Forums Other Topics Consultation Review A Conversation with Delta Dental

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    sagoodell
    Spectator

    Hey guys,

    I just got off the phone with Tom McClelland.

    Our situation is that we are finding it necessary to become participating providers again, but we need to get this issue surrounding LANAP figured out first. I have approached Delta from the perspective of an office manager who is just looking for guidance so that we can move forward and change our participating status. I played dumb.

    It has taken more than a month and I have been shuffled around lke crazy, but today, out of the blue, Tom McClelland called me. I have the conversation on tape.

    Here is the scoop: he told me that we can bill S/RP, the appliance, the occlusal adjustment and the perio exams and put the “laser part of the procedure” in a D4999 code. They will deny that “until such time as they are satisfied with the science” and we CAN bill it to the patient.

    Dr. McClelland told me that if I have any problems with this to call him directly through his assistant, Jason.

    Just thought I would let you all know.

    Sam

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