed Root; $88 Oral Surgery D4341 (periodontal scaling and root planing – four or more teeth per quadrant) and D4342 (periodontal scaling and root planing – one to three teeth per quadrant), Medi-Cal Dental may consider a radiograph exemption for providers when deemed medically appropriate based on a patient’s medical condition, physical ability, or cognitive function. To determine whether your patient has dental plan coverage and if he or she is eligible for benefits, follow these steps: The doctor determines whether treatment is necessary. D4341 dental code definition is the dental procedure for Periodontal Scaling And Root Planing, Four Or More Teeth Per Quad – Limited To 4 Quadrantsduring Any 12 Consecutive Months. A number of Questions and Answers follow that are intended to provide readers with insight and understanding of the appropriate documentation in patient records and Dec 1, 2017 · Dianne may be contacted at (336) 472-3515 or by e-mail at diannemba@gmail. , 90 minutes or more). only after completion of all necessary scaling and root planings. Teresa highlights what factors need to be present in order to use these codes and some of the common mistakes she sees that lead to unpaid claims. [Teresa Duncan, MS] Jul 11, 2018 · A prophylaxis procedure is appropriate and is documented with CDT code D0110. Indicate this on the claim form. Policy PERIO-16 – D4341, D4342 – Periodontal Scaling and Root Planing D4341 - Periodontal scaling and root planing - four or more teeth per quadrant. procedures, allowed codes for submission are D4341 and D4342 when laser-assisted treatment is done. The code is officially known as “periodontal scaling and root planing – four or more teeth per quadrant. D4341 periodontal scaling Definition: A therapeutic procedure involving instrumentation of the and root planing crown and root surfaces of the teeth designed to remove plaque and Four or more teeth calculus, as well as remove cementum and dentin that is rough, and/or per quadrant permeated by calculus or contaminated with toxins or microorgani Periodontal support (D4910) ought to follow multi-quadrant (D4341) SR (for the most part somewhere around two quadrants). D4341 . After 24 months, D4910 is not payable unless D4341 or D4342 are performed again under a new prior authorization. In 2017, the American Dental Association developed a new code for hygiene care: D4346, or scaling in the presence of generalized moderate or severe inflammation – full mouth after oral evaluation. Thank you for treating patients with Humana coverage. Oct 26, 2023 · But remember, if there is bleeding and radiographic bone loss typically in excess of 2 mm, measured from the cementoenamel junction to the crest of the bone, the more appropriate code is D4342 or D4341 depending on the number of teeth involved per quadrant. Four to six weeks after scaling and root planing is completed you will have the patient return for a post-op (re-evaluation) visit. For reimbursement purposes, dental professionals were over-coding patients who presented with bleeding gums and inflammation as D4341/D4342: Scaling & Root Planing (resulting in many denied claims) or under-coding as D1110 Prophylaxis. Scaling in presence of After the visit, they said D4342 was $87 each, and D4341 was $161 each, from the dental office, for a total charge of $496. It is indicated for patients with periodontal disease and The D4346 code was introduced in 2017 to fill a gap in the existing code system. If billed in conjunction with any other dental exam, the exam must be medically necessary, and documentation must support the service. This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. This code includes removal of bacterial plaque and calculus from supragingival and subgingival areas, along with site-specific scaling and root planing. D4341 is the dental code for a deep cleaning of 4 or more teeth in 1 quadrant of the mouth. com. Jul 6, 2017 · Prior to the D4346 code for gingival inflammation, many dentists and hygienists were performing a dental service that had no code. D4342 Periodontal Scaling and Root Planing - 1 to 3 Teeth, Per Quadrant . Note that there is commonly a multi day rejection period (to the day) from the date of SRP and the ensuing date of D4910. Dental Code 4921. When processing, the qualifying teeth are counted. Below is a list of procedures and codes for which Humana typically requires specific information to D4341/ D4342. c. Using the prophylaxis procedure code D1110 in this circumstance would be underdiagnosing, while using D4341 Aug 2, 2017 · This is a common question. [Andrew Johnston, RDH] Welcome back everyone! You are listening to another episode of Fast Facts- Coding Edition brought to you by A Tale of Two Hygienists in partnership with DentistRX. Treatment begins with D4342 or D4341 – period, end of story. Her insurance was denied with the reason being the localized scaling and root planing is inclusive to the D4910 procedure performed 1 month prior. 20 (upper left quadrant) Questions and Answers . At the beginning of 2017, dental professionals were given a new code to properly code moderate to severe gingival inflammation with no clinical attachment loss. D1110 can only be charged once, not per quadrant, D4341 Periodontal scaling and root planning - four or more teeth; D4342 Periodontal scaling and root planning – one to three teeth; The fee for D7410 is NOT BILLABLE TO THE PATIENT as included in the fee for another surgery in the same area of the mouth on the same day by the same dentist/dental office. 30. co/EEKQz4PsoH Jan 27, 2023 · Once they opt in, qualifying Delta Dental PPO enrollees get the following expanded coverage for additional cleanings: 100% coverage each year for one scaling and root planing procedure per quadrant (D4341 or D4342) and 100% coverage each year for four of the following in any combination: Prophylaxis (D1110 or D1120) . This procedure is similar to how teeth are cleaned during a typical adult prophylaxis and pediatric prophy , but the process takes place on the cementum of the tooth, which is the The ADA guide goes on to explain that codes D4341 and D4342 are therapeutic procedures and are indicated for patients who require scaling and root planing due to bone loss and subsequent loss of attachment. There are no restriction to bill these two codes together for the same DOS. b. e. There is some confusion among clinicians as to which code, D4910 or D1110, is appropriate after using D4342. • Not payable in conjunction with D1110 and D1120 or D4210 and D4211 on same date of service. In virtually every case, with proper treatment and further developed cleanliness, moderate or extreme gingival irritation is a reversible condition, so the ensuing support visit (half a month after the fact) would be accounted for D4341, D4342, D4910 Bacteria from plaque can enter your bloodstream, cut off blood supply to the brain, and cause a stroke. I paid $273 out of pocket, and dental insurance estimated payment was $223. Quotes: Office Manager Resources - eAssist Dental Billing. Scaling in presence of generalized After a full mouth x-ray and gum pocket measurements, the doctor recommended increased cleaning intervals as well as scaling and root planing, plus some extra strength tooth paste and mouth wash. If the patient presents with documentable loss of alveolar bone and or periodontal attachment, you are looking at the treatment of periodontitis. Fast Facts: Coding Episode 2. However, the denial may be appealed if adequate time is spent (i. Diabetes • PeriodontalGum) ( Disease •Inflammation •Thrush •Dry Mouth Periodontal (Gum) Treatment * Periodontal (Gum) Maintenance (2 additional) D4341, D4342, D4910 Increased likelihood of periodontal (gum) disease, How do you differentiate between D4341 and D4342 •Count the teeth in each quadrant that are periodontally involved Look at pocket depths, CAL, bone loss, furcations, mobility, bleeding - If there are 1-3 teeth, treatment plan D4342 (periodontal scaling and root planning -1 to 3 teeth per quadrant) for that quadrant. D4381 will not be considered for benefits prior to a minimum of 4 weeks for adequate response to root planing and scaling before D4341-D4342 • Periodontal charting • Preoperative radiographs (no pano) D4346 • Detailed narrative * • Periodontal charting • Preoperative radiographs; Full Mouth radiographs (not a panoramic film) D4355 • Detailed narrative */** • Preoperative radiographs : D4381 • Current periodontal charting • Prior periodontal history and D4910 is a procedure that follows periodontal therapy and continues at varying intervals, determined by the dentist's clinical evaluation of the patient, for the life of the dentition. Kathy S. Periodontal procedure codes D4341 and D4342 and when to bill each. When this option is used, individual should still be placed on D4910 for maintenance of periodontal disease. Feb 21, 2022 · 00:00:00 / 00:05:55. Jan 1, 2019 · With the addition of a new code for 2003, D4342 (Periodontal Scaling and Root Planing — One to Three Teeth per Quadrant), reporting a single tooth root planing will be easier. Benefit limited to codes: D4341 / D4342 $0 Oral Surgery Simple or Surgical Extractions – up to 3 per calendar year Benefit limited to codes: D7140 / D7210 / D7220 / D7230 / D7240 / D7241 / D7250 $0 Extractions necessary to fit the mouth for dentures – unlimited Policy PERIO-16 – D4341, D4342 – Periodontal Scaling and Root Planing D4341 - Periodontal scaling and root planing - four or more teeth per quadrant. D4381 will not be considered for benefits prior to a minimum of 4 weeks for adequate response to root planing and scaling before D4341 D4342 D4355 D4910 D1110 3. What has changed in dental coding for 2023, and how do you appeal a claim denial for D4341/D4342 (SRP) when the reason stated is “inadequate bone loss”? These experts weigh in. Full mouth debridement involves the preliminary removal of plaque and calculus that interferes with the ability of the dentist to Jul 4, 2022 · D4342 set your fee at 75% of the quadrant, while D4341 set your practice fee at 40-50%. Most dental plans will map it to the same frequency they allow for D0150, which in some cases is only once per provider. Jul 1, 2007 · My experience has been that this code is typically reimbursed at 50 to 60 percent of the D4341 fee. If the patient has only 1-3 teeth in any quadrant you will bill D4342 and if there are more than 3 teeth involved in a quadrant you will bill D4341. Your D4346 claim may be denied because it is not the appropriate treatment to address Jul 4, 2018 · D4341 and D4342 Periodontal Scaling and Root Planing . D4341 Periodontal Scaling and Root Planing - 4 or More Teeth Per Quadrant . • One of (D4341, D4342) per 3 calendar year(s) per patient per quadrant. Procedure D4342 represents the action taken to remove the buildup of plaque and its more hardened form, tartar, through periodontal scaling and root planing, or SRP. The same documentation requirements apply. The use of D4342 instead of D4341 gives you the opportunity as you will be using the same supplies, the same amount of gauze, a similar anesthetic, the same number of cassettes, and some treatments that do not change from one procedure to another. Appropriate ongoing care would either be prophylaxis following gingivitis therapy, or periodontal maintenance following periodontal therapy. Scaling – moderate gingival inflammation D4346 . Instrumentation of the exposed root surface to remove deposits is an integral part of this procedure. 5. Sep 30, 2019 · (D1110, D1120, D4341, D4342 and D4346 will be denied when performed on the same date of service as D4355) D4381 requires a comprehensive periodontal charting indicating a refractory pocket depth of 5 – 7mm. Be that as it may, for only a couple of disengaged teeth Apr 22, 2019 · The following are guidelines and policies for benefit determinations for D4355, D4346, D4341 and D4342. once in a calendar quarter. Aug 2, 2017 · D0180 can certainly be billed the same day as scaling and root planing (D4341 or D4342), periodontal maintenance (D4910), osseous surgery, etc. You are advised to ensure that when you select to use D4341 Dental Code in the dental procedure billing, you be sure to check if there is a different CDT codes, as Feb 1, 2000 · Feb. May 1, 2023 · D4342 periodontal scaling and root planing – one to three teeth per quadrant . Do not report D4355 as a “first Visit prophy,” This primer strategy is given with the goal that an extensive oral assessment (D0150, D0160, or D0180) and determination might be finished at Apr 9, 2015 · This means that you will complete scaling and root planing. . Periodontal maintenance (D4910) quite often follows multi-quadrant (D4341), and furthermore later (D4342) scaling and root arranging (it something like two quadrants), with a regular ninety-day rejection after dynamic treatment. If you believe that there has been some mistake, Contact Security to describe your case. Dental Code 5130. D4342. Dental Code 4999. 00:00:00 / 00:05:55. Today, I got my dental EOB from my insurance. Previously, the only code available for scaling and root planing (SRP) was D4341 and D4342. And certain procedures, such as periodontal scaling and root planing (SRP), tend to have a Identify 8 major focus points to grasp to correctly implement the D4346 code Recognize which type of oral evaluation is appropriate before delivery of D4346 Identify ways to quantify inflammation to support submission of new D4346 Differentiate this new scaling procedure (D4346) from the current debridement procedure (D4355), prophylaxis (D1110 when a paid Periodontal Scaling and Root Planing (D4341-D4342) is not in their Medi-Cal dental history. The post-root planing evaluation is typically considered part of the . D4342 : Periodontal scaling and root planing – one to three teeth per quadrant 100% . There has been an increase in the number of providers billing incorrectly for D4341 and D4342. However, it is not known how carriers will pay benefits for this code. Per the American Dental Association (ADA) Current Dental Terminology (CDT) manual, these codes are billed per quadrant, not per tooth. It is inappropriate to bill these codes on a per-tooth basis. What is perio SRP? The SRP procedure, or scaling and root planing, is a procedure that patients must receive when diagnosed with periodontal disease. d4341: periodontal scaling & root planing per quadrant: $198; d4342: periodontal scaling and root planing - 1-3 teeth per qd: $134; d4355: full mouth debrid-enable periodontal eval & dx: $121; d4381: localiz deliv chemo-crevicular tiss per tooth br: $62; d4910: periodontal maint proc (following active therap) $109; d5110: complt denture-maxil D4261 or D4341 or D4342 or D4910) who received an oral prophylaxis (D1110) OR scaling/root planing (D4341/D4342) OR periodontal maintenance (D4910) visit at least 2 times within the reporting year. Attachment Requirements: • Submissions for codes D4240, D4241, D4260 and D4261 must be accompanied by a Dec 4, 2020 · D4341 Periodontal scaling and root planing - 4 or more teeth per quadrant $290 $110 $180 D4342 Periodontal scaling and root planing - 1 to 3 teeth per quadrant $207 $100 $107 D4355 Full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit $202 $134 $68 D4910 Periodontal maintenance $164 $68 $96 ADA D4342 is the dental code for a deep cleaning of 1-3 teeth in 1 quadrant of the mouth. ”. D4341 and D4342 and maintenance should remain D4910. This means that if the bone loss is only visible on one to three teeth, then d4342 needs to be claimed; however, if it’s visible on four or more teeth per quadrant then d4341 needs to be reported. • The D4346 code represents a therapeutic procedure, and is benefitted as a periodontal service rather than a preventive procedure. May soft tissue mismanagement now rest in peace along with gross scaling. dl kv td kz uf be mh gm sy as