Diagnostic

D0274: Bitewings - Four Radiographic Images

Four bitewing radiographic images.

Get help with D0274 claims →

When to use D0274

Adult recall patients

Standard for adults with full posterior dentition during periodic examinations.

Caries detection

Four bitewings provide complete coverage of all interproximal surfaces in the premolar and molar regions.

New patient exam

Often taken as part of a new patient examination alongside a panoramic image or complete series.

Common D0274 denials

These are the denial reasons we see most often for D0274. Each one is preventable with proper documentation.

⚠ Frequency limitation

Most common denial. Plans typically allow once per 6-12 months. Verify last date of service.

⚠ Bundled with D0210

If a complete series was taken the same day, bitewings are included and cannot be billed separately.

⚠ Downgraded to D0272

Some plans only cover two bitewings. The payer pays D0272 and the patient may owe the difference if the plan allows balance billing.

Documentation checklist for D0274

Number of images

Confirm four images were actually exposed.

Clinical indication

Document reason: caries detection, monitoring restorations, bone level assessment.

Caries risk

Record the patient's current caries risk to justify the frequency interval.

Billing four bitewings correctly

D0274 is a single code for four images. You do not bill D0270 (single bitewing) four times. You do not bill D0272 (two bitewings) twice. One D0274 covers the entire set of four bitewing radiographs.

If the patient cannot tolerate a standard bitewing holder and you need to take the images differently, the code is still D0274 as long as four bitewing-type images are captured. The code describes the output, not the technique.

Downgrades and alternative benefits

Some plans apply an "alternative benefit" clause and only pay for D0272 (two bitewings) even when four were medically necessary. In these cases, document why four bitewings were required and inform the patient they may have an out-of-pocket balance for the remaining two images. This is a benefit limitation, not a clinical error.

Related codes

Stop losing revenue on D0274 claims

Our team handles D0274 billing daily. We know the denial patterns, documentation requirements, and appeal strategies that get claims paid.

Get a free AR analysis →