Question

How often will dental plans pay for D0150?

Although the descriptor makes it clear that D0150 can be billed if the patient has been inactive from the practice for three or more years or has had a significant change in health condition, many dental plans still only pay D0150 once per dentist. Some allow payment once every three years. Others simply allow two evaluations per year, regardless of the type of evaluation. A few plans will override their frequency limitation if documentation shows a significant change in health history.

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