Oral and Maxillofacial Surgery Billing

Touseef Riaz

January 28, 2022

Oral and Maxillofacial Surgery Billing

The oral and maxillofacial surgical procedure treats the complex dental issues and conditions connected with the teeth, jaws, mouth, and face. A large part of the practice is centered around facial reconstructive medical procedures, facial injury medical procedures, and dental strategies, including the jawbone such as wisdom tooth extractions and dental braces or implants.

What Is Oral and Maxillofacial Surgery?

Oral and maxillofacial medical procedure envelopes an assortment of systems that include a medical procedure of the mouth (oral), jaw (maxilla), and face (facial). Specific individuals see the oral and maxillofacial medical procedures as a revamped type of dental medical procedure, yet the practice is far more different from what the dentists can perform.

Oral and maxillofacial specialists (OMSs) train as dental specialists goes six more years of schooling, including two to achieve a physician certification or medical degree (M.D.).

A few oral and maxillofacial specialists set out on additional preparation to do the facial restorative medical procedure, treat conditions connected with disease, perform the microvascular medical practice of the head or neck, or intrinsic right face and skull irregularities in kids (like congenital cleft palate and lip ).

Depending on the condition, oral and maxillofacial medical procedures might proceed as a long-term, short-term, emergency, elective, or scheduled procedure. OMSs regularly work closely with different specialists (like muscular specialists, careful oncologists, or otolaryngologists) to treat complex conditions or, in some cases, including extreme head or facial injury.


What is an Oral and maxillofacial surgery billing service, and why choose UControl Billing?

Oral and Maxillofacial surgery billing service also changes, and it has radical changes in this approach for the treatments procedures and diagnosis like other medical specialties. Medical billing companies are in great demand after the Covid-19. The greater need is that medical billing companies and physicians collaborate and access incisive and advanced medical technology.

UControl Billing is one of the best billing companies in the United States. Our responsibility is to provide the best outsourcing medical billing services with our certified and experienced staff. We have the professionals of Oral and Maxillofacial billers and coders, who have an exceptional track record of efficient billing and coding.

Value delivery to physicians

We can complete the doctors who want to outsource their medical billing and coding with accurate charge capture, mind-boggling coding methodology, electronic track of claims, patient billing, refusal, and dismissed claims. Our medical company provides updated guidelines for oral and maxillofacial surgery billing coding guides. We offer the following benefits:

  • Improvement of the income cycle
  • Apparent expansion in collection rates
  • Easier patient inflow and references
  • The expanded roadway for research and creative work by physicians

Efficient groundwork

UControl Billing provides you with error-free medical billing and medical coding without any delays in the claims processing. Our experts of Oral and Maxillofacial medical billing and coders will offer the following credentials:

  • They are Certified from The American Association of Professional Coders (AAPC)
  • They are familiar with medical billing software such as Medic, Medisoft, Lytec, Misys, NextGen, etc.
  • They are experts in coding software like CodeLink, EncoderProetc, and FLashcode.
  • They can comprehend and apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines.
  • They will provide you with a successful track record of processing medical bills with leading commercial carriers such as WellPoint, Aetna, United Health, Humana, Blue Cross Group, HCSC, UControl Billing, etc.
  • They have the ability to apply the successful Medicare and state-specific Medicaid policies and negotiate with them if needed.

With such an inclusive experience and competence, we can ensure error-free coding, the speedy and denial-free realization of physicians’ medical bills, and faster submission of invoices.

Encompassing the entire range of medical procedures

Our specialist medical billing professionals have in-depth knowledge of the whole idea of Oral and Maxillofacial billing services. Their codes are uniquely poised to bill the entire range of medical procedures with many payors. Following is an exhaustive list of such practices:

  • The treatment and diagnosis of constant facial pain disorders, finding the treatment of painful cysts and cancers, analysis and therapy of temporomandibular joint (TMJ) issues, and determination and treatment of dysgnathia.
  • Dento-alveolar surgery and pre-prosthetic surgery provide better anatomy for implant placement, diagnosis, and treatment of oral, head, neck cancer, and other dental prostheses and dentures.
  • Clinical Splint and careful treatment of sleep apnea, surgery to embed Osseo incorporated bone fused dental implant, maxillofacial implants for connecting craniofacial prostheses and bone-anchored hearing aids, and corrective medical procedure restricted to the head and neck.

Furthermore, such methodologies have effectively been billed and claimed with private insurance companies like UnitedHealth Group, UControl  Billing, Wellpoint Inc. Group,  Aetna Group, Humana Group, HCSC Group, Independence Blue Cross Group, and public plans like Medicare and Medicaid.


There are not many definite contraindications to oral and maxillofacial medical procedures other than to endure general anesthesia. Other forms of anesthesia can be used, such as local anesthesia, intravenous sedation, or regional blocks.

There are relative contraindications that might avoid explicit elective strategies. Cases like these are assessed exclusively, gauging the advantages against the dangers. Among the circumstances of concerns are as follows:

  • Hypertension/ Blood pressure (B.P.)

When the systolic strain is 180 mmHg or higher, the diastolic tension is 110 mmHg or higher.

  • Extensive osteonecrosis (bone death)

Certain malignant growths or cancers might metastasize, assuming that a medical procedure is performed.

  • Active infections, which should be treated for a medical procedure or surgery, can be performed.

Potential Risks

As we know, all surgeries are complex and have potential risks. Every minor procedure like tooth extraction also has risks and complications. Other factors in the surgical technique expectations include excessive bleeding, scarring, post-infection after the surgery, and anesthesia reaction. Oral and maxillofacial surgery also has several risks, especially in facial trauma, which includes:

  • Unexpected changes in facial features or appearance
  • Changes in jaw placement
  • Changes in airflow through the sinuses and nose
  • Injury of facial nerves, which might cause numbness, loss of facial muscle control, or continuing nerve pain
  • Alveolar osteitis: Also known as dry socket, this is caused when blood coagulation doesn’t shape or is lost at the site of tooth extraction before it has the opportunity to recover.
  • Condensing osteitis: Bone aggravation in the jaw described by torment with development
  • Tissue necrosis (tissue death), for the most part, is brought about by the extreme limitation of bloodstream to tissues following a medical procedure.

Purpose of Oral and Maxillofacial Surgery

The oral and maxillofacial medical procedure is utilized to treat a wide scope of conditions influencing the craniomaxillofacial complex containing the mouth, jaws, face, neck, and skull.

The systems can be comprehensively characterized as symptomatic/helpful, dentoalveolar (including the teeth, gum, jawbone, and mouth), reconstructive, or cosmetic surgery.

Analytic and restorative systems include:

  • Mandibular joint a medical procedure:

It is used to fix or reposition the jaw to treat temporomandibular joint (TMJ), masticatory outer muscle (pain while biting), or consuming mouth syndrome.

  • Maxillomandibular osteotomy:

It is the careful repositioning of the upper and lower jaw to breathe and treat obstructive sleep apnea.

  • Radiofrequency needle removal:

It is a slightly obtrusive strategy utilizing high-frequency radio waves to cut off nerve pathways that trigger trigeminal neuralgia, headache, and comparative constant pain disorders.

  • Septoplasty with turbinate reduction:

A therapeutic system includes fixing a septum and evacuating nasal bones and tissues (turbinates) to work on breathing, diminish snoring, and treat sleep apnea disorder.

  • Tumor/Cancer resection:

It is the careful expulsion of notable developments and masses that are harmful and dangerous.

The dentoalveolar methodology includes:

  • Dental implants:

The procedure includes straightforward endosteal inserts into the jawbone and subperiosteal inserts placed under the gum but over the jawbone.

  • Orthognathic surgery: Also known as corrective jaw surgery, used to fix or straighten the misaligned, uneven jaws.
  • Pre-prosthetic bone grafting:

The careful implantation of autologous bone separated from the patient gives a solid establishment for dental embeds or embedded hearing gadgets, similar to a cochlear implant.

  • Wisdom tooth extraction: It is a surgery that requires the evacuation of bone around the foundation of the third molar.

The reconstructive methodology includes:

  • Craniofacial surgery:

It is used to address innate distortions like a congenital cleft or craniosynostosis (the untimely melding of bones in a child’s skull). Moreover,  to fix traumatic cracks that incorporate jaw breaks, cheekbone cracks, nasal breaks, eye attachment cracks, and LeFort breaks of the mid-face.

  • Lip reconstructive surgery: Used after the evacuation of skin disease of the lip to restore the lips.
  • Microvascular reconstructive medical procedure:

It is used to reroute blood vessels after the evacuation of growth in individuals with head and neck cancer.

  • Skin grafts and flaps: A methodology utilized after skin cancer medical procedure in which skin is either taken from one more piece of the body to supplant resected tissues or somewhat eliminated and repositioned to cover a nearby area of resection.

Which of the oral maxillofacial surgeries is covered by insurers?

The insurers can cover the accompanying strategies:

  • Oral surgeries to remedy a non-dental physiological condition bring about a severe impediment.
  • Oral surgeries for the extraction of cancers, tumors, and cysts of the maxilla, mandible, and encompassing tissues
  • (blisters and growths related to the teeth are not covered).
  • Dental administrations for the maintenance (not substitution) of sound and regular straightforward endosteal inserts teeth, maxilla, mandible, and encompassing tissues following unintentional injury (excluding wounds brought about by eating, gnawing, or chewing)
  • Treatment should be delivered within a year of the injury.
  • The accidental injuries should be reported.
  • Pre-and post-accident x-rays are required.
  • Teeth were steady and functional promptly preceding the hour of the accident without proof of decay, periodontal illness, or endodontic pathology.
  • Careful evaluation of affected hard teeth. Note: This advantage is restricted to clear lines of business; indicate to the part explicit advantage when it will be included in the document.

Dental administrations that are therapeutically important and occurrence to a covered clinical benefit include:

  • Extraction of teeth before radiation therapy of the head and neck
  • Extraction of teeth coincidental to decreasing a crack of the jaw
  • Dental assessment before significant medical procedure o Reconstructive medical procedure and uniting strategies related to oral respective medical practice whenever finished simultaneously as a respective medical procedure (excluding substitution of teeth.
  • Obturators and obturator prosthesis after resection medical procedure
  • Evacuation of odontogenic growths or cancers >1.5 cm.
  • Evacuation of benign tissue neoplasms of the lips, tongue, sense of taste, the floor of the mouth, and vestibule (e.g., fibromas, mucoceles, etc.)

Insurance companies will audit demands for dental administrations delivered:

For the accompanying administrations when conveyed related to dental administrations:

  • Dental services
  • Oral surgical services
  • Anesthesia services related to dental administrations.

By experts of the accompanying claims to the following specialties:

  • oral/maxillofacial medical procedure
  • pediatric dentistry
  • endodontics
  • orthodontics

Preferential choice of specialists

Suppose your doctor refers you to an oral and maxillofacial specialist; it is possible because of a particular method of the medical services supplier or dental specialist you are visiting. It doesn’t imply that the condition is intrinsically more extreme. Instead, the methodology would profit from an expert prepared to work on the facial features through the specific endosteal inserts constructions of the face, jaw, mouth, and skull.

Assuming you are intrigued with our Oral and Maxillofacial billers and coders with a comprehensive collection of administrations, individual doctors, facilities, medical clinics, and demonstrative focuses across the U.S. have held them for their specific clinical billing needs. Fundamentally, with the deep knowledge of medical billing and coding diversity. These two are the backbone of medical healthcare organizations. they can play a pivotal role in realizing doctor’s visit expenses, doctor’s clinical proficiency, and patient inflow and connections.

Assuming you want an OMS for your medical practice, talk with your insurance agency or utilize the nearby web-based finder presented by the non-benefit American Association of Oral and Maxillofacial Surgeons (AAOMS). You can contact UControl Billing and ask for our help with your medical billing services. We are here to assist you 24/7. Feel free to contact us!


  • What comes under Oral and Maxillofacial Surgery?

Oral and Maxillofacial Surgery is the specialty of dentistry that incorporates the analysis, careful treatment of conditions, impairments, and deformities. It additionally includes both the useful parts of the mouth and benign tissues of the oral and maxillofacial region.

The oral and maxillofacial surgical procedure involves the reconstructive medical procedure of the face, facial trauma surgery, the oral cavity, head and neck, mouth, and jaws, just as a facial cosmetic or corrective medical procedure.

  • What are oral and maxillofacial services?

The maxillofacial medical procedure is a unique specialty that combines clinical and dental science. This part of a medical procedure envelops systems that treat injury and ailments affecting the head and neck, except for the brain parts. The maxilla is the significant bone of the center face which formulates the upper jaw.

  • Do oral surgeons take checks?

It varies from organization to organization. But generally, if you do not have insurance coverage or assignable insurance, payment is due in full on the day of service unless other arrangements. Oral surgeons accept Visa cards, MasterCard, and Credit cards for your convenience, and they can also accept cash or a personal check. Regular

  • Is oral and maxillofacial surgery the same as dentists?

A dental specialist is an overall expert on oral health and can analyze and treat typical dental illnesses. An oral and maxillofacial specialist works in oral medical procedures, eliminating affected wisdom teeth, unsettling teeth extractions, setting dental implants, bone joining, and significantly more. Oral and maxillofacial specialists are dental experts who treat conditions, deformities, impairments, and chic (aesthetic aspects) of the mouth, teeth, jaws, and face. Their preparation includes a 4-year medical degree and 4-year hospital surgical residency program.

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