Dental Billing Exam
Welcome to the Dental Billing Exam Quiz! This quiz is designed to test your knowledge of dental billing practices and procedures. Whether you're a seasoned dental professional or a student aspiring to enter the field, this quiz will challenge your understanding of the intricacies involved in dental billing.
The quiz covers a range of topics, including coding and documentation for various dental procedures, understanding insurance policies, and familiarity with common billing terminology. You'll encounter questions that assess your ability to interpret dental charts, determine appropriate codes for procedures, and navigate the complexities of insurance claims.
This quiz aims to enhance Read moreyour proficiency in dental billing, ensuring that you possess the skills necessary to accurately process and submit claims, communicate effectively with insurance providers, and contribute to the financial health of dental practices.
Are you ready to test your expertise in dental billing? Take the quiz, and let's see how well you can navigate the world of codes, documentation, and insurance in the realm of dental billing!
Questions and Answers
- 1.
In the late 1960's the ______________ created a coding system that served to categorize dental services.
- A.
ADA
- B.
AMA
- C.
AAPC
Correct Answer
A. ADAExplanation
The American Dental Association (ADA) created a coding system in the late 1960's to categorize dental services. This coding system helps in standardizing the documentation and billing of dental procedures, making it easier for dentists and insurance companies to communicate and process claims. The ADA coding system is widely used in the dental industry and is an essential tool for dental professionals in managing patient records and insurance reimbursement.Rate this question:
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- 2.
In dental coding (Clinical and oral evaluations) fall under what CDT code range?
- A.
(D0210-D0350)
- B.
(D0120-D0180)
- C.
D0415-D0999)
Correct Answer
B. (D0120-D0180)Explanation
The correct answer is (D0120-D0180). This range of CDT codes specifically pertains to dental coding for clinical and oral evaluations. These codes cover various types of evaluations such as comprehensive oral exams, periodic oral exams, and limited oral exams. By using these codes, dental professionals can accurately document and bill for the specific type of evaluation provided to the patient.Rate this question:
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- 3.
Orthodontics are the treatment of _____________?
- A.
Gingivitis
- B.
Correction of prevention of poor or misaligned teeth
- C.
Preventative maintenance for teeth, gums and tissues surrounding and supporting the teeth
Correct Answer
B. Correction of prevention of poor or misaligned teethExplanation
Orthodontics is the branch of dentistry that focuses on the correction and prevention of poor or misaligned teeth. It involves the use of braces, aligners, and other dental appliances to straighten teeth and improve the bite. This treatment helps to enhance the appearance of the teeth and also promotes better oral health by making it easier to clean and maintain oral hygiene.Rate this question:
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- 4.
Dental providers overutilize the concept of TMJ to
- A.
To avoid having to pay any benefits.
- B.
To merge eligibility between dental and orthodontic providers.
- C.
To allow charges to be eligible through medical plan provisions rather than dental.
Correct Answer
C. To allow charges to be eligible through medical plan provisions rather than dental.Explanation
Dental providers may overutilize the concept of TMJ to allow charges to be eligible through medical plan provisions rather than dental. This means that they may diagnose patients with TMJ disorders in order to bill their treatments under medical insurance instead of dental insurance. By doing so, they can potentially receive higher reimbursement rates and avoid having to pay any benefits themselves. This practice may be done to maximize financial gain for the dental providers.Rate this question:
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- 5.
A dental restoration shaped to the form of a cavity and then inserted and secured with cement would be considered:
- A.
Root canal
- B.
Occlusal
- C.
Filling
Correct Answer
C. FillingExplanation
A dental restoration formed shaped to the form of a cavity and then inserted and secured with cement would be considered a filling. This is because a filling is a dental procedure where a material, such as composite resin or amalgam, is used to fill a cavity caused by tooth decay. The material is shaped to match the form of the cavity and then inserted and secured with cement to restore the tooth's function and appearance. A root canal, on the other hand, involves removing the infected pulp from the tooth's root canal, while an occlusal restoration refers to a dental restoration on the biting surface of a tooth.Rate this question:
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- 6.
Bilateral means you have?
- A.
The posterior view of the mouth.
- B.
The anterior view of the teeth.
- C.
Have on both sides.
Correct Answer
C. Have on both sides.Explanation
The term "bilateral" refers to something that has two sides. In this context, it means that an individual or an object possesses two corresponding sides. This could apply to various aspects, such as the body, an organism, or an object. It is a general term used to describe symmetry or the presence of two corresponding parts or sides.Rate this question:
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- 7.
Under the dental conversion factor report one living in San Jose insurance would pay_____ for diagnostic and preventative services and the conversion factor code would be_____.
- A.
36.50/ 955
- B.
41.75/ 930
- C.
40.00/ 940
Correct Answer
C. 40.00/ 940Explanation
The correct answer is 40.00/ 940. This means that someone living in San Jose would pay $40.00 for diagnostic and preventative services, and the conversion factor code would be 940.Rate this question:
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- 8.
Common reasons for dental claim denials would include?
- A.
Charges incidental to the above procedures, services not covering patients over the age limit, duplicate charges, and patients not covered under the plan.
- B.
Fluoride treatment only covers in children under 12, Pending information was received, and group responsibility is covered under the Health Plan.
- C.
Charges are payable under the plan.
Correct Answer
A. Charges incidental to the above procedures, services not covering patients over the age limit, duplicate charges, and patients not covered under the plan.Explanation
The common reasons for dental claim denials would include charges incidental to above procedures, services not covered for patients over the age limit, duplicate charges, and patients not covered under the plan. These reasons indicate that certain charges or services may not be eligible for coverage based on the specific procedures, age restrictions, or the patient's coverage status.Rate this question:
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- 9.
Under medical relative study please complete the following for CPT/ HCPS: Biliary Ducts CPT 47630 total RVU's____ and follow up days covered under the plan___?
- A.
9.0/ 0
- B.
12.7/ 30
- C.
7.0/ 45
Correct Answer
C. 7.0/ 45Explanation
The correct answer is 7.0/ 45. This means that the total RVU's for Biliary Ducts under CPT/ HCPS is 7.0 and the follow-up days covered under the plan is 45.Rate this question:
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- 10.
Under the medical relative study, please complete the following for CPT/ HCPS: Insertion of pacing electrode RVU____ follow-up days____?
- A.
BR/
- B.
0.7/ 15
- C.
0.7/ 0
Correct Answer
A. BR/Explanation
The answer BR/ 0.7/ 15 indicates that for the medical relative study of CPT/ HCPS, the RVU (Relative Value Unit) for the insertion of pacing electrode is 0.7, and the follow-up days required are 15.Rate this question:
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- 11.
Root resection consists of?
- A.
Cutting off a portion of the root, usually because of disease or decay.
- B.
The procedure necessary for a root canal.
- C.
Removing all wisdom teeth.
Correct Answer
A. Cutting off a portion of the root, usually because of disease or decay.Explanation
Root resection involves cutting off a portion of the root, typically due to disease or decay. This procedure is commonly performed to remove the affected part of the root and preserve the remaining healthy portion. It is a treatment option to address specific dental conditions and prevent further damage or infection. Removing all wisdom teeth or the procedure necessary for a root canal are not accurate descriptions of root resection.Rate this question:
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- 12.
In dentistry, the following four pathologic conditions require treatment tooth decay, tissue or periodontal disease, trauma to teeth and developement diseases.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because in dentistry, tooth decay, tissue or periodontal disease, trauma to teeth, and developmental diseases are all pathologic conditions that require treatment. These conditions can cause pain, discomfort, and can lead to further complications if left untreated. Dentists are trained to diagnose and treat these conditions in order to maintain oral health and prevent further damage to the teeth and surrounding tissues.Rate this question:
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- 13.
Dentist are a Dr. who have received a PHD in Medicine.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because dentists do not receive a PhD in Medicine. Dentists typically earn a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD) degree, which focuses specifically on dentistry and oral health. While dentists do have extensive medical knowledge and training, their degree is not equivalent to a PhD in Medicine.Rate this question:
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- 14.
The following accredidations would be considered acceptable for the DMD (Doctor of Medical Dentistry) degree. DDS, FACD, FAGD, FICD, MDS?
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The given answer is true because the accreditations mentioned, DDS, FACD, FAGD, FICD, and MDS, are indeed acceptable for the DMD (Doctor of Medical Dentistry) degree. These accreditations represent different professional qualifications and affiliations in the field of dentistry, indicating that the individual has met the necessary educational and professional requirements to practice as a dentist.Rate this question:
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- 15.
It is totally compliant to release dental x rays to the spouse of a patient.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Releasing dental x-rays to the spouse of a patient without the patient's consent would violate patient confidentiality and privacy laws. Dental x-rays are considered protected health information, and their release should only be done with the patient's authorization or as required by law. Therefore, it is not compliant to release dental x-rays to the spouse of a patient without proper consent.Rate this question:
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- 16.
Endondontics are treatment of the tissues and surrounding the teeth.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is incorrect. Endodontics is a branch of dentistry that deals with the treatment of the dental pulp and tissues surrounding the roots of a tooth. It involves procedures such as root canal therapy to treat infections or diseases of the tooth pulp. It does not specifically involve the treatment of tissues surrounding the teeth. Therefore, the correct answer is False.Rate this question:
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- 17.
Diagnostic services are routine designed to assist in the diagnosis and planning of required treatment.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Diagnostic services are indeed routine procedures that are specifically designed to aid in the process of diagnosing medical conditions and planning the necessary treatment. These services can include various tests, examinations, and imaging studies that help healthcare professionals accurately identify the underlying cause of a patient's symptoms or health issues. By providing valuable insights into a patient's condition, diagnostic services play a crucial role in guiding healthcare providers towards the most appropriate and effective treatment options. Therefore, the statement "Diagnostic services are routine designed to assist in the diagnosis and planning of required treatment" is true.Rate this question:
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- 18.
Radiographs are x-rays of the mouth and teeth.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Radiographs are indeed x-rays of the mouth and teeth. They are commonly used by dentists to diagnose dental problems such as cavities, gum disease, and impacted teeth. Radiographs provide a detailed image of the teeth and surrounding structures, allowing dentists to identify issues that may not be visible during a regular dental examination. This helps in developing an appropriate treatment plan for the patient. Therefore, the statement "Radiographs are x-rays of the mouth and teeth" is true.Rate this question:
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- 19.
A restoration is a procedure used to restore a natural tooth after a cavitation is found.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
A restoration is indeed a procedure used to restore a natural tooth. This can involve repairing a damaged or decayed tooth by using materials such as fillings, crowns, or veneers to bring back its normal function and appearance. Restorations are commonly performed by dentists to preserve the natural tooth structure and prevent further damage or tooth loss. Therefore, the statement "A restoration is a procedure used to restore a natural tooth" is true.Rate this question:
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- 20.
Inlays and onlays CDT codes are found in the (D2510-D2664) range.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because inlays and onlays CDT codes are indeed found in the range of D2510-D2664. CDT codes are a standardized system used in dentistry to categorize and code various dental procedures. Inlays and onlays are dental restorations that are used to repair damaged or decayed teeth. These restorations are typically fabricated outside of the mouth and then cemented or bonded onto the tooth. The CDT codes D2510-D2664 specifically pertain to inlays and onlays, so the answer is true.Rate this question:
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- 21.
Dental carriers offer HMO and PPO types of insurance and both do not require prior authorization.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because while dental carriers do offer HMO and PPO types of insurance, it is not true that both types do not require prior authorization. In fact, HMO plans typically require prior authorization for certain procedures and treatments, whereas PPO plans generally offer more flexibility and may not require prior authorization for all services. Therefore, the statement is incorrect.Rate this question:
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- 22.
Most Dental Insurance carriers have a waiting period, prior to approving services for payment.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Dental insurance carriers often have a waiting period before they start approving services for payment. This waiting period is a specified period of time that an individual must wait after enrolling in the insurance plan before they can receive coverage for certain dental services. During this waiting period, the insurance carrier may not provide any financial assistance or coverage for dental treatments. This waiting period is put in place by insurance companies to prevent individuals from enrolling in a plan only when they need immediate dental services and then canceling the plan after receiving treatment.Rate this question:
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- 23.
We use the CMS 1500 universal claim form to bill all services rendered in dental billing.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The CMS 1500 universal claim form is primarily used for medical billing, and it is not typically used for dental billing. Dental services are often billed using a different form, such as the ADA Dental Claim Form.Rate this question:
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- 24.
Each Dental insurance carrier has their own claim form usually accessible on the web.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Dental insurance carriers typically provide their own claim forms that can be accessed on their websites. This allows policyholders to easily submit their claims and receive reimbursement for dental services. It is common practice for insurance companies to provide these forms online for convenience and efficiency purposes. Therefore, the statement "Each Dental insurance carrier has their own claim form usually accessible on the web" is correct.Rate this question:
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Current Version
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Feb 05, 2024Quiz Edited by
ProProfs Editorial Team
Expert Reviewed by
Benjamin Yoon -
Jan 14, 2011Quiz Created by
Clake3