The Dental Billing Podcast

Dental Billing and Diagnosis Codes with Ericka Aguilar

• Ericka Aguilar • Season 7 • Episode 3

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Are you leaving money on the table due to incorrect dental billing? Ever wondered how diagnosis codes can make a difference in your practice? As your host, Erica Aguilar, I bring to you a comprehensive guide on the significance of these codes and how to pick the right one from the CDT book. We delve into the importance of documenting a diagnosis during the exam for payment qualification and how to ensure your clinical documentation is not just current but compliant. 

Ever had a patient confused about the difference between a prophy and a gingivitis cleaning? Not only will we explain the necessity of code D4346 for gingivitis cleaning, but we'll also highlight how a lack of correct documentation can lead to revenue loss for your practice. We take a closer look at how insurance companies are responding to preventive measures like gingivitis cleaning. We also introduce the PREVISOR program for dental risk assessments, discussing uses of D0602 and D0603 codes for the CARRIES risk assessment, and how to enhance benefits through Delta Dental with the PREVISOR program. Get ready to step into a new era of dental billing and codes!

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
ericka@dentalbillingdoneright.com

Email Jen:
jen@dentalbillingdoneright.com

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)


Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com


Speaker 1:

Hey friends, welcome back to another episode of the Dental Billing podcast. I'm your host, erica Aguilar, and in today's podcast episode, we are actually going to take you into an Instagram live training that we did for our Instagram family yesterday and it was on the topic of integrating diagnosis codes on a dental claim form. This is going to start to pop up more and more in dental billing and, as I mentioned in this training, diagnosis codes are here to stay. Medical billing already uses diagnosis codes, and dental billing typically trends a few years, sometimes a decade, behind medical billing. Diagnosis codes are here, friends. We need to get comfortable using them. We need to know whose responsibility it is to place a diagnosis code into the patient's chart, and we talk about all of this and then some, in today's episode. I also wanna mention that I have a bonus topic at the very end, probably the last 10 minutes of this episode, so stay tuned, make sure that you stick around and take notes, because we are going to talk about everything diagnosis codes in this episode. Without further ado, let's get on with the show. I think it's really important, as dental billers, as we transition into this new world of incorporating diagnosis codes on our claim forms, it's very important that we understand that A diagnosis codes are here in dentistry and they're not going anywhere. They are here to stay and there's certain trends that start to happen, things that change, one of which is going digital. Back in 2007, 2008, medical had already been digital. Medical was already interacting with the different disciplines, interdisciplinary. They were doing so digitally, and dentistry tends to follow behind medical trends. So, with that being said, it's really important that we understand dentistry is now following another dental trend I mean medical trend which is incorporating the use of diagnosis codes. So, again, it's not going anywhere, friends, it's here to stay and you're just hurting your career if you don't know how to incorporate the diagnosis codes. I took notes, I have notes because I really wanted to be prepared for you guys today and I really want to make sure that, as you walk away from this training, you understand how to incorporate diagnosis codes for your particular practice management software.

Speaker 1:

Okay, so the first thing I want to discuss here is to define what a diagnosis code is In dentistry. We have procedure codes. We have, more accurately, current dental terminology codes, cdt codes. This is a procedure code and forever in dentistry, the way that we bill is we the doctor documents what they did he or she did with no rhyme or reason documented. So we have the procedure documented. We don't have a diagnosis documented and we create this narrative for the qualification of payment, right? So I want to pause there, like let's talk about that a little bit. Your narrative is not legal documentation and I've said this before. Your narrative, if it is not deriving from your doctor's clinical notes, then what we are doing is only convincing the insurance company that we qualify for the payment based on no clinical documentation.

Speaker 1:

So if we go through an audit, we will fail because in order to be fully compliant when you are billing, we need A, a diagnosis, a reason why the doctor is recommending that particular procedure. We need that to be documented in the exam. We need the clinical notes to support the diagnosis and then we need the clinical notes to support the procedure we are placing on the claim, right? So there are several areas that several components that go into compliantly billing a claim. The area that the ADA, the American Dental Association, is asking us to step up on is diagnosis codes. Friends, we're all billers here and we all need to understand that we cannot just be placing procedures on a claim without a documented diagnosis.

Speaker 1:

I have been a stickler over the years not putting a procedure code on a claim because the clinical notes not being written right. So that's how we have operated for the most part in dentistry is the fact that we sometimes we don't have any clinical documentation. I've seen people behind in clinical documentation, doctors behind in clinical documentation as far back as a month. How do we let our clinical documentation get that far backed up? I have no idea, maybe you're still in paper charts, but certainly we don't wanna be that far backed up Now. Every time there's a shift in billing or in dentistry it is requiring us to level up right. So now, if you cannot pick out the reason why, if you cannot go to the back section and I'm gonna talk about this in a second so this is the CDT 2024 book. Back of the book we have dental diagnosis codes or diagnosis codes that are more appropriate for dental procedures, and I'm gonna elaborate that in a second. So if you cannot go to the back part of your CDT book and you cannot pick out the appropriate diagnosis code because there is no diagnosis documented and you're just assuming the diagnosis, you have to remember that it is not compliant to say that we did a filling due to decay, unless it is documented in the examination, right? So I wanna just kind of bring that home as we are transitioning, as dentistry is evolving with dental billing, and for those of you that are evolving with the changes, then congratulations, welcome to the new world of billing and dentistry.

Speaker 1:

Icd-10 codes are here. They're not going anywhere, and as we progress over the years because we are in the very early stages of transitioning or moving towards using CPT codes medical CPT codes, you know getting more involved with the medical billing process for dental procedures that is the way we're trending. What is the diagnosis code? The diagnosis code is also an ICD-10 code, and ICD stands for the International Classification of Diseases, and this is the 10th revision. So I remember learning about medical billing, like in 2007., and it was medical billing for dentists. It was very few of us that were doing it and I remember we were learning through ICD-9. And I believe it was October of 2015 when it was revised to the 10th edition, and so, as things are revised, it will continue to evolve, but right now we are in the ICD-10 edition and that just translates to diagnosis code.

Speaker 1:

Okay, so how do you incorporate diagnosis codes into your practice or into your business as a remote dental building business. Really simple You're going to reach out to your practice management software and you're going to find out if they have an on-demand training or if there's an area they need to activate, depending on the version of the software that you are in. The older versions may need the software IT department to go in there and manually activate that section. So, again, if you're trying to incorporate diagnosis codes, which you should, then you're going to call your practice management software and ask them to show you how to add your diagnosis code to a claim form.

Speaker 1:

Now let's talk a little bit about where does the diagnosis code come into play in the patient's interaction right, like, who's supposed to be adding it? Is it the billers job? Is it the assistants job? Like, whose job is it to put the diagnosis code there? So I'm going to speak to those of you that are doing digital exams, and a digital exam is when the assistant is documenting, highlighting the tooth and then highlighting the procedure that is required for that tooth. So let's just go traditionally how exams are right now. The assistant will highlight the tooth and then highlight the procedure right or click on the procedure code that is required.

Speaker 1:

So let's just say that number nine needs a root canal. So the assistant would click on number nine and then click on the procedure code D3310. And 3310 is documented, but there's no diagnosis, right? So this is what I'm talking about how would you be able to place a diagnosis code on the claim form if there was no diagnosis documented? And so now, moving into 2024, we have to have this information on our claim forms. Not required, not mandated by most insurance plans just yet. But again, my dental billing company is starting to see denials.

Speaker 1:

I'm going to read you a denial that we received for composite fillings and they did not have the diagnosis code on the claim form. And so they kicked it back to us and said we need some diagnosis codes here and otherwise it doesn't qualify for payment. So how and who is supposed to put the diagnosis code on the claim form? Technically, friends, the responsibility for coding overall and I'm going to kind of throw a curveball at you the responsibility overall is on the clinical team, right? So technically, as the assistant is documenting for the doctor's exam, they are supposed to be accurately coding the diagnosis, and that's why we make all those nice pictures for the assistants to click on when they're doing the exam with the doctor, right? So if it's a root canal, we have a little picture of a tooth that has a root canal so that they know that that's the right code. So we don't expect our assistants and our doctors and our clinical team to know their codes, but it is expected that they are accurately documenting the correct as close to possible the correct code.

Speaker 1:

The way, in a perfect world, this would work in a dental practice is doctor would diagnose a root canal, let's just say a number 15. And so the assistant will highlight number 15 and then, rather than going straight to the procedure code, they would then go to their diagnosis codes. And this is we can make this very simple they can type in the diagnosis code in most cases. So let's just say that number 15 needs a root canal D3330. And the assistant will now have to ask the doctor for the diagnosis. So what is the reason for the root canal? And that I'm going to have it written down here, because I don't have my diagnosis codes written memorized, because this is very code specific. So let's say that the diagnosis is irreversible, pulpitus, and I'll get to your question in just a second, jesse. Then the assistant would highlight irreversible pulpitus and then highlight the procedure code. Then the diagnosis code will auto populate as the main reason for that procedure on the dental claim form.

Speaker 1:

Currently, we only have four areas where we can place. If you look at your 2019 dental claim form, it's just above the remarks section. We only have four areas where we can tell the story in diagnosis codes. In medical they have many more options to put their diagnosis codes there, but unfortunately in dental we're very restricted. When your assistant is documenting the diagnosis or the reason for a procedure, it'll auto populate on the claim form as the main reason for that procedure.

Speaker 1:

Let me go back to this question here, hi. Let me see here Can those codes be added to the multi-codes icon? Diagnosis codes are very specific to a patient's need. We're not going to auto attach a diagnosis code to a procedure code. This is very patient-specific. It is going to be the responsibility of the assistant to document and attach, at the time of the exam, the appropriate diagnosis code. No, I don't believe that we can attach diagnosis codes to the multi-codes or to the explosion codes. I know exactly what you're talking about. You're talking about when we do a root canal post-buildup crown and we have that all in the multi-codes. I don't believe that we can do that because, again, it will be specific to that patient's diagnosis. Moving on from that. That's the root canal example.

Speaker 1:

Once again, I just want to recap really quick. As a dental billing company, we have started to receive denials for lack of diagnosis codes. The most recent one I will read that to you here this was for D2331 and D2332, so anterior composites. Thank you for submitting the enclosed claim. Upon review, we found that one or more of the international classification of diseases, 10th revision, icd-10 diagnosis codes are missing from this claim. You guys, this was for fillings. If you don't want to believe that this trend is happening it's coming down the pipeline then wait to be one of those offices that is going to see a huge uptick in denials. Just try and get your diagnosis codes right and try and get them on there.

Speaker 1:

Let's talk about why the ADA is doing this. Why is the ADA having us incorporate ICD-10 codes on a dental claim form? It provides stronger evidence evidence-based billing towards the reason as to why we did a procedure. So, again, if we need to have a diagnosis code on the claim form, we will need to look for it in the notes. If it's not there, then we can't place the diagnosis code. Therefore, we may end up with a higher amount of denials or rejections. This is a rejection telling us hey, get your ICD-10 code on this claim so that we can actually get you paid.

Speaker 1:

This was from SIGNA friends. So, signa, I don't know if this was a self-funded plan or a fully insured plan, and that's a whole other conversation. So I'm pretty sure this was a self-funded plan. But you want to make sure that we are following ADA guidelines in the sense that they're saying hey, we're still in the early stages of this, let's get the ICD-10 codes going in dental billing, and that's also going to mean that our clinical documentation is going to need to incorporate the reason why I see a lot of billers on here, dental billers specifically. You guys talk to me Like you know how many times have we tried to bill a crown and we don't know why we're billing it. We don't know how to structure that narrative. Is this crown due to open margins? Is this a new crown? A lot of times we don't get that information. So now that it is going to be required, we are definitely going to want to start to ask our clinical team to step up and start documenting the reason for each procedure, because placing a diagnosis code does require that clinical documentation.

Speaker 1:

Okay, so let's talk about a couple of things. So let's talk about my favorite code. Let's talk about D4346. Okay, what is 4346? Hi, Alexis, 4346 is your gingivitis cleaning.

Speaker 1:

A lot of offices are not using this to their benefit and we are not incorporating this the way that we should into the hygiene department. Why? Because when this code first came out in 2015, it was paid as a pro-fee and a lot of times I see a lot of offices that their standard of care is to bill to benefit, not to bill for what they actually do. So we want to bill for what we do not bill for benefit, Right? So D4346 is definitely one of those codes that gingival inflammation cleaning or gingivitis cleaning, is definitely one of those codes. As a biller, I see not being utilized and we're talking about missing out on anywhere from. You know it could be $50 to $100 for incorrect clinical documentation not supporting the fact that we did a gingival inflammation or gingivitis cleaning. So this is, oh my gosh. I could do a whole lesson on D4346.

Speaker 1:

But going back to the fact that it was downgraded to a pro-fee. And because it was downgraded to a pro-fee, I think that a lot of offices were not able they weren't educated enough to charge the patient the difference to what we were actually doing. So explaining to the patient that maybe you have, that they have gingivitis and there's bleeding present, and that's going to change the code that we use and it's no longer a traditional cleaning, getting the patient to appreciate that the fact that they are not, they don't qualify today for a regular cleaning. And here's why I think also the front office didn't know how to charge the patient the difference, or didn't know that they could. They just thought, since the insurance company downgrades this code to a pro fee, we cannot charge the patient the difference to the 4346, and that's where we are losing money in the hygiene department. So, going back to how this kind of fizzled out, a lot of offices stopped using 4346 because they were billing to benefit and we were not charging the patient for what we were actually doing. And to take that a step further, our clinicians were also documenting to benefit. So if our hygienists were documenting to for what they actually did, we could then place the code 4346 on a claim form. So really, really important that we understand we need to document for what we do, make sure that the diagnosis supports what we do, and then we code for what we do and we charge the patient for what we do.

Speaker 1:

So here's where I see a lot of offices miss the mark with the difference between a pro fee and a gingivitis cleaning. Because I think you're going to see, once you kind of get the hang of how to incorporate this into a practice, you're going to understand why placing a diagnosis code on this claim is so important. So the if the patient has has no bone loss and they are they just suffer from chronic gingivitis and they have bleeding moderate bleeding during a pro fee, that is not a pro fee, that is a gingivitis cleaning. And the challenge becomes how do we educate our patients when they are scheduled to come in for a pro fee? Right, so they're scheduled to be here for a pro fee.

Speaker 1:

And now the hygienist realizes this is a gingivitis cleaning. She gets the doctor. The doctor agrees, gives that stamp of diagnosis approval, because we do need a diagnosis. And we then talk to the patient and let the patient know this is a different type of cleaning. The question then becomes well, what if the patient has to pay out of pocket and they didn't expect to pay anything at this visit? I think it's really important that we stop. We stop absorbing that burden and we kind of put that on the patient. We have to allow our patients to make decisions right and have them get more involved in their healthcare decisions. So on the clinical side, I think the clinical team should just be educating the patient as to what's going on in the mouth and the type of cleaning that they need, and then allow the front office to explain how this new code is going to work with their benefits and allow the patient to make the decision for themselves.

Speaker 1:

Now let's say that the patient moves forward and wants to do the gingivitis cleaning and, by the way, a lot of insurance companies are not downgrading the 4346 to a 1110 any longer. They're actually paying your gingivitis cleanings, sometimes at 100%. So I think insurance companies have realized that paying for a gingivitis cleaning is it's preventive. It's more of a preventive measure because gingivitis is reversible. So those are smaller claim payments, right, and they want to avoid making the larger claim payments, because once we get to periodontal disease and needing SRPs, then we get into larger insurance payments and so we want I think insurance companies have realized that so now they are paying it more along the lines of for what we're doing.

Speaker 1:

So let's say that your patient is here and they need a gingivitis cleaning and it's due to chronic gingivitis plaque induced, then our diagnosis code for that would be K05.10. And that would not be our responsibility as billers to place that on the claim form. Once again, when a diagnosis is, when a procedure is recommended, we have to have a diagnosis that goes along with that procedure. So the diagnosis code would be chronic gingivitis plaque induced. There are several gingivitis diagnosis codes that we can pick from and we want to make sure that we are asking our clinical team which diagnosis is appropriate for this procedure code right? So very, very important.

Speaker 1:

I want to reiterate before I move on. I want to reiterate that your diagnosis codes are in the back of your CDT book. Okay, there are I forget how many tens of I want to say like 60,000, there's thousands and thousands of diagnosis codes. What the American Dental Association has done for us in Dentistry is they have pulled from that big book of codes and they have created this section in the back that are more common dental diagnosis codes. As you learn, this is very introductory to us in Dentistry.

Speaker 1:

Okay, as you learn how to navigate through this new section in the back of your book, stick to the back of this book. Do not go away from this book. Try and use that big book unless you're super familiar with medical and dental billing, and there's very few of us out there that know both of them, right? So just make sure that you are very careful and just stick to this. Okay, and understand that right now it is not mandatory with the mainstream fully insured plans, right? However, you will start to see denials and I don't want you to be behind the trend. I want you to get ahead of the trend and incorporate your diagnosis codes into your billing process and understand how to navigate through the back of this book here.

Speaker 1:

Okay, and I mean just get curious. You know, start now, take an exam and just challenge yourself. Go to the back of the book and challenge yourself, maybe, and read the clinical documentation and see if you can find the appropriate code for that procedure that was diagnosed or recommended. I want you to find the diagnosis code for that. So challenge yourself to start doing that before 2024, because if you are in office, that is billing Medicare. You know, you're already familiar with this, because Medicare does require diagnosis codes on those claims, not Medicaid Medicare Maybe in some states Medicaid does, but I know for a fact if you're billing Medicare then you are already placing diagnosis codes on the claim. Okay, so I want to add a quick bonus, and I'm going to need you guys to write something down.

Speaker 1:

There is a program out there and it is called PREVISOR P-R-E-V-I-S-E-R. So PREVISOR is a tool that is ADA approved and it gives us a report that incorporates three assessments. Okay, so the first one is your CARES risk assessment. Your second one is your oral cancer screening assessment and your third one is going to be your PERIO assessment. So risk of PERIO, risk of oral cancer, risk of CARES. Now, based on the results through PREVISOR for the CARES risk assessment, you can add your CARES risk assessment code to your exams. And let's take HUMANA HUMANA will pay an additional $99 for the CARES risk assessment, but it has to be submitted with the PREVISOR report.

Speaker 1:

Now, previsor is a free tool. It is. There is no charge to the dental practice. You just download it and every time a patient comes in for a new patient exam. You will ask the patient a series of questions provided by PREVISOR and then PREVISOR will give you an assessment or a risk assessment report If part of that report is CARES risk assessment. So D0602 or D0603, there is also D0601, but D0601 typically is not going to be covered. So if it's like very little risk, usually the insurance companies are not going to pay for it.

Speaker 1:

So you do need to use the PREVISOR tool because it is approved by the American Dental Association and it is a very handy tool also to increase case acceptance around PERIO, to increase case acceptance around the CARES risk assessment. So it's a really nice tool for the patient to have. So you would print one, give one to the patient and then also maybe put one in the patient's document center or wherever you would put the patient's electronic documents. So I hope that that has helped you guys, because this has helped the our offices increase collections for services that you are already providing. You just don't have the right tools.

Speaker 1:

So again, if you do decide to incorporate the CARES risk assessment, then there is a CARES risk assessment, dental CARES. It's actually on page 115 of the CDT book in the back and it is the Dental CARES. So if you do decide to incorporate your Dental CARES risk assessment codes onto your exams which you should, because you are doing this and say the patient has moderate risk then you would incorporate your PREVISOR. You would oh my God, I just drew like you would incorporate the PREVISOR risk assessment results report. You would have to attach that to the claim form and you would use the diagnosis code Z91.842. And so, yes, tanya, it can be used. It should be used in pediatric. I think that PEDO 100% because you're you're that's what it's all about in PEDO right Is like CARES risk assessment based on many of the risk factors that are outlined, and this is a science.

Speaker 1:

This, this, the questionnaire, was not created by I don't know, just just anybody. It was actually created by a group of dentists and there is a intentional science behind the outcomes. And so PREVISOR now here's the best part Like it gets even better through PREVISOR. Ok, and this is like been a secret sauce of mine for a minute and I thought about sharing it this whole year. I was like should I share it? Should I not share it? I don't want to get it into the hands of people that are going to abuse it. But you know what there's more good than bad out there. So let's, let's all, let's all use it.

Speaker 1:

So here's the thing Previsor is connected directly to Delta Dental and Delta Dental has what's called enhanced benefits and you can only access these enhanced benefits through Previsor. Okay, so let's say that your patient needs four periomaintenance cleanings per year and they have Delta Dental and Delta. You submit Delta C's that their risk of perio is high. Based on the Previsor risk score, delta automatically releases those benefits to the patient. Right? I cannot give you an entire training here, but Delta and Previsor are directly. They are directly correlated. They have a program together. So enhanced dental benefits through Delta Now, it is not available in all states.

Speaker 1:

Okay, so when a patient has the moderate to high risk factors for perio and they have a Delta Dental plan that is not in a state that Delta offers enhanced benefits, then you can always bill for the Cary's risk assessment, because you are also doing a Cary's risk assessment through Previsor. So when you are billing for the enhanced dental benefits, you can also bill. Delta will also pay for the oral hygiene instructions. They, yes, they will. They will also pay for tobacco counseling they will pay for oh my gosh, there's so many enhanced benefits that are offered through Previsor. But it has to be accessed through Previsor.

Speaker 1:

So I want you to go to Previsor, get a copy of it, start incorporating it into the practice and give the patients their risk factors, because it's also gonna educate the patients as to what's going on in their oral health right when they have a high perio risk assessment. This is also helping to motivate the patients to do the treatment. So, again, if you go to Previsor and you go believe, through Delta Dental, it's called how, health and health and wellness, health and oral wellness. So it's called how, through Delta Dental, and it is an enhanced dental benefit program that a lot of people don't know about. And your girl here is gonna do the research and I'm gonna find the stuff. So that is one of the area, one of the secret sauces that I've kind of kept in my back pocket for a minute, but I wanna share it with you guys. So, okay, you will still need a diagnosis code for that. So don't get left behind. Start incorporating your diagnosis codes and if you have any questions and you wanna learn how to incorporate this into your practice, then reach out to me. I'm happy to give you some guidance on that and, once again, thank you guys for joining me in this live. I always appreciate the support and I will continue to try and provide valuable information. Thank you, ladies. We will definitely be in touch.

Speaker 1:

So you guys? Previsor, I think it's Previsorcom. Hold on, let me just double check. Did you guys find it? Has anybody found it? Previsor. Yeah, previsor, p-r-e-b-i-s-e-rcom, and there's a section in there for trainer resources. Go do this. Let's see here. Okay, cool, you did, betty. Great, let's see. So this is Previsor support and you'll see a copy of the report that you get with the risk assessment for tooth decay risk, gum disease risk, oral cancer risk, and it'll give you a score. So I'm really hoping that you guys will take advantage of this. So go to Previsorcom. Thank you, betty. Yes, please do. Please incorporate it. It's going to be a game changer, this report.

Speaker 1:

Let me just remind you guys, when you are submitting D0602 or 603, a couple of things If you want. When you submit it, I suggest that you submit it with a zero fee on the claim form, because it's not always a covered benefit and a lot of times they will push the balance or they will push the responsibility over to the patient, and so I suggest that you submit it with a zero fee. This is not one of them that. Or if you don't want to do that, you can always. You can always put the D0602 and 603 on your breakdown of benefits and you can find out in advance if this is going to be a covered benefit. I am a stickler for charging for what you do, so if it's not a covered benefit, I might charge the patient $20 or something like that, or you can just incorporate it into your process, but it's totally up to you. But sometimes, when it does get, when it's not a covered benefit, the EOB will reflect that the patient's responsibility is whatever you sent it in as. And if you don't intend on, if you don't want to have the patient be fully responsible for whatever the fee is, then you can just submit it with a zero fee.

Speaker 1:

All right, that is all I have to say about that, and I really enjoyed this live. Yeah, medicaid is probably not going to cover this, tanya. So this is going to be more of a fully insured or self-funded plan, but Medicaid is probably not going to cover this and I certainly know even if you sent in a pre-visor report, it's not going to cover it. So maybe not for Medicaid, and if you're talking about PEDO, you're probably a Medicaid office. So, yeah, unfortunately, I wish I could change it. But your patients that have straight mainstream PPO, yeah, you'll probably see that half of them are going to cover this. So I hope that was helpful.

Speaker 1:

Everybody. I mean we all got to learn from each other and we all got to try right. We got to try and get our doctors paid what they're worth, because you know insurance companies don't do that. So, again, if you guys have any questions, feel free to hit me up. This was fun for me. It's a Friday night. Oh my gosh, it's Friday night and I'm doing a live about pre-visor and diagnosis codes. All right, friends, I am going to end the live and this will be turned into a podcast episode. So go over to the Dental Billing podcast and show your girls some love. If you are a fan of the podcast, please leave me a review. That certainly helps me, and I think we're like in 32 countries now, and so my number two country is Germany, and then I forget who my number three is. I know India is up there, so I've got a lot of fans in India and, yeah, I really enjoy this. I'll talk to you guys later. Bye-bye.

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Ericka Aguilar

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