Week 2 Flashcards
(5 cards)
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.
