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Rule Component Refresher

Quiz by Jayda Leritz

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21 questions
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  • Q1
    How many prophylaxes does this member get?
    Question Image
    3
    4
    1
    2
    300s
  • Q2
    What is the benefit time limitation for prophys?
    Question Image
    Per 6 months
    Per 24 months
    Per Calendar Year
    Per 12 months
    120s
  • Q3
    What are the codes that count towards the maximum benefits for prophys?
    Question Image
    1110, 1120, 4346
    1110, 1120, 4355
    1110, 4910, 4355
    1110, 1120, 4910
    300s
  • Q4
    What is the frequency on implant prosthetics?
    Question Image
    1 per 24 months
    1 per lifetime
    1 per 60 months
    NCB
    300s
  • Q5
    What is the frequency for code D3320?
    Question Image
    1 per 24M
    1 per CY
    1 per 12M
    NCB
    300s
  • Q6
    What is the frequency code for D4266?
    Question Image
    NCB
    1/12M
    1/36m
    1/24M
    300s
  • Q7
    What is the frequency for a periodic evaluation?
    Question Image
    2 per 12
    2 per CY
    NCB
    1 per CY
    300s
  • Q8
    What is the frequency for limited evaluation?
    Question Image
    NCB
    2 per CY
    1 per 12
    1 per CY
    300s
  • Q9
    Does the periodic evaluation share a frequency with limited evaluation?
    Question Image
    Yes
    No
    300s
  • Q10
    Can sealants be covered under this plan?
    Question Image
    No
    Yes
    300s
  • Q11
    Which age below can get sealants under this plan?
    Question Image
    16
    15
    300s
  • Q12
    Which tooth is not covered for sealants?
    Question Image
    3
    13
    2
    14
    300s
  • Q13
    What is the frequency for sealants?
    Question Image
    1 per 36 months
    1 per 12
    1/6M
    1 per lifetime
    300s
  • Q14
    What is the frequency limitation for periapical x-rays (D0220 and D0230)
    Question Image
    2/24 Months
    NCB
    Unlimited
    1/12
    300s
  • Q15
    What is the frequency limitation for perio maintenance (D4910)?
    Question Image
    2 per 1/CY
    4 per 1/CY
    1/24M
    NCB
    300s

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