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smintzSpectatorI need a narrative for osseous surgery/ 4260 and implants/ 6010; does anyone have one that they can please share? Shalom.mintz@gmail.com
Thank youAugust 16, 2015 at 3:54 pm in reply to: narrative for osseous surgery/ 4260 and implants/ 6010 #25016
jantoonSpectatorD4260 may not apply when treating implants. The ADA sells the CTD book with the most current insurance coding information. CDT 2015 Dental Code book – ada.org. Adcatalog.ada.org/ Highlights below but best to purchase CDT. Also, insurance carriers have their own criteria and rules. Call and ask.
D6101: Debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure
D6102: Debridement and osseous contouring of a peri-implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces, including flap entry and closure
D6103: Bone graft for repair of peri-implant defect — does not include flap entry and closure. Placement of a barrier membrane or biologic materials to aid in osseous regeneration are reported separately
Robert Gregg DDSSpectatorDr. Dan Melker has recently represented that no one has ever re-entered a LANAP treated site to “prove” there is actually bone. I did so in 2005 and sent him the x-rays and the re-entry photos showing regenerated bone. He told me in a phone call he believed me there was indeed bone. As a result of that case, Dr. Melker invited me to his seminar in Flordia in 2005 (and Chicago later that year).
Now on the AAP Connect he is making false representations. Attached is the portion of the presentation I did in 2005 at his seminar in Florida. I’ve also attached a copy of the honorarium check from Dr. Melker.
[ATTACH]657[/ATTACH]
[ATTACH]658[/ATTACH]Dr Daniel Melker posts in AAP Connect, October 18, 2015:
“Of the first 300 Emdogain cases I did I reentered 240. I wanted to know exactly what my patients were paying for and more importantly did the procedure work. I can show repeated success stories with the protocol I used. Emdogain with Freeze dried demineralized bone and eventually Bio-Oss collagen. I don’t remember ever saying my way was right and others were wrong. Or my procedure is painless or what i get others can’t get unless they do it my way. Exactly how many of those doing LANAP have ever photographed a case before showing the defect and then reentered after LANAP? Would 0 be accurate. I won’t waste the time to go over what I recommended to Bob Gregg 15 years ago as a way to show exactly what was present after LANAP. Not in his game plan.
Below are just 3 cases but I could bore you with as many as you want to see. Clinically it looks like bone in defects that did not have any. But I have no histology to verify if in fact it was bone regeneration.”
American DentalSpectatorIs it possible to remove or reduce gum pigmentation with Periolase laser.
Thanks to all,
Mike Ziegler
ColeenSpectatorSince the 4260 code does not accurately describe the LANAP procedure for osseous surgery, we are getting questions from a dental insurance carrier. Has anyone had similar problems? How are you handling?
dshermanSpectator
Chillywilly1993SpectatorIs this practice still running? Just wondering…
Chillywilly1993SpectatorI’ve never had any accidents with a dental laser (touch wood!)
Chillywilly1993SpectatorHello
I’m new to the forum. Have my own cosmetic dental practice and looking to meet some like minded dentists! Anybody still here?
mhcokeSpectatorI was sent a email to go to this site
I was told in the email that within this forum there is a private Periolase thread for lanap users only.
It said i had to use a password to access itWhy can’t I find this??
Mark Corke DDS
jamalfitanoSpectatorI am a board certified periodontist in Michigan and got a request for records from Delta on a LANAP patient.
It doesn’t sound good from the above link. Does anyone have advice on what to expect next .
Audit ? Claw back ? Sued for fraud ? Jail time ?Thanks
dredalat657SpectatorCorrects your teeth & jaws that are misaligned through orthodontic braces treatment & porcelain veneers. We love to offer our patients the benefits of advanced new treatments that are proven to be effective and reliable.
jpotterSpectatorDoes anyone have information on use of Nitrous Oxide and or Oxygen while using nd:YAG laser? Is it contraindicated or can it be used safely? I was told during training that it was safe to use Nitrous Oxide but have heard otherwise on other forums.
kmacdonaldSpectatorThe attached x-ray is of #30 implant with advanced bone loss with infection. Implant was placed just 6 months ago and went down hill after the cementation of the crown. We did not place this implant. From your experience would you recommend trying to treat the situation with LANAP or removing the implant and starting over. I would recommend if treating with LANAP to remove the crown and place healing cap, would you all agree? Nobel Active 5.5 x 11.5. Patient has recently had knee replacement surgery and has already ended up in the hospital from the infection around the implant.
File attachments:
clongSpectatorI would definitely treat it, the best hope to save this implant. If you can easily remove the crown that facilitates the ease in performing LAPIP, however I have treated similar and not removed the crown. I like to decrease watts to 3.6 and be mindful of the LAPIP protocol and occlusion! There appears to be cement on the mesial at the collar, which would be good to remove. Worse case the implant fails, best case you are a hero. Good luck!
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