Dental Claims are entered on the Post Charge screen just like Medical Claims with a few differences.
On the Charge Entry screen, select Dental for the Claim Type.
Quadrants, Tooth Numbers, and Surfaces are entered in the Modifier fields.
When the Charge is Saved, a second entry screen will display to enter additional information.
Additional information about the dental procedure(s) can be added on this screen.
In the screenshot as shown above, select the Click here link to modify the fields on a paper Claim.
To modify a Procedure or Modifier, select the Modify button on the Encounter Dashboard.
To modify the Dental fields: Ancillary Claim Info, Tooth Status, and Tooth Information, select the Dental Fields link on the Encounter Dashboard to make changes to these fields.
For Paper Claims, select the Click here link to modify the fields.
Additional instructions on completing the ADA paper claim form (external link:
ada_dental_claim_form_completion_instructions_2024.pdf