Periodontal Maintenance (D4910): Get Patients and Payers to Pay-up

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Getting reimbursed for Periodontal Maintenance (D4910) is a pain. Insurance denies the claims, and the patients don’t think they should have to pay.

However, improving your reimbursement for Periodontal Maintenance doesn’t have to feel like an uphill battle. Do it right, and you can add thousands of dollars to your bottom line. It’s about so much more than just submitting claims. It all comes down to an easy-to-implement strategy. You just have to know how…

This is where dental hygienist and expert educator, Kathy S. Forbes, RDH, BS, can help. During her 90-minute online training session, she’ll walk you through exactly how to get paid more of what you deserve for the Periodontal Maintenance services you provide.

Kathy’s 90-minute online training session will provide you with frontline examples of how you and your entire team can better communicate with patients regarding their treatment and insurance benefits. You’ll learn how to improve patient compliance and reimbursement, implement audit-proof documentation/charting guidelines to improve your ability to overturn insurance denials, and expand your team’s knowledge about how to best interact with and bill insurance payers to get more of your Periodontal Maintenance claims paid.

Here are just a few of the actionable Periodontal Maintenance reimbursement strategies you’ll receive by attending this 90-minute online training session:

  • Utilize the new AAP (American Academy of Periodontology) Classifications of Staging and Grading to better justify services and boost reimbursement
  • Boost reimbursement for Periodontal Maintenance (D4910) and nonsurgical therapy (D4341/D4342) procedures with accurate ICD-10 diagnosis code selection
  • Must-have hygiene services documentation language that limit your denied insurance claims
  • Identify how perio charting helps improve patient compliance and insurance payments
  • Reduce claim denials by more accurately matching the dental hygiene “cleaning” procedure (there are 7 of them) you use with the various AAP classifications of oral disease.
  • Incorporate simple patient benefit education to boost commitment to treatment and payment
  • Avoid inadvertent patient expectations (and disappointments) for insurance reimbursement
  • And so much more…

If your dental practice is not receiving 25% of its overall revenue from your Periodontal Maintenance and other dental hygiene services, YOU’RE LOSING MONEY. Implementing periodontal procedure expectations, as well as clear treatment plan requirements, including concise documentation, communication, and accurate coding, can most certainly improve your overall revenue and profitability.

Research shows that 71% of American dental practices do not perform annual full-mouth periodontal charting or ongoing periodontal maintenance. As a result, dental problems are not being identified and you are missing opportunities to help your patients AND increase your practice’s revenue. Basically no one wins. It doesn’t have to be this way.

Important: This program has been approved by the AGD/PACE program. Dentists who are members of the Academy of General Dentistry may use the credits in that organization as well as for state licensure requirements in their states, if applicable. Dental hygienists may use these credits for state licensure requirements in their states, if applicable.

To claim credits for AGD membership, submit your name, practice address, and AGD member number to

Register for this Periodontal Maintenance reimbursement online training and get the tools you need to maximize your patient care AND profitability. Don’t wait, sign up today.

Meet Your Expert

Kathy S. Forbes
RDH, BSPresident, Professional Dental Seminars, Inc

Kathy has been a dental hygienist, educator, speaker, author, consultant, seminar and study club leader for over 30 years.

She speaks frequently about the correct classification, documentation, treatment planning, procedure code selection and long-term case management for patients with periodontal disease. She is provides continuing education to state Dental Hygiene associations, the U. of Washington and Oregon Health Sciences University CDE programs as well as dental offices throughout the Pacific Northwest. Her engagements also include presentations to ADA/CODHA Annual Meeting, ADHA Annual Meeting and RDH Under-One-Roof.

Kathy is a contributing author for the Insurance Solutions Newsletter, a national publication for Dr. Charles Blair and Associates, where she addresses issues related to dental hygiene procedures and proper billing practices as well as articles on similar topics published in RDH Magazine.

She currently services on the Ad Hoc CDT Working Group for ADHA, reviewing current and potential procedure codes related to dental hygiene practice. During her long career in education she most recently taught the first year Periodontics curriculum and first year clinic in the Dental Hygiene Program at Pierce College in Tacoma, WA as well as the Teaching Practicum Series for the Eastern Washington University’s Degree Completion program (at Pierce College) for licensed dental hygienists seeking their Bachelor’s Degree.

Kathy and her husband recently moved to Colorado after spending 2 years in Southern California where she served on The California Dental Hygienists’ Association’s Task Force investigating and developing procedure codes and definitions which better reflect established dental hygiene treatment protocols.


Helpful information. Handy visuals.
Tracy Barta
AP manager, West 10th Dental Group, PC
The webinar was good, went smoothly.
Nicole Lundy
Regional Hygiene Consultant, Midwest Dental