Week 2 Flashcards
What does CDT stand for, and who maintains it?
Current Dental Terminology, maintained by the American Dental Association (ADA).
What is an Explanation of Benefits (EOB) in dental billing?
A statement from the insurance company detailing covered services, costs paid, and patient out-of-pocket expenses.
What is the primary difference between a PPO and HMO insurance plan?
PPOs offer flexibility in choosing providers, while HMOs limit patients to specific networks.
Define “deductible” in the context of dental insurance.
The amount a patient must pay out-of-pocket before insurance begins covering treatments.
What is the role of CDT codes in dental billing?
They provide a standardized code set for identifying and billing dental procedures, ensuring consistency across claims.
