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What procedures will dentist do on 1st visit

Haven’t been in several years. Already have a little insurance but going to buy more. Have problems and need help so I can choose which plan. Lowers are ok uppers 2 needs canal crown, 3-4 fillings,5-6 broken above gum line extraction, 7-8 lumineers with possible cavity, 9 possible filling, 10 extraction above gum, 11 extraction below gum but I can feel it sticking up with zero pain the rest are gone. Would love to get implants but can’t afford so looking at options such as partial My question is what procedure codes will the dentist probably use to address my situation. From start to finish if possible. I’m counting my pennies to get this work done and trying to figure out my best options with the policy I need to buy. I’m very surprised there are some out there with absolutely no waiting period. The one I have now I’m 6 months away from major services. I really appreciate any help. Ps no need to describe what the procedure code is I have a list and hope I can figure it out sorry to be so long but I do need the help. Thank You



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2 Answers

An initial visit usually consists of a comprehensive exam (D0150) and full mouth X-rays (D0210). There could be more codes used, its hard to say because each office has their own new patient protocol. You could probably call the office you are going to and ask them specifically what procedure codes they tend to do at new patient exams.
 
Once you have had an initial visit, they should give you a print out of what exactly needs to be done (breakdown of treatment needed, which may include codes). The thing with codes is that the code depends on may factors. For a cavity, for example, it depends on how many surfaces will need to be restored, what material is used, etc. For a root canal and crown, the same thing, it depends what kind of material the crown is, if pins or a build-up is needed, things like this. Impressions for crowns or bridges will most likely be needed to fabricate those as well. Extractions, it could be a simple extraction or not.
 
Here is a basic list of 2017 CDT codes (don’t pay attention to the prices in the list because each insurance company and their coverage is different): http://www.caremore.com/~/media/2017/ENG/Dental/2017%20Dental%20Pro%20Chart-R2(508).ashx
 
Again, I’m sorry I can’t give you a more specific answer. Only the dentist doing the treatment and who has seen you clinically can. I am very happy you are going to the dentist! A healthy mouth is so important!

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I got to thinking more about this and realized I mentioned nothing about getting your teeth cleaned! Depending on the health of your gum tissue, their are 3 types of cleanings: healthy/preventive (normally covered 100% by insurance): D1110), gingivitis: D4346, and if you have periodontitis (bone loss): D4341 or D4342. If you are treated for periodontitis and need SRPs (D4341/4342), sometimes called a “deep cleaning” or “periodontal therapy” you will then your cleanings after that are called periodontal maintenance (D4910). Once you have periodontitis, your cleanings need to be every 3-4 months, not just every 6 months, to keep the strong bacteria at bay. Not many insurance companies cover perio maintenance 4 times per year, only twice per year, and that’s not enough to keep your mouth healthy. So this got me thinking about the option of you going to a dental hygiene school to get your teeth cleaned, along with X-rays, both for your first cleaning and cleanings thereafter (especially if you need periodontal therapy every 3-4 months). Its much cheaper and the students are always in need of patients. It does take a bit of patience because the students are learning and the instructors need to check and re-check their work, this is actually a good thing, but financially it might be a good way to go. As far as the restorative work (fillings, crowns, etc.) you could go to a dental school, however I’m not sure if that is any cheaper than just going to the dentist. Do make sure a hygienist or a hygiene student cleans your teeth, they simply have more training than dentists in that area (unless the dentist was a hygienist before becoming a dentist). I don’t mean to put dentists down, its just that they have their specialty (restorative) and hygienists have theirs (preventive). Just being honest there! Anyway, I wanted to add this because it was on my mind!

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