Practice Booster’s Dr. Greg Grobmyer discusses recent changes to dental insurance companies’ claims requirements for scaling and root planing (SRP) and other periodontal procedures. Learn how your office needs to document for D4341 and D4342, when to instead call it D4346 (gingivitis), what attachments and radiographs are appropriate for claims, how Artificial Intelligence (AI) plays a part, and how to minimize SRP claim denials!

Healthy tooth and unhealthy tooth with periodontitis with gum inflammation infographic. Help minimize SRP claim denials. D4341 and D4342 Periodontal Scaling and Root Planing Claim Requirements

Are you seeing an increase in denials or downgrades for periodontal services in your dental practice? While the criteria for staging and grading periodontal cases has not changed, many dental insurance companies have added to their list of requirements or criteria that must be met before they will pay a claim. Some of these criteria are things that need to be documented in the clinical notes, and some are things that need to be present on radiographs, particularly your bitewing set.

Dr. Greg Grobmyer will walk you through the recent changes to claim requirements for SRP and other periodontal services that he has seen with his clients. Learn how to minimize SRP claim denials. This podcast is now available in both audio and video formats.

Dr. Grobmyer is currently the Chief Editor of Dr. Charles Blair’s Dental Coding with Confidence book and Practice Booster’s Insurance Solutions Newsletter, a contributing editor to the Dental Administration with Confidence, Dental Technology with Confidence, and Dental Documentation with Confidence books, a course creator and lecturer for DentalZing.com, Practice Booster’s lead Revenue Enhancement Program Specialist, and host of The Dental Code Advisor Podcast.

Practice Booster is the leading resource for information on how to best utilize the CDT code set; featuring the Code Advisor database, the Insurance Solutions Newsletter, administration resources, coding support call center, UCR dental practice fee analysis, and more. Visit us online at https://dentalcoding.com.

The CDT codes are the property of the American Dental Association. Interpretations of the CDT codes in this podcast represent the opinions of our experts. Always refer to the latest CDT codes for use in your practice and contact the ADA directly for the ADA’s interpretation of the CDT codes. You are responsible for your own use of the CDT codes. For more information, refer to ADA.org.

Resources to Minimize SRP Claim Denials

• Dental Coding with Confidence and Dental Documentation with Confidence may be purchased in the Practice Booster Store found here: https://dentalcoding.com/shop/
• The Insurance Solutions Newsletter article on Updated Periodontal Documentation may be found by logging into your Practice Booster account and clicking this link. Note, you must hover over the bottom of the newsletter image to advance to the next page: https://dentalcoding.com/newsletter/cdt-2025-revised-and-deleted-codes/