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Dental Claims and Coding Exchange Session 2

Join Dilaine Gloege, CDA, CPC!

Dental Claims Topic: ERISA (Self-Funded Plans)

  • Questions regarding employer-sponsored self-funded dental plans and how the Employee Retirement Income Security Act (ERISA) preempts state insurance laws, particularly in situations involving non-covered services, payment disputes, or billing limitations.

Coding Exchange Topic: Scaling and Root Planing vs. Prophylaxis

  • Questions about when periodontal therapy codes (D4341/D4342) are appropriate
    instead of routine prophylaxis (D1110), including documentation requirements for
    periodontal disease.

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