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Current Location: Delta Dental > Dental Providers > Processing Policies and Tips > Tips > X-rays
 

When to send x-rays

Determining the type of documentation to send with your claim

Approximately one-third of the claims Delta Dental receives with x-rays do not require x-rays for Delta Dental to make its claim evaluation. Unnecessary submission of x-rays can be costly and time-consuming for the dental office, and may actually delay processing of your claim.

Usually, Delta Dental requires x-ray documentation (or in some cases periodontal charting) only for the procedures listed below. On occasion, a dental consultant may deem it necessary, given the circumstances of a particular case, to request x-rays for procedures that are not on this list. X-ray documentation is requested only when absolutely necessary for determining benefits. If you don't need to have your x-ray copies returned, place "do not return" stickers on the x-ray mount.

Order free stickers by writing to: Delta Dental - MS WO1, P.O. Box 997330, Sacramento, CA 95899-7330.

Procedure codes that require x-ray submission

Restorative

D2390 Resin-based composite crown, anterior
D2510 - 2644 Inlay/onlay restorations
D2710 - 2794 Crowns - single restorations only
D2950 Core buildup, including any pins
D2960 - 2962 Labial veneers

Implant Services

D3460 Endodontic endoseous implant
D6010 - D6199 Implant procedures

Periodontics

D4249 Clinical crown lengthening - hard tissue

Prosthodontics, fixed

D6545 - D6634 Fixed partial denture retainers - inlays/onlays
D6710 - D6794 Fixed partial denture retainers - crowns
D6973 Core build-up for retainer, including any pins

Oral surgery

D7111 Coronal remnants - deciduous tooth
D7241 - 7250 Surgical extractions (includes local anesthesia, suturing, if needed and routine post-operative care)
D7261 - D7272 Other surgical procedures
D7540 Removal of reaction-producing foreign bodies, musculoskeletal system
D7560 Maxillary sinusotomy for removal of tooth fragment or foreign body
D7940 - D7949 Osteoplasty/osteotomy/LeFort I, II and III

 
     
   
 

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