Perio Maintenance Insurance Narrative

A Word narrative for D4910, periodontal maintenance, addressed to the dental claims consultant. It states that the patient has a history of progressive bone loss and lists prior treatment with blanks and dates for extractions, bone grafts, scaling and root planing, periodontal maintenance, periodontal surgery, and implant placement. It then explains why that history supports maintenance visits every three months.

Send it when a carrier questions or denies periodontal maintenance frequency. The sample file has a patient name, date of birth and member ID at the top, so clear them and enter your patient’s information and treatment dates from the chart before attaching it to the claim.