Insurance Information

At Fox Valley Endodontic Specialists we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please ask our staff. They are well informed and up-to-date. They can be reached by phone at Elgin Office Phone Number 847-742-9150.

We file paperwork for all dental insurance carriers.  We are not a participating dentist in any of the dental networks so are considered a non-participating dental provider.  We will be happy to assist you in determining the differences in cost between a participating and non-participating dental specialist.  In our experience filing dental insurance for our patients, we have noticed that  the “out of pocket” cost differential to our patients who require specialist endodontic treatment is very similar to the “out of pocket treatment” costs of a “participating” practitioner.

Please call if you have any questions or concerns regarding your initial visit.

Please bring your insurance information with you to the consultation so that we can expedite reimbursement.

You will need to know insurance code and standardized tooth number information if you want to personally or directly contact your insurance company to discuss your benefits and coverage for endodontic procedures. 

 Filing insurance claims for Endodontic procedures requires knowledge of the specific dental codes and the identification of the specific tooth in the mouth that is being treated (usually a generally accepted tooth numbering system of 1-32).  The codes for Endodontic procedures accepted by the insurance industry are as follows:

D3330 Molar root canal (excluding final restoration)

D3332 Bicuspid root canal (excluding final restoration)

D3331 Anterior root canal (excluding final restoration)

D3348 Molar root canal re-treatment (excluding final restoration)

D3347 Bicuspid root canal retreatment (excluding final restoration)

D3346 Anterior root canal re-treatment

D7510 Incision and Drainage

D3410 Apicoectomy/periradicular surgical endodontic procedure

D9310 Consultation (office visit and diagnostic service provided by a specialist dentist)

D00140 Limited oral evaluation (office visit) – problem focused

D0220 Intraoral – periapical first film

D0230 Intraoral – periapical each additional film

D0460 Pulp vitality tests

D3221 Pulpal debridement, primary and permanent teeth

D9440 Office visit – after regularly scheduled hours

D0170 Re-evaluation office visit – limited, problem focused

D3332 Incomplete endodontic therapy, inoperable or fractured tooth

 Generic tooth numbering system:

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Adult Teeth:

Upper Right                                                                         Upper Left

     1     2    3    4    5    6     7     8      9    10    11   12   13   14   15   16

Lower Right                                                                         Lower Left

     32   31  30  29  28  27   26   25    24   23   22   21   20   19   18   17  

 

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Primary Teeth:

Upper Right                                                               Upper Left

                            A   B   C   D   E   F   G   H   I    J       

Lower Right                                                               Lower Left           

                            T  S   R   Q   P    O   N   M   L   K

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