In 1st Look, how many times can D0145 be billed for children aged 6 months to 36 months?

• A. Once by a medical provider and once by a dental provider
• B. Twice by a medical provider
• C. Three times in one year
• D. Not billable

Answer: (A)

The concept tested here is how early pediatric oral screenings coded as D0145 are billed under the First Look program. D0145 is a brief oral evaluation for a patient under 3 years old. In First Look, this screening can be billed in two different settings within the eligible age range of 6 to 36 months: once by a medical provider and once by a dental provider. So, the child can have two D0145 billings in a year — one in the medical setting and one in the dental setting. This arrangement supports early detection and coordination of care between medical and dental teams.