At a glance
- Dental care may occur in a dental office, hospital setting, nursing facility, home, telehealth context, or another location.
- The place-of-treatment value, treating provider, service location, and procedure information should make sense together.
- Place-of-treatment reporting is standardized on the current form, but plans can have additional benefit or documentation rules for services delivered outside a typical dental office.
Common settings can differ
Dental care may occur in a dental office, hospital setting, nursing facility, home, telehealth context, or another location. The claim should match the setting documented for the service.
Review location with provider data
The place-of-treatment value, treating provider, service location, and procedure information should make sense together. A mismatch can be a sign that a saved template was reused without enough review.
Use the current code instructions
Place-of-treatment reporting is standardized on the current form, but plans can have additional benefit or documentation rules for services delivered outside a typical dental office.
Dental-claim review
- Use the 2-digit professional Place of Service code that describes where treatment occurred.
- Verify the code against the current CMS POS code set and the dental plan’s billing instructions.
- Check that the treatment location and treating-provider address are not contradictory.
Sources and verification
Use the ADA source below for the current 2024 Dental Claim Form and completion guidance, together with the dental plan’s requirements.
Related guides
- What Is the 2024 ADA Dental Claim Form?
- Understanding the Main Sections of the ADA Dental Claim Form
- Patient Information on the ADA Dental Claim Form
Try the software
MedClaimSoftware’s ADA Dental Claim program is designed for the current 2024 form and can save/retrieve claim data and print from Windows. A limited-use trial is available without a credit card. ADA Dental Claim software.