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Dental Insurance and Billing Procedures Quiz

#1

What is the main function of dental insurance?

To help offset the cost of dental care
Explanation

Dental insurance aids in covering dental expenses.

#2

Which of the following is NOT typically covered by dental insurance?

Cosmetic procedures
Explanation

Cosmetic 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
Explanation

The 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
Explanation

A 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
Explanation

Coverage 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
Explanation

Pay-per-service is a common billing method in dental offices.

#7

What is a dental claim form used for?

To submit insurance claims
Explanation

Dental 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
Explanation

Pre-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
Explanation

Major 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
Explanation

EOB statements explain the patient's financial responsibility in dental insurance.

#11

Which coding system is commonly used in dental billing procedures?

CDT
Explanation

CDT is a common coding system used in dental billing procedures.

#12

In dental coding, what does the code 'D0120' typically represent?

Routine dental examination
Explanation

The 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
Explanation

The 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)
Explanation

The 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
Explanation

Coinsurance is the percentage of covered expenses a patient pays after meeting the deductible.

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