Rule Component Refresher
Quiz by Jayda Leritz
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21 questions
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- Q1How many prophylaxes does this member get?3412300s
- Q2What is the benefit time limitation for prophys?Per 6 monthsPer 24 monthsPer Calendar YearPer 12 months120s
- Q3What are the codes that count towards the maximum benefits for prophys?1110, 1120, 43461110, 1120, 43551110, 4910, 43551110, 1120, 4910300s
- Q4What is the frequency on implant prosthetics?1 per 24 months1 per lifetime1 per 60 monthsNCB300s
- Q5What is the frequency for code D3320?1 per 24M1 per CY1 per 12MNCB300s
- Q6What is the frequency code for D4266?NCB1/12M1/36m1/24M300s
- Q7What is the frequency for a periodic evaluation?2 per 122 per CYNCB1 per CY300s
- Q8What is the frequency for limited evaluation?NCB2 per CY1 per 121 per CY300s
- Q9Does the periodic evaluation share a frequency with limited evaluation?YesNo300s
- Q10Can sealants be covered under this plan?NoYes300s
- Q11Which age below can get sealants under this plan?1615300s
- Q12Which tooth is not covered for sealants?313214300s
- Q13What is the frequency for sealants?1 per 36 months1 per 121/6M1 per lifetime300s
- Q14What is the frequency limitation for periapical x-rays (D0220 and D0230)2/24 MonthsNCBUnlimited1/12300s
- Q15What is the frequency limitation for perio maintenance (D4910)?2 per 1/CY4 per 1/CY1/24MNCB300s