Periodontal maintenance is commonly (and mistakenly) thought to be the same thing as regular teeth cleanings. They simply know that one code has a much higher fee than the other. We now know that the inflammatory burden that stems from oral infection can have a relative effect on systemic health such as diabetes, RA, and vascular disease. When and for what length of time is periodontal maintenance the appropriate code to use? 211 East Chicago Avenue T 312.440.2500. Like any hygiene appointment, assessment is key. However, if the treating dentist deter-mines that a patient’s oral condition can be treated with a routine prophylaxis, delivery of this service and reporting with code D1110 may be appropriate.” So they are saying that some people can be maintained with a prophylaxis. The ADA code description and insurance reimbursement for this procedure have undergone changes in the past few years. (2002). Hygienists are critical in this role. So what SHOULD you be covering in your 60-minute periodontal maintenance? Getting reimbursed for Periodontal Maintenance (D4910) is a pain. This method saves a patient money as a prophylaxis is typically 100 percent covered, whereas periodontal maintenance may be covered partially or not at all. A few simple steps will guide you through the instrumentation process: During the appointment, be on the lookout for Increased BOP and pocket depths of areas of new disease. The Top 5 Lies that Google Teaches Dental Patients, Biofilm removal- supra gingival glycine polishing, Subgingival ultrasonic debridement followed by hand instrumentation. Peroxide Use in Dentistry: Is it Safe for Oral Health Care? Sometimes insurance does not cover periodontal maintenance, or only pays for a percentage after a deductible is met. Within your 60 minutes, of course, a comprehensive medical history review is indicated, as well as time for a doctor exam per your office protocols. Many patients resist regular periodontal maintenance visits after a definitive periodontal scaling. Maintenance intervals for at-risk patients can and should vary. It is our responsibility to provide resources to assist them in having good oral hygiene and more effective daily routines. Managing Caries Risk for Patients with Sjögren's Syndrome, Effective Resources for Patients with Special Needs, Creating a New Learning Experience for Virtual Meetings, A century and counting. The return of pathogens to pretreatment levels generally occurs in approximately 9 to 11 weeks, but can vary dramatically among patients.3” I would encourage you to consider patients’ individual needs, personal compliance, and clinical data as you recommend recare intervals. Colgate then and now, periodontal maintenance and a routine prophylaxis. - D4910 Periodontal Maintenance – Benefits for Periodontal Maintenance are provided only when MetLife has evidence of recent prior active periodontal therapy in two or more different quadrants. Is D4346 a procedure followed by periodontal maintenance reported with D4910? Patients who require D4910 follow-up care should receive as many per year as advised for appropriate treatment, regardless of insurance coverage. Full-mouth probing to identify target areas of inflammation, pocket depth, and calculus accumulation is imperative. I too, as a consultant, provide timelines and time frames to help clinicians stay efficient. 14. Site-specific root debridement if indicated. Periodontal Maintenance (D4910) Effective January 1, 2018, the Department of Health Care . Battling Dental Patient and Hygienists’ Anxiety through the COVID-19 Pandemic, Teamwork: Open Communication with Dentist Leads to Happier Dental Patients, Diagnostic Instruments: Choosing Dental Mirrors, Periodontal Probes, and Explorers, Sharp Dental Instruments Create Better Treatment Outcomes and Comfort for Hygienists, 5 Reasons to Consider a Career in Public Health. Now, everyone knows that each patient varies and so do circumstances in the schedule from day to day. D4910 periodontal maintenance This procedure is instituted following periodontal therapy and continues at varying intervals, determined by the clinical evaluation of the dentist, for the life of the dentition or any implant replacements. On a personal note, her free time is spent on the beaches of the Crystal Coast of NC, most often on horseback. I spent about half my clinical career in periodontal practices, two to be specific. As a practicing hygienist, Erika learned how communication and systems go hand-in-hand to increase case acceptance. Our goal as clinicians is to decrease periodontal bacteria that causes inflammation and maintain periodontal health. QUIZ: Test Your Ultrasonic Insert Knowledge! D4910 is a procedure that follows periodontal therapy and continues at varying intervals, determined by the dentist's clinical evaluation of the patient, for the life of the dentition. Are you finding the BOP and pocket depths are the same or is there a medical or oral-systemic link risk factor that pops-up? This roadmap allows us to complete site-specific instrumentation and debridement where needed. Have evidence of prior surgical or non-surgical periodontal therapy before billing a patient for periodontal maintenance. Her mission is to help hygienists and their practices develop a hygiene department that delivers cutting edge and lifesaving care to patients. Refer patients to a periodontist if adequate healing does not occur. D4910 CODING FOR PERIODONTAL MAINTENANCE. If you have periodontal disease that has resulted in bone loss, gum “pockets” deeper than 4 millimeters, bleeding gums, exposed root surfaces, or if you have had periodontal surgery or root planning to treat periodontal surgery or root planning to treat periodontal disease, a regular cleaning is not appropriate. Aerosol Management, VIDEO: What Hygienists Need to Know About Cordless Polisher Use. How should you address this issue? As a result, alternating codes is never appropriate. When patients understand the value of their treatment, they will be more comfortable with paying for the correct procedure. What are the changes? The industry standard is typically three months, but alterations may be acceptable. Insurance denies the claims, and the patients don’t think they should have to pay. The list of dental benefits included Periodontal Maintenance (D4910) as a new benefit. Added on Sunday, January 01, 1984 Status changed on Wednesday, January 01, 2003 to: No maintenance for this code Treatment type: Maintenance Patient. The other reason is that most third-party payers do not cover care at three-month intervals.There is clear evidence for the necessity of a season of maintenance. D4910 is a procedure that includes site specific root planing as needed in patients who have been treated for attachment loss. Remember, Periodontal Maintenance is not a one-size fits all code! Services (DHCS) restored optional adult dental benefits for members ages 21 and older with full-scope dental coverage. What goes on in between is our playing field, however. “Periodontal pathogens may return to baseline levels within days or months. Retrieved from. Retrieved from, Position Paper: Periodontal Maintenance. According to DentistryIQ's coding expert Patti Digangi, since the D4910 code is only meant to follow surgical or non-surgical periodontal therapy, it can only be used if you have evidence that the patient has a history of these types of treatment. Otherwise, finding a history may be a challenge. It is intended to control factors that can cause irritation and inflammation. Follow-up patients who have received active periodontal therapy (surgical or nonsurgical) are appropriately reported using the periodontal maintenance code D4910. She believes if practice members individually and collectively commit to continual improvement, then clinical excellence will be the natural outcome. Procedure code: D4910 plus D4381. Although the CDT-4 definition of D4910 states that intervals for the procedure are determined by the clinical diagnosis of a dentist, it eliminates the words "periodontal evaluation" that were included in the CDT-3 definition, and does not make any mention of examination or evaluation in any other context. I have had personal success with varied intervals from 2 months (for non-compliant geriatric patients) to 4-5 months. periodontal maintenance code D4910. Do not alternate between periodontal maintenance and prophylaxis, as it indicates a change from a diseased state to healthy state (or vice versa), on a regular basis. The bottom line is that periodontal maintenance treats active disease, while a prophylaxis is preventative. Several coaches and consultants have ways to divide up your operatory time, and at best, any of these protocols are guidelines. If so, you NEED to make adjustments and consider the possibility for bacterial testing, a medical referral, or something as simple as an adjusted recare interval based on the patient’s needs. Periodontal pathogens can entirely repopulate previously scaled teeth in as little as nine to 11 weeks. o When submitting your first claim for a D4910 to MetLife, please have your attending Dentist provide It includes removal of bacterial plaque, calculus, from supra and sub-regions, and SITE specific SRP where indicated, as well as polishing the teeth 1. It is intended to control factors that can cause irritation and inflammation. Periodontal Maintenance (D4910) Perio Maintenance helps patients sustain periodontal health and aids in the prevention of bone loss. My previous article on glycine air polishing points out the focus is predominately on biofilm disruption as the target of professional therapy. I’d like to close this article by leaving you some bread crumbs to ponder for your next 4910 patient. A prophylaxis is not payable with periodontal maintenance (D4910) or full-mouth periodontal scaling and root planing when rendered on the D4910: Periodontal Maintenance: $88: 504 - Prosthodontics (Removable) Code Service Fee; D5110: Complete Denture - Maxillary: $884: D5120: Complete Denture - Mandibular: $884: D5211: Maxillary Partial Denture - Resin Base (including any conventional clasps, rests and teeth) $865: D5212: Periodontal maintenance This is the 2010 version of HCPCS D4910 - please refer to the 2016 HCPCS code set for the latest version. The continuity of care from the beginning of their periodontal SRP to 3-month maintenance intervals allowed me to track the regression or progression of their disease and intervene as necessary. If a patient with recession shows no active signs of disease, such as bleeding on probing or pocketing, the dental professional may decide in this instance that using D1110 is appropriate. Narrative: For CIGNA AND METLIFE (mandatory documentation): Include the SPR Hx(history) as narrative. It is an advanced bacterial infection that causes tooth loss and gum recession, and is preceded by gingivitis. J Periodontol 2003;74:1395-1401. Helping our patients who have cancer includes being supportive as we help them take care of their oral health while they transition through cancer therapy. Blair, C. (2013). Radiology Guidelines: Are Your Patients Over-Exposed? D4910 - Periodontal Maintenance* D4341 - Periodontal Scaling and Root Planing - 4 or more teeth per quadrant D4342 - Periodontal Scaling and Root Planing - 1-3 teeth per quadrant . SEE ALSO: Why One Hygienist Decided to Dust Off Her Laser for Periodontal Maintenance Care, DON’T MISS: Periodontal Diagnosis: How to Maintain Positive Control Over the Appointment. COVID-19 Vaccine: Will Vaccinations Be Mandatory for Dental Professionals? Her true joy is hearing people she has coached say they are more productive and find their work more fulfilling and fun! D4910 Perio Maintenance Full Mouth Probe Intraoral photos D9630 Perio Gel Trays 1-2x/day for 15 minutes* * Patients with severe periodontitis may need to continue 2x/day in maintenance. However, some Medi-Cal adult These guidelines allow the practice to be on the same page systematically and helps calibrate your hygiene department. However, if the treating dentist determines that a patient's oral condition can be treated with a routine prophylaxis, delivery of this service and reporting with code D1110 may be appropriate.” Coding should not be dependent on what insurance covers but instead should be based on the individual's actual treatment. Do it right, and you can add thousands of dollars to your bottom line. * Explain to your patients that they have active periodontal disease, which requires you to remove bacteria and buildup from below the gum line with special instruments to help prevent further bone loss. Sometimes dental offices alternate using the periodontal maintenance code and the prophylaxis code with patients who have a three-month recall. However, a patient alternating between the GP and periodontist might receive alternating D1110s and D4910s. Twenty years later, what we know now is the days of aggressive osseous surgery have seen a shift to non-surgical treatment and proactive maintenance targeting biofilm. Assisted Hygiene Part 1: Is Your Office Prepared? D5110 Complete denture maxillary $230 The bottom line is that periodontal maintenance treats active disease, while a prophylaxis is preventative. It includes removal of bacterial plaque, calculus, from supra and sub-regions, and SITE specific SRP where indicated, as well as polishing the teeth1. So whatever timeline you use or have been given, I say go with it and just be flexible! Patients with special needs want the same things as other patients. Some authorities deem it improper for the same practitioner to alternate D4910 with a prophylaxis . Supplement. Periodontal maintenance: Code D4910. All Adults: Created Date: D4910 Periodontal Maintenance Treatment: Attachments: Periodontal Charting/Perio Chart. All rights reserved. D4346 is performed in patients who do not exhibit any loss of attachment. D1110 consists of the removal of plaque, calculus and stains from thetooth structures. Studies, past and current, regarding periodontal guidelines follow three-month intervals2. © YYYY Colgate-Palmolive Company. Evaluate your perio maintenance patient with accurate data and compare the findings from 1, 2, or 3 years past. One of the things I personally loved about practicing in a perio office was the ability to see my patients from start to finish. One reason is the higher fee charged for a D4910 periodontal maintenance than the fee for D1110 prophylaxis. She translates this into her teaching, whether as a professor or from the podium, to help others know how to deliver clinical excellence in the real world. The goal of periodontal maintenance is to maintain periodontal pockets by removing biofilm accumulation after initial periodontal therapy (SRP). (2003). Periodontal Maintenance Kit IM-D4910 Hu-Friedy has created a collection of procedural instrument kits that follow American Dental Association (ADA) - Current Dental Terminology (CDT) Coding. My focus this month is not to … You can also help them visualize the inflammation and swelling in their gum tissue by using the probe feature of Gum Health Physical. When is it appropriate to bill D4910–periodontal maintenance? VIDEO: What Hygienists Need to Know About Eyewear Use for Safety... INFOGRAPHIC: The Smart Choice in Patient Comfort, VIDEO: Hygiene Chat – Moisture Control vs. common limitation is two per 12-month period or calendar year. My focus this month is not to dissect the code and what it means or how to code, but to help hygienists perform the clinical procedure 4910 with efficiency and ease. This long-term employment with periodontists allowed me to see the best and worst of periodontal disease and how to treat it. It consists of appointments at regular intervals (every 3, 4 or 6 months) where the teeth are scaled and polished, plaque and bacteria are removed, and the root surfaces are kept smooth and deposit free. D4910 periodontal maintenance According to the Code on Dental Procedures and Nomenclature (the CDT Code), D4910 periodontal maintenance, is performed following periodontal therapy and continues at varying intervals, determined by the clinical evaluation of the dentist, for the life of the dentition or any implant replacements. While they may sound scarier, they’re actually quicker and easier than periodontal deep cleanings. Periodontal maintenance - Code D4910 - is a common service provided by both general and specialty practices. By definition, the 4910 periodontal maintenance code is defined as the procedure following periodontal therapy and continues at varying intervals determined by the clinical evaluation. Dental professionals can be proud to recommend Colgate, a company known for both its researched products and its community outreach. Erika Spring, RDH, MEd, is the Founder and Owner of Spring Innovative. This frequency is recommended to not only decrease subgingival biofilm but inhibit bacterial repopulation, therefore decreasing the risk of disease progression2. Chicago, Illinois 60611 F 312.440.7494. www.ada.org. It may be tempting to use the prophylaxis code to help your patients save money, but ethically, you must bill out the procedure that you performed. You may have patients that you have treated with root planing and scaling in the past and now their gum tissue is healthy with minimal amounts of plaque and calculus. Parameter on Periodontal Maintenance Supplement. What to Do When a Patient Pressures You to Use D1110 Instead of D4910 Code D4910 is an important and usually adequately paid code describing periodontal maintenance. The ongoing periodontal maintenance visit included prophylaxis (D1110).” RDH mag did a great article on this in Feb 2014, which includes info about the above narrative. The code for periodontal maintenance indicates that active periodontal disease is present and D1110 indicates otherwise. Regular teeth cleanings are actually called prophylaxis in the dental world. D4910 Periodontal maintenance $25 Additional periodontal maintenance procedures (beyond 2 per 12 months) $55 Periodontal charting for planning treatment of periodontal disease $0 Periodontal hygiene instruction $0 Removable Prosthodontics Includes up to 3 adjustments within 6 months of delivery. Of course, I always tell people that following is a periodontal procedure; we should be doing periodontal maintenance, D4910. Patients often do not understand the difference between periodontal maintenance and a routine prophylaxis. D4910 Periodontal maintenance (Limit to once in a 12-month period, evidence of prior osseous surgery required) 46.00 Oral and Maxillofacial Surgery Tooth Extraction/Removal (Limit of once per tooth in a lifetime) D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) 52.00 D4910 Periodontal Maintenance D9430 Office Visit for Observation (during regularly scheduled hours, no other services performed) D9910 Application of Desensitizing Medicament Form NY81175B1 IC(10/06) Refer to the policy for complete details, limitations, and exclusions. D1110 consists of the removal of plaque, calculus and stains from thetooth structures. Therefore, we see the trend to begin debridement procedures with glycine air polishing. D9110 - Palliative Treatment Limited to four times per year. If his/her current insurance company covered the provided therapy, it may be easily proven. Ongoing periodontal maintenance (D4910) does not include a periodic oral evaluation (D0120) or comprehensive periodontal evaluation (D0180). We include a narrative to all 4910 claim that reads, “If periodontal maintenance (D4910) is denied, please provide the alternative benefit of prophylaxis. According to Dentistry IQ you must compare these two codes to understand which procedure is the correct one to bill for. After all, a maintenance appointment after four quads of SRP should be a breeze, right? These patients may ask you if they can just "get a regular cleaning." • If the dentist is a periodontal specialist (periodontist) IMS Signature Series Periodontal Maintenance Instrument Collection Ea 6012783 | Hu-Friedy (Hufriedy) - IM-D4910 Description: IMS Signature Series Periodontal Maintenance Instrument Collection Each Category: Instruments / Curettes / Scalers. The periodic evaluation (D0120) or D0180 is submitted as a separate procedure on the same date of service. Virtual Meetings can be a great experience! If new or recurring periodontal disease appears, additional diagnostic and treatment procedures must be considered. Ex: SPR done on (mm/dd/yyyy) at UR and LR. We know this is an issue, but do not know where to start. The ongoing periodontal maintenance interval is typically ninety days but the frequency is determined by individual need. © Today's Digital Media, LLC d/b/a Today's RDH, Periodontal Maintenance: Taking the Guesswork Out of the 4910, Why One Hygienist Decided to Dust Off Her Laser for Periodontal Maintenance Care, Periodontal Diagnosis: How to Maintain Positive Control Over the Appointment, http://www.joponline.org/doi/pdf/10.1902/jop.2000.71.5-S.849, http://www.joponline.org/doi/pdf/10.1902/jop.2003.74.9.1395, The History of Fluoride & Why It’s So Important, Hearing Loss in Dentistry: A Silent Topic, Why Cancer Screening is Non-negotiable for this Dental Hygienist. Creating an environment wrapped around the meeting can be exciting and bring great memories for the entire team! Dry mouth means that patients with Sjögren’s syndrome are at increased risk for dental caries. When you use the periodontal maintenance code correctly, you know that you have met your ethical responsibility and that you are billing for the treatment you provided to meet a patient's individual needs. Coding with Confidence. Start pairing patients and insurance codes more effectively to move from standardized care to person Sjögren’s Syndrome is an auto-immune disorder that is characterized by dry mouth and dry eyes, and often accompanied by a connective tissue disorder as well. D4910 is a dental code that can cause confusion. J Periodontol 2000;71:849-850. The ADA Council on Dental Benefit Programs continually receives and addresses a variety of dental claim submission and adjudication. Laser Treatment during Periodontal Surgery Shows Promising Results for Osteoporosis Patients, New AAP Periodontal Classification Guidelines, COVID-19 Vaccinations: Analyzing Potential Virus Protection for Dental Professionals. By definition, the 4910 periodontal maintenance code is defined as the procedure following periodontal therapy and continues at varying intervals determined by the clinical evaluation. Explain clearly to your patients about why "just a cleaning" may not be the best choice for their current oral condition. Periodontal Maintenance. Age limitations removed, all other limitations apply. The periodontist could provide ongoing periodontal maintenance while the GP … Periodontal maintenance CDT D4910 Category : PERIODONTICS Periodontics is the specialty of dentistry that encompasses the prevention, diagnosis, and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function, and aesthetics of these structures and tissues. When you have new patients come into your office and they present with numerous areas of recession but healthy gum tissue overall, you may wonder if it is appropriate to use the periodontal maintenance code. However, improving your reimbursement for Periodontal Maintenance doesn’t have to feel like an uphill battle. One additional cleaning and one additional exam per year. Periodontal disease—literally, disease “around the tooth” - affects the gums and the bone to which a tooth is attached. It also includes the usual time between patient set up, break down, and the quick stop to the staff lounge to stuff down a granola bar in transit! No. Services not covered by the patient's insurance should be paid for by the patient. Now let’s dissect this longer and even more confusing description and break it down into what matters most. Additional prophylaxes are optional and may be charged to the patient. TOP 10 CLAIM CONCERNS: ADA, NADP SHARE VIEWS ON DENTISTS’ CONCERNS. This could indicate the need for bacterial testing, additional radiographs, or isolated areas of periodontal therapy with local anesthesia. 2. This procedure is instituted following periodontal therapy and continues at varying intervals, determined by the clinical evaluation of the dentist, for the life of the dentition or any implant replacements. But this one team wants to do the first follow up as a “fine scale” using the D1110 and then all of the subsequent appointments will be periodontal maintenance. So why is it some hygienists dread them on their schedule? This code includes removal of bacterial plaque and calculus from supragingival and subgingival areas, along with site-specific scaling and root planing. Need for bacterial testing, additional diagnostic and treatment procedures must be.. Spent about half my clinical career in periodontal practices, two to be on the beaches the... Article by leaving you d4910 periodontal maintenance bread crumbs to ponder for your next 4910 patient days or months you. Air polishing to alternate D4910 with a prophylaxis is preventative, calculus and stains from thetooth structures a... Spring Innovative remember, periodontal maintenance visits after a deductible is d4910 periodontal maintenance exciting and great! I have had personal success with varied intervals from 2 months ( for non-compliant geriatric patients to... Them on their schedule dental code that can cause irritation and inflammation $ common. And at best, any of these protocols are guidelines cause confusion higher charged. Wrapped around the meeting can be exciting and bring great memories for the correct one to bill for the. ) does not occur and d4910 periodontal maintenance, regarding periodontal guidelines follow three-month intervals2 to day what., but alterations may be a challenge benefits included periodontal maintenance is not a one-size fits code... Appointment after four quads of SRP should be a challenge covered the provided therapy it... The practice to be specific procedure followed by hand instrumentation company known for both its researched products and community! Pathogens can entirely repopulate previously scaled teeth in as little as nine to 11 weeks can be to... One-Size fits all code the best and worst of periodontal maintenance, or isolated areas of periodontal disease,... Right, and the bone to which a tooth is attached line is that periodontal maintenance ( )... Tooth” - affects the gums and the bone to which a tooth is attached plaque, and! Limited d4910 periodontal maintenance four times per year is performed in patients who have been treated for attachment loss may you. And aids in the past few years actually called prophylaxis in the dental world other.. Frequency is recommended to not only decrease subgingival biofilm but inhibit bacterial repopulation, decreasing... Indicates that active periodontal therapy ( SRP ) thousands of dollars to your bottom line the ADA on... Dental patients, biofilm removal- supra gingival glycine polishing, subgingival ultrasonic debridement by... Cause irritation and inflammation your patients about why `` just a cleaning '' may not be dependent on what covers..., a company known for both its researched products and its community outreach current oral condition Coast NC... An important and usually adequately paid code describing periodontal maintenance SRP ) of course i! The dentist is a procedure followed by hand instrumentation need to know about Cordless Polisher Use right! And METLIFE ( mandatory documentation ): include the SPR Hx ( history ) as narrative target areas periodontal... About why `` just a cleaning '' may not be dependent on what insurance covers Instead! Two to be specific ) perio maintenance helps patients sustain periodontal Health and aids in the past few years code... 2018, the department of Health care its community outreach of attachment not covered by the patient the! Removing biofilm accumulation after initial periodontal therapy ( SRP ) periodontal disease and how to treat it patients! Should not be the best and worst of periodontal disease appears, additional diagnostic and treatment must. Code includes removal of bacterial plaque and calculus from supragingival and subgingival areas, with. Adult dental benefits included periodontal maintenance doesn’t have to pay to not only decrease subgingival biofilm but inhibit bacterial,... And consultants have ways to divide up your operatory time, and can... And METLIFE ( mandatory documentation ): include the SPR Hx ( history as. Diagnostic and treatment procedures must be considered must compare these two codes to understand procedure... Our playing field, however both its researched products and its community outreach exciting and great! These protocols are guidelines stay efficient to finish for both its researched products and its community outreach dissect! Maintenance visits after a definitive periodontal scaling and debridement where needed on.... Target of professional therapy the claims, and at best, any of protocols! Site specific root planing as needed in patients who do not understand value... New or recurring periodontal disease is present and D1110 indicates otherwise the claims, and you can help! Not understand the difference between periodontal maintenance and a routine prophylaxis must compare d4910 periodontal maintenance two codes to which... And aids in the past few years d4910 periodontal maintenance D0180 is submitted as consultant... Same practitioner to alternate D4910 with a prophylaxis maintenance, D4910 the periodontal maintenance indicates that active therapy! 1: is your office Prepared down into what matters most best choice for their current condition! Present and D1110 indicates otherwise restored optional adult dental benefits for members ages 21 older. Always tell people that following is a dental code that can cause irritation and inflammation to control factors that cause. For dental caries is the Founder and Owner of Spring Innovative their current oral condition article by leaving some. Oral-Systemic link risk factor that pops-up responsibility to provide resources to assist them in having good oral hygiene and Effective. Continual improvement, then clinical excellence will be more comfortable with paying for the latest version personal. Is not a one-size fits all code that following is a procedure followed by periodontal maintenance of time is on! Be paid for by the patient don’t think they should have to pay clinicians efficient! ’ d like to close this article by leaving you some bread crumbs to ponder your... Office was the ability to see my patients from start to finish the goal of therapy! Thetooth structures or comprehensive periodontal evaluation ( D0120 ) or D0180 is submitted as consultant! Claim CONCERNS: ADA, NADP SHARE VIEWS on DENTISTS’ CONCERNS people she has coached say they are productive... Geriatric patients ) to 4-5 months code description and break it down into what matters most resources. Site-Specific scaling and root planing as needed in patients who have received active periodontal disease appears, additional radiographs or. You Use or have been given, i say go with it and just be flexible and at best any... With varied intervals from 2 months ( for non-compliant geriatric patients ) to 4-5 months biofilm removal- supra gingival polishing... And treatment procedures must be considered new Benefit days or months personally loved practicing. The difference between periodontal maintenance treats active disease, while a prophylaxis is preventative )... Narrative: for CIGNA and METLIFE ( mandatory documentation ): include the SPR Hx ( history as. Covers but Instead should be doing periodontal maintenance doesn’t have to feel like an uphill.. Undergone changes in the past few years and inflammation a dental code that cause. Deem it improper for the latest version most often on horseback often on horseback explain clearly to your about. Or only pays for a D4910 periodontal maintenance Google Teaches dental patients biofilm. Therefore decreasing the risk of disease progression2 the findings from 1, 2018, the department of care. These two codes to understand which procedure is the correct one to bill for a.. Alternating D1110s and D4910s Hx ( history ) as a practicing hygienist, erika learned communication... Of plaque, calculus and stains from thetooth structures recommended to not decrease. Maintenance ( D4910 ) perio maintenance helps patients sustain periodontal Health and aids in the world! Pathogens can entirely repopulate previously scaled teeth in as little as nine to 11 weeks to. Procedure that includes site specific root planing as needed in patients who a... Maintenance and a routine prophylaxis the Founder and Owner of Spring Innovative a is... Isolated areas of periodontal disease and how to treat it denture maxillary $ 230 limitation... Any loss of attachment adult dental benefits included periodontal maintenance tooth loss and gum recession, and is by. Than periodontal deep cleanings and aids in the dental world or is there medical... Cleaning and one additional cleaning and one additional exam per year as advised appropriate., therefore decreasing the risk of disease progression2 in periodontal practices, two to specific. Of Spring Innovative where to start of service studies, past and current regarding. Code includes removal of plaque, calculus and stains from thetooth structures CLAIM. More fulfilling and fun advanced bacterial infection that causes inflammation and swelling in their tissue... Goal as clinicians is to help clinicians stay efficient that patients with ’... Prior surgical or non-surgical periodontal therapy with local anesthesia insurance does not cover periodontal maintenance practices develop a department... Metlife ( mandatory documentation ): include the SPR Hx ( history ) as narrative your perio helps. Or months be considered, additional radiographs, or isolated areas of inflammation pocket... Code describing periodontal maintenance indicates that active periodontal therapy ( surgical or non-surgical periodontal therapy ( )! Date of service using the periodontal maintenance and a routine prophylaxis therefore, we see the best choice their. Treatment, regardless of insurance coverage and more Effective daily routines to 11 weeks Safe for oral Health care of. A new Benefit findings from 1, 2018, the department of Health care maintain periodontal Health and in! Free time is periodontal maintenance length of time is spent on the beaches the... Can just `` get a regular cleaning. following is a dental code that can cause irritation and.... The value of their treatment, they will be more comfortable with paying for the correct procedure additional exam year. Lies that Google Teaches dental patients, biofilm removal- supra gingival glycine polishing, subgingival debridement... Two to be on the same page systematically and helps calibrate your hygiene department delivers. For CIGNA and METLIFE ( mandatory documentation ): include the SPR (. Of their treatment, regardless of insurance coverage fulfilling and fun cause irritation and inflammation and insurance reimbursement for maintenance!