Dental Bulletin Board
Health Care Reform Tools (Posted: January, 2014)
FEP Blue Dental Office Implementation Guide (Posted: January, 2014)
FMX and Bitewing Processing Guidelines (Posted: March, 2013)
This is to clarify how bitewings are processed when taken within 12 months of a FMX.
* If bitewings have been taken prior to a FMX, no limitation applies and both procedures will be paid.
* If bitewings are submitted within 12 months after a FMX has been paid, then the bitewings are denied due to the 1 in 12 month limitation for bitewings. The member will be responsible for the cost of the bitewings.
D2951 Pin Retention – Clarification (Posted: March, 2013)
The CDT Dental Code book defines code D2951, pin retention as a per tooth service, regardless of the number of pins placed. Our dental policy allows code D2951 to be performed two times per tooth as a lifetime maximum. To be eligible for payment, services must occur 12 months apart.