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Navigating Dental Coding with Kyle: D6010—Implant Body Placement: Regular Platform Endosteal Implant


Attention! Effective immediately, reserve D6010 for standard platform implants exclusively, while mini implants must now be reported using code D6013.

Note: While dental insurance plans typically exclude implant coverage, some may fall under a patient's medical insurance.


Pro Tip: When contacting a patient's dental insurance provider, specifically inquire about implant coverage to avoid surprises.


Beware: Dental insurance companies may invoke a missing tooth clause if the natural tooth was lost before the patient's enrollment, potentially denying benefits for implants and similar restorations.


Important: Billing surgical exposure with healing abutments separately is essential for smooth claims processing.


Heads up: Reimbursement for surgical exposure and/or healing caps, alias D6011 Second Stage Implant Surgery, varies across insurance companies, with most plans limiting coverage to placement costs.


Reminder: If a patient exhausts their annual maximum but still has implant coverage, the insurance provider won't contribute to the procedure cost. Be prepared!


Don’t forget to join our vibrant community of dental office managers, where support, collaboration, and growth thrive. With over 15,000 like-minded professionals, our Facebook Community is a hub for knowledge, inspiration, and camaraderie. Together, we empower each other to navigate the dynamic landscape of dental office management, share the best practices, and elevate our collective expertise. Join us in shaping the future of dental office management and unlocking the possibilities for success! 


Author Bio

With over 22 years of experience in the dental field, Kyle L. Summerford has honed a unique approach to case presentation and patient acceptance. As a seasoned dental office manager and financial dental consultant, he leverages his expert knowledge to assist both new and struggling dental practices. Through his education programs, Mr. Summerford empowers staff members with effective patient education skills and persuasion techniques, significantly enhancing overall case acceptance rates. 


Driven by a passion for teaching and sharing knowledge within the dental community, Mr. Summerford has lectured at numerous Continuing Education (CE) events and prestigious academic institutions, including Stony Brook University, the New York City County Dental Society, and Georgia Regents University. His expertise is further recognized through his self-authored articles in his renowned dental coding column, "Dental Coding with Kyle." 


Mr. Summerford is also the founder of the Dental Office Managers Community and www.dentalofficemanagers.com. These platforms serve as invaluable resources for dental professionals, fostering connections and facilitating the exchange of knowledge among peers.


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