X-Rays
Did you know that approximately one-third of the x-rays we receive with claims are not necessary? Save time and money by sending x-rays only when needed with claims for your Delta Dental Premier® and Delta Dental PPOSM patients.1 Below is a list of the only procedures for which we need an x-ray copy attached with the claim.
We do not generally return x-rays and other supporting documentation. So it is important to not submit original x-rays especially if they are the only diagnostic record for your patient. Duplicate films and x-ray copies of diagnostic quality, including paper copies of digitized images are acceptable.
Procedures That Require X-Ray Submission
| D2710-2794 | Crowns - single restorations only |
|---|---|
| D2950 | Core buildup, including any pins |
| D6055-6077 | Implant-supported prosthetics |
|---|
| D6710-D6794 | Fixed partial denture retainers - crowns |
|---|---|
| D6973 | Core buildup for retainer, including any pins |
Why We Need X-Rays
For some procedures, x-rays help us determine if treatment is covered under the patient's benefits plan. For example, a consultant reviews a preoperative x-ray when a claim is received for a cast restoration to see if the contractual criterion has been met for coverage: that so much tooth structure has been lost from caries or fracture that a direct amalgam or resin restoration would not be an adequate restoration.
- 1 These x-ray guidelines apply to your Delta Dental Premier and Delta Dental PPO patients with coverage through or administered by Delta Dental Insurance Company (Alabama, Florida, Georgia, Louisiana, Mississippi, Montana, Nevada, Texas and Utah) and Delta Dental of California, Delta Dental of Delaware, Delta Dental of the District of Columbia, Delta Dental of New York, Delta Dental of Pennsylvania/ Maryland and Delta Dental of West Virginia.
