Real-World Billing Insights. Practical Coding Guidance.
Open to the Entire Team.
The Dental Claims & Coding Exchange (DCCE) is a quarterly virtual series designed to help NJDA member dentists, and their teams stay current, confident, and compliant when it comes to dental billing and coding.
Focused Learning: Each session is a half hour in length and limited to just two important topics - one about claims and one about coding.
This is a free NJDA member-exclusive opportunity for your team to stay on top of key claims and coding issues.
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What to Expect:
- Quarterly 30-Minute Virtual Sessions: Designed to fit into your busy schedule
- Expert-Led Discussion: Industry professionals share real-world insights, common pitfalls, and best practices
- Available to ALL NJDA Member Dentists & Their Teams: Dentists, office managers, billing coordinators, and administrative staff are encouraged to attend
June 17th | 12:00pm: ERISA (Self-Funded Plans) | Scaling and Root Planing vs. Prophylaxis
June 17th, 2026 | 12:00pm
Speaker: 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.
September 24th | 12:30pm: Retroactive Denials & Refund Demands (Clawbacks) | Use of “By Report” Codes
September 24th | 12:30pm
Speaker: Dilaine Gloege, CDA, CPC
Dental Claims Topic: Retroactive Denials & Refund Demands (Clawbacks)
- Situations where insurers request repayment of previously paid claims months or years later, often citing eligibility issues, coordination of benefits errors, or claim processing mistakes.
Coding Exchange Topic: Use of “By Report” Codes
- Questions about when to use CDT codes that require narrative documentation because no specific code exists for the service provided.
November 17th | 1:00pm: Claim Denials & Appeals | Radiograph Coding and Frequency Limits
November 17th | 1:00pm
Speaker: Dilaine Gloege, CDA, CPC
Dental Claims Topic: Claim Denials & Appeals
- Guidance on responding to denied or underpaid claims, including required documentation, timelines for submission, and insurer-specific appeal procedures.
Coding Exchange Topic: Radiograph Coding and Frequency Limits
- Questions about selecting the correct CDT codes for radiographs (e.g., D0210 full mouth series vs. D0274 bitewings) and how insurer frequency limitations affect claim approval.
Session Passed | Pre-Payment Review, Downcoding, and Documentation Requests | Limited vs. Comprehensive Exam Coding
March 31st, 2026 | 1:00pm
Speaker: Dilaine Gloege, CDA, CPC
Dental Claims Topic: Pre-Payment Review, Downcoding, and Documentation Requests
- Situations where insurers delay payment or modify claims by requesting additional
documentation or reviewing radiographs before approving reimbursement.
Coding Exchange Topic: Limited vs. Comprehensive Exam Coding
- Questions about when to use CDT code D0140 (limited oral evaluation) versus D0150
(comprehensive oral evaluation), particularly for emergency visits or when patients
present with a specific dental concern.
These sessions are strictly educational. No CEUs will be awarded.
Additional CareCredit Resources
Grow Your Practice Visibility
AccessCare Directory | NJDA MEMBER EXCLUSIVE BENEFIT
NJDA members can also expand their visibility through the AccessCare Directory, a referral network connecting patients with dentists offering specialized services. Complete the form to be included in the public directory.
Resource Videos
Processing CareCredit Transactions
Addressing Cost Concerns During the Fee Discussion
Help Patients Prepare for their Appointment
Introducing CareCredit to your Patients
For any questions, please contact Colleen Walkowitz at 732-422-2723.
