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Page 10 of 46
Message Board (2269)
Message Board
Views: 23 | Replies: 1
in the NIH 'All of Us' research program, the researcher connects the dots between income, insurance, housing, mental/emotional health, and whether people get dental care. People aged 18-35 stood out: about one in three in this group did not see a dentist in the past year. This age group also
September 18, 2025
Evidence Based Dentistry
Message Board
Views: 143 | Replies: 6
Americas Dental Health Is in Trouble A recent TIME article highlights a worsening dental health crisis in the U.S., driven by policy changes and systemic issues. Approximately 27% of adultsabout 72 million peoplelack dental insurance, compared to 9.5% without health insurance. While Medicaid
June 06, 2025
Cariology
Message Board
Views: 455 | Replies: 19
Is there a way around billing through insurance for big cosmetic cases if you are in network with a patient's insurance? I have a patient wanting some cosmetic work done but they have Delta Dental and the reimbursement is just not worth the work and lab bill. Is there a form or something they can
June 10, 2025
Billing
Message Board
Views: 839 | Replies: 28
here. Most doctor's and dentist's offices are very small and simple, with minimal decor, limited equipment, and simple but up-to-date technology. But they get the job done and for a much lower cost. Most expats here don't even need health insurance, beyond a high-deductible plan for catastrophic events
June 12, 2025
November 2024
Message Board
Views: 39 | Replies: 0
care; benefit design and insurance coverage reflect that. What's at risk with upcoming Medicaid cuts Ohio and its residents in Appalachian southeast rely more heavily on Medicaid for dental care than much of the rest of the state. New federal cuts (part of the 'One Big Beautiful Bill Act' passed
September 11, 2025
Medicaid and Welfare Issues
Message Board
Views: 163 | Replies: 0
-authorizations (pre-estimates) to insurance. Proponents of Pre-Estimates argue that: - They help set expectations for patients and build trust. - They provide written documentation that can be used for appeals if claims are later denied. - They are especially helpful for major treatment plans
August 09, 2025
Claims Processing
Message Board
Views: 234 | Replies: 12
busy work. Biggest problem is when people change insurance and don't know and then 'remember' later. We find out after the resubmit doesn't pay. Delays payment a little bit, but oh well. I've also seen where the insurance co website will say they're not active, but we call and ask
September 10, 2025
Claims Processing
Message Board
Views: 259 | Replies: 11
This has probably been discussed, but since I couldn't find an easy way to find it, I'll ask. I've also just started learning the details of insurance this year, so please bear with me if this is basic. Patient with Delta had cleaning, prophy and periodic. I submit full fees and Delta has
August 20, 2025
Claims Processing
Message Board
Views: 1233 | Replies: 87
, fragmented trade in the 19th century into a profession dominated by physicians, and later by powerful institutions and corporations. He details how doctors gained authority, how hospitals, insurance, and Medicare reshaped care, and how corporate and bureaucratic forces eventually challenged physician
September 01, 2025
Public Health Dentistry
Message Board
Views: 1051 | Replies: 31
for pts from other insurances and cash. My schd and hyg schd are still full. I'm in a saturated city market btw. I'm not in fly over country. Also, check how many new Delta pts you're getting. I was getting flooded with them last year, when every decent office around me dropped them. Now they can go
October 12, 2025
Dental "Pearls"
Message Board
Views: 38 | Replies: 2
I'm not even sure the correct way to word this question, but we are changing the umbrella/TPA networks we are working with, so that the individual insurance companies will be changing which fee schedule they pay through. I can (somewhat) easily change which fee schedule is selected for each
July 22, 2025
EagleSoft
Message Board
Views: 456 | Replies: 8
more stress than benefits. DentalXchange wants to add their own payor ids that are different than what's on the pt's insurance card, they notify me of rejected claims two weeks after I submit them. My Aetna EOB's state they are in process two months after my EFT has hit my bank and it's hard
July 28, 2025
Front Office Discussion
Message Board
Views: 291 | Replies: 12
much that helps as insurance reimbursments differ from state to state and ours is on the low end. I did some quick math and on average 17.05 patients go through our practice every day. With the busiest days seeing 22 patients and the slowest days seeing 14 patients. My question is, realistically
September 17, 2025
Front Office Discussion
Message Board
Views: 748 | Replies: 22
or more weeks. I am in network with 2 insurances. Delta Dental premier and Paramount. Those are about 1/3 each of my practice. So 1/3 Delta, 1/3 paramount, and 1/3 other insurance or no insurance. Looking for options. Drop an insurance? Cut back staff and other expenses to reduce overhead and still
July 16, 2025
Ask a Dental Consultant
Message Board
Views: 155 | Replies: 3
How are Careington plans as a specialist? What is the difference between the PPO vs POS plans? Do you recommend if you are currently an out of network dentist? Careington is a large third party administrator that can pick up many insurance companies under their network. They can be a good fit
July 09, 2025
PPOs and HMOs
Message Board
Views: 1140 | Replies: 41
Hello! In 2023, I received a cease and desist from Delta Dental for speaking out. I plan to stand on the TEDx stage this fall and hold that very letter in my hands as I expose the real, documented harms of our current insurance system. Patients across the country need to understand that dental
August 06, 2025
Delta Dental
Message Board
Views: 199 | Replies: 6
Hello. I am currently working as an associate and about to acquire a FFS office. I know that I need to get off the insurance plans soon. Does anyone have a list of insurances and their required notification time? Is it difficult to get out of network? If I get out of network, will the insurances
July 30, 2025
Practice Acquisitions
Message Board
Views: 337 | Replies: 16
If you are in network with an insurance company, is it fraud to bill out 4 BWX and 2 PAs when you are actually taking a full FMX? I bet the insurance company would change it to FMX if it pays less for FMX. They have downgraded for me when I have done 4Bws and select PAs each insurance will look
June 25, 2025
Coding Q&A
Message Board
Views: 328 | Replies: 6
in Medicaid procedures and if it's worth it. http://www.dentaltown.com/MessageBoard/thread.aspx?s=2&f=142&t=238623&pg=1 I would suggest getting the fees at the 50-60% at least if you are going to be adding in insurance contracts and doing any type of negotiations. Several companies will only negotiate after
August 29, 2025
Ask a Dental Consultant
Message Board
Views: 877 | Replies: 25
Ok, so I put this in the insurance forum....not sure if that is the correct spot. Here is the deal. I have a patient who has a broken cusp on #5. He had a big DOL filling and the lingual broke off. I put in a pre-approval for a crown and post....and it comes back denied. The previous dentist
September 26, 2025
Claims Processing
Message Board
Views: 204169 | Replies: 100197
the trans lunatics, reality is their enemy. Some aren't worthy of refuting, and frankly a waste of time. You are onto something though....they are like the Trantifa folks in their almost complete denial of reality, or at least a complete distortion of truth. The truth is whatever they say
September 17, 2025
Politics
Message Board
Views: 213 | Replies: 7
UHC is auto recovering payments from previous claims States typically have a statute of limitations - they might not be legally allowed to do that! Do not even start to think that they would check every states insurance laws before pulling this. It's very challenging to do business nationwide
July 20, 2025
PPOs and HMOs
Message Board
Views: 226 | Replies: 0
decisions. To his surprise, the majority of patients expressed frustration with their insurance. Only around 10 percent threatened to leave, and according to him, most of those were the 'problem patients' anyway. Since going fully out-of-network, his numbers have been strong. In one month, the practice
June 30, 2025
Going Out of Network
Message Board
Views: 1554 | Replies: 55
love the idea of a FFS practice...It can be done but you gotta have a lot of money saved up to get started...I have been doing dentistry for over 20 years and one thing is for sure is that people that have insurance from their job want to use it...even wealthy people .....I had a neurosurgeon
June 18, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 296 | Replies: 21
ups etc, I never expect anyone else to pay so I'm hoping patients will be ok with it. Especially if they have a low fee insurance,i'm note trying to pay for there parking for sure :( I would probably pay for the parking for your existing patients for 1 year and let new patients pay for their own
June 24, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 74 | Replies: 3
I'm an independent contractor associate at one of the offices I work at. The owner Doc said the insurance carrier wants me to fill out a W9 and provide it to the insurance carrier. I work under my LLC (did not elect S corp). Do I provide my SSN, my LLC EIN, or the practice's EIN? Thanks Does
July 23, 2025
Claims Processing
Message Board
Views: 52 | Replies: 2
in this capacity? Also, we are currently stacking several insurances under Careington. From what the reps have said and what I can find online, there is no indication a contract with Decare would interfere in any of this. Really any information or experiences with them would be immensely valuable
July 30, 2025
PPOs and HMOs
Message Board
Views: 372 | Replies: 18
of at least some insurance networks, and roughly a quarter of general dentists do not participate in PPO plans at all. Delta Dental's Premier network covers about three-quarters of dentists nationwide, while its PPO network includes closer to half. That means many dentists are technically 'out of network
September 14, 2025
Hygiene Discussions
Message Board
Views: 2558 | Replies: 72
My team made it happen I would have to ask them. You already got the best insurance person here on DT to ask, Travis. Bob, I would love to see some example treatment plan with these fees. Its hard to believe you guys get those fees from insurances in DFW metroplex unless you are OON provider. Even
June 02, 2025
PPOs and HMOs
Message Board
Views: 386 | Replies: 19
Good morning,Im a PPO office but doing well with going back at insurances for negotiations, etc. Long story short, we have the problem of too many new patients, to which I shut down scheduling for about a month to catch up, reschedule sick patients, snow, etc.Now Im ready to open back up to new
July 28, 2025
Front Office Discussion
Message Board
Views: 1078 | Replies: 39
in the profit algorithm of a DSO is motivated to believe that profit is the only thing that matters at the end of a day week month year, or pay period. bill because its what the senior associate used to do: 4. It cant be wrong to do if you've done it that way for years and your insurance billing is on point
July 21, 2025
Billing
Message Board
Views: 442 | Replies: 22
a 4 chair practice so not a lot of room to grow. I have went through the typical thoughts of dropping some insurances or stop taking new patients with particular insurances ( DELTA) but I enjoy seeing the patients and want to be here when they need treatment, but the fact is I have probably 200
August 03, 2025
Hygiene Discussions
Message Board
Views: 544 | Replies: 9
We are paper claims now. I am seeing so many claims are missing in action as per insurance. I am planning to start e claim service Whats the best company to use with OPEN DENTAL ? We work 5 days a week and process at least 15 claims a day. Well, it pre corona era !!! My goal 1. Work
June 29, 2025
Claims Processing
Message Board
Views: 807 | Replies: 19
to control costs and increase profits by not just administering dental insurance but also delivering the care. The idea was to create a closed-panel, staff-model HMO, where Cigna would own the dental clinics, hire the dentists, and treat only Cigna-insured patients. Think of it like the Kaiser Permanente
August 15, 2025
Delta Dental
Message Board
Views: 127 | Replies: 3
has 2k coverage, that means the insurance will payout 2k and the patient pays the rest. I have seen however that in network fees will be like 4200 or 4600, so you may need to do some other things to ensure you get your normal fee I may be misreading your post, but you said your fee was $4500
July 31, 2025
Delta Dental
Message Board
Views: 1508 | Replies: 63
adjust fees as needed. how do yo charge the insurance company who pays by credit card? Why are you accepting those as a form of payment???? I don't - just curious and more and more insurance payers try to slip these payments in and takes time to get a real check You don't, you just refuse
July 28, 2025
Billing
Message Board
Views: 746 | Replies: 27
If long time patients leave the practice suddenly ...meaning cancel their 6 month appt and don't come in any more? Sometimes I wonder if it was me, the insurance etc etc Nope. Many, many times I have had long term patients leave, usually do to insurance change, and they end up coming back a year
July 24, 2025
Practice Management & Administrative Forum
Message Board
Views: 105 | Replies: 1
I am out of network with United Healthcare. Pts are being told by their reps and the actual insurance company that claims for cleanings are being paid out of network at 100%. One patient sent me what was sent to her. Its extremely misleading. In fact I have heard from patients
June 03, 2025
Claims Processing
Message Board
Views: 697 | Replies: 31
and prophy. Recall exam, 4BW, 2PA, prophy are $148.92. 2 surface composite $133.62. Crown $780.30. Prophy fee is $48.96 for example. Other insurances pay around 30% more than delta btw. I have a practice in rural Arkansas and cant justify paying my hygienists $60 an hour on those delta fees so Im
August 01, 2025
Front Office Discussion
Message Board
Views: 159 | Replies: 9
from the parents monthly and dental insurance is quarterly. Who figured out the payment schedule from the start of treatment? We took a thousand dollar deposit and then divided the remaining balance by 18 months. It was an easy case and it took us 1/2 of the time. Front Desk. We have only been
July 29, 2025
Orthodontics
Message Board
Views: 844 | Replies: 22
is the easiest thing to do.Lower prices and or do free dentistryYou will be incredibly busy until you go bankrupt.Many dentist favor this business model. They accept Medicaid, all insurances, have all kinds of discounts, offer free exams, free X-rays, etc. You will be very busy.Personally I prefer to make
July 10, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 599 | Replies: 25
it's super cold, and I might be catching a cold/flu. Would not bill insurance. Call it whatever you want to the patient and charge according to your time. D2982 is close but intended to be used when there is a failure of the material not the failure described here. THanks. I don't think
June 18, 2025
Coding Q&A
Message Board
Views: 150 | Replies: 3
I will be off for two weeks on vacation I give option for staff to takeoff and most of them do so they go on vacation at the same time This year my Hygienist wants to work . But not being able to submit periodic exam code., and being in network with insurance, it is a loss I am thinking
June 28, 2025
Practice Management & Administrative Forum
Message Board
Views: 599 | Replies: 31
, but Can I pass on the lab fee of Special Order Parts to patient? Or would delta consider this inclusive of the fee? Would appreciate any insight if anyone has been in a situation like this where special order parts are necessary and patient has PPO insurance. Thank you! what were you expecting lab cost
July 01, 2025
Implantology
Message Board
Views: 294 | Replies: 11
I have a fear of patients having buyers remorse on a treatment I recommend. Vast majority of my patients are heavily insurance driven and I know one step to get outside of that mindset is to create value, then often times the price doesnt matter as much. Im afraid if I talk a patient into paying
July 07, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 475 | Replies: 6
as helpful. We do not want your insurance to have a SEAT AT THE table when making the best decisions for your teeth. (What the option that got shortened should read) What you say about insurance, would be dependend on whether you are FFS/OON, no? It could impact it some. I think it can be similar
July 10, 2025
Going Out of Network
Message Board
Views: 886 | Replies: 47
for hygiene, which as of 2025 we are 3.5 hygiene days per week. Although very cramped it is working for now. I should also mention there is no room for expansion. We are now doing aprox 600k collection and only in network with 2 insurances, My op is booked for about 1 month with and we try to get
July 21, 2025
Practice Sales
Message Board
Views: 34 | Replies: 1
Just completed a RCT on #7ish. Its the gimpier of the two lateral incisors #7. ADA says to code supernumeraries as #7+50. Can I call this one #7 and the other #57. I foresee the Insurance co playing games. That's the way to do it. The only game insurance can play is if the patient's policy has
June 18, 2025
Coding Q&A
Message Board
Views: 43 | Replies: 2
can anyone confirm that dental PPOs do not cover accidentals, like as in if a patient bit down on something or had an accident? frequency limits tend to still apply. Thats not what is typicaly considered an accident. An accident is like a car wreck. I had a medical insurance cover crowns on a guy
June 09, 2025
PPOs and HMOs
Message Board
Views: 173 | Replies: 7
me out is the stagnant state of dental insurance payouts alongside the extreme rise in cost of dental materials, rising wages, services, etc.. over the years, overhead costs seem to continue increasing. Profits have become less. I spoke to a dental CPA who told me the office would bring in steady
June 10, 2025
Future Planning General Discussions
Displaying 451-500 of 2269
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Page 10 of 46
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