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Jonas Jones
#1 Posted : Wednesday, November 14, 2012 2:55:18 PM(UTC)
Jonas Jones

Rank: New Member

Joined: 11/14/2012(UTC)
Posts: 6

We had a patient come in for a sleep screening. He decided after the exam not to proceed. I sent medicare a claim for the exam and a pan x-ray. They sent it back saying that Box 32 was incorrect. Box 32 has our medicare DME NPI # and address. Box 33 has our dental NPI # and the same address. The claims were made using the dental NPI #. As a dentist can we bill for exams and xrays to Medicare and if not can we use our DME NPI # to do so. Or are we out of luck? Thanks, Jonas Jones



DentalWriter
#2 Posted : Wednesday, November 14, 2012 2:57:38 PM(UTC)
DentalWriter

Rank: Advanced Member

Joined: 9/12/2012(UTC)
Posts: 56

Was thanked: 3 time(s) in 3 post(s)
Hi Jonas Jones,

Medicare DME will not pay for exam and x-rays only for the oral appliance. There is no need to go through changing any of your NPI information. The department that would pay for exam and x-rays if found medical necessary would be Medicare Plan B.
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