Dentist

8 Questions | Total Attempts: 83

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Dentist

Per HDS Procedure Code Guideline crown benefit criteria, please answer the following:


Questions and Answers
  • 1. 
    How would you review this?D2750, #30
    • A. 

      Allow

    • B. 

      Pend to the Dental Consultant

  • 2. 
    How would you review this?D2790, #30
    • A. 

      Allow

    • B. 

      Pend to the Dental Consultant

  • 3. 
    How would you review this? D2750, #13
    • A. 

      Allow

    • B. 

      Pend to the Dental Consultant

  • 4. 
    How would you review this? D2750, #3
    • A. 

      Allow

    • B. 

      Pend to the Dental Consultant

  • 5. 
    How would you review this? D2750, #3
    • A. 

      Allow

    • B. 

      Pend to the Dental Consultant

  • 6. 
    Identify some reasons for pending a crown for Dental Consultant review, select from the list below.
    • A. 

      Less than 50% tooth structure remains

    • B. 

      More than 50% tooth structure remains

    • C. 

      Large, visible decay is present

    • D. 

      The tooth is root canaled

    • E. 

      Obvious fractured cusp

    • F. 

      The tooth appears intact, no decay or fracture is noted

    • G. 

      Existing shallow restoration

    • H. 

      Missing X-ray

  • 7. 
    System rules and adjudicationPer the claim information displayed, how will line 1 of this claim most likely be adjudicated? 
  • 8. 
    System rules and adjudicationPer the claim information displayed, how will line 1 of this claim most likely be adjudicated?