#1
What is the main function of dental insurance?
To help offset the cost of dental care
ExplanationDental insurance aids in covering dental expenses.
#2
Which of the following is NOT typically covered by dental insurance?
Cosmetic procedures
ExplanationCosmetic procedures are usually not covered by dental insurance.
#3
Which of the following is NOT a factor that affects dental insurance premiums?
Type of dental procedure
ExplanationThe type of dental procedure typically does not affect dental insurance premiums.
#4
What is a common term used to describe the amount a patient pays for a specific service at the time it is rendered?
Copayment
ExplanationA copayment is the amount a patient pays for a specific service at the time it is rendered.
#5
Which of the following is NOT typically included in a dental insurance policy?
Coverage for emergency dental care
ExplanationCoverage for emergency dental care is not typically included in a dental insurance policy.
#6
What is a common billing method used in dental offices?
Pay-per-service
ExplanationPay-per-service is a common billing method in dental offices.
#7
What is a dental claim form used for?
To submit insurance claims
ExplanationDental claim forms are used to submit insurance claims.
#8
What is the purpose of a pre-authorization in dental insurance?
To approve coverage for specific procedures
ExplanationPre-authorization approves coverage for specific procedures in dental insurance.
#9
What is the typical waiting period for major dental procedures in dental insurance?
1 year
ExplanationMajor dental procedures often have a one-year waiting period in dental insurance.
#10
What is an EOB (Explanation of Benefits) statement used for in dental insurance?
To explain the patient's financial responsibility
ExplanationEOB statements explain the patient's financial responsibility in dental insurance.
#11
Which coding system is commonly used in dental billing procedures?
CDT
ExplanationCDT is a common coding system used in dental billing procedures.
#12
In dental coding, what does the code 'D0120' typically represent?
Routine dental examination
ExplanationThe code 'D0120' usually represents a routine dental examination in dental coding.
#13
What is a common term used to describe the amount a patient must pay out of pocket before dental insurance coverage begins?
Deductible
ExplanationThe deductible is the amount a patient must pay before dental insurance coverage begins.
#14
Which organization is responsible for creating and maintaining the CDT (Current Dental Terminology) codes?
American Dental Association (ADA)
ExplanationThe American Dental Association (ADA) is responsible for CDT codes.
#15
What is a common term used to describe the percentage of covered expenses a patient pays after meeting the deductible?
Coinsurance
ExplanationCoinsurance is the percentage of covered expenses a patient pays after meeting the deductible.