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Searching: insurance denials
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Page 18 of 46
Message Board
Views: 97 | Replies: 3
Wren you hire an associate dentist , how do you submit the claims the first few weeks when they are in the process of going in network ? Second part, if the associate works in another dental office and already participates with insurance, will that participation be applied to our office as well
June 29, 2025
Practice Management & Administrative Forum
Message Board
Views: 2530 | Replies: 57
Managers manage PEOPLE. Tasks for a manager: Hiring Firing Training Discipline Payroll Setting goals and helping motivate the team to reach them Tasks NOT for managers: Collections Insurance Treatment Planning Answering the phones Not a dumb question! I wish more doctors asked. So many give
June 12, 2025
Pediatric Dentistry
Message Board
Views: 70 | Replies: 2
that they are their to take care of the patients oral health or the patients wallet? As far as buying an office that currently is signed on with insurance contracts, I am sure any ratio could be made to work. But, if PPO collections is only 20% of total collections I am sure that pathway would be easier/quicker to get to FFS if you wanna be ffs, buy 100 precent ffs or as high as ffs ratio as you can
February 20, 2026
Practice Acquisitions
Message Board
Views: 13 | Replies: 0
what lease terms create the best value for your real estate? Here are the ideal lease terms that you should push for: Long term lease - ideally a 10 year initial term if possible (the longer the lease, the more valuable the building) NNN - tenant should cover all taxes, insurance, and maintenance
April 09, 2026
Practice Acquisitions
Message Board
Views: 6 | Replies: 0
what lease terms create the best value for your real estate? Here are the ideal lease terms that you should push for: Long term lease - ideally a 10 year initial term if possible (the longer the lease, the more valuable the building) NNN - tenant should cover all taxes, insurance, and maintenance
April 09, 2026
Practice Sales
Message Board
Views: 8 | Replies: 0
what lease terms create the best value for your real estate? Here are the ideal lease terms that you should push for: Long term lease - ideally a 10 year initial term if possible (the longer the lease, the more valuable the building) NNN - tenant should cover all taxes, insurance, and maintenance
April 10, 2026
Practice Acquisitions
Message Board
Views: 1438 | Replies: 56
). Extra short needles are less expensive and easier to come by and work very well in comparison to the TNN IO technique. Use all of Dr. Tuttles info, but use the ESNIO instead of the patented TNN needle bender.Try ESNIO today! All Utah dentists who carry malpractice insurance through PIE
June 08, 2025
Endodontics
Message Board
Views: 246 | Replies: 7
months ago to another dentist nearby which we got the records request and we sent them over. Apparently the patient asked what would be charged and if it would be done at no charge or if insurance would cover it again etc, not exactly sure but clearly shes concerned about the cost. I thought
July 02, 2025
Restorative Dentistry
Message Board
Views: 605 | Replies: 17
already been ref to perio. I'm just curious, what could be done here? Pt admits that it hurts to brush there, so looks like he avoids it judging by the inflammation and decay on 11. It was done at a local corporate, same day the billed gingivectomy, rct, bu and crown. Insurance hx has all sort
October 14, 2025
Periodontics
Message Board
Views: 209 | Replies: 9
. Even with our usual marketing, the new practices popping up are using those insurance networks to pull my long-term patients away. Since the population isn't expanding, I have to get much more aggressive with internal marketing to keep the 'moat' around my practice. We already do a No-Cavity Club
February 04, 2026
PPOs and HMOs
Message Board
Views: 105 | Replies: 5
. The result is predictable. Preventive care drops, emergency visits rise, and small problems become large ones. But geography is only part of it. The study makes clear that access is also shaped by economics and insurance. Many of the areas with the worst access also have higher poverty rates and lower
April 19, 2026
Demographics
Message Board
Views: 42880 | Replies: 1046
using school, insurance, DSO... as excuses. Why shouldn't more people go into dentistry if they understand that it will take at least 5 years post dental school to become a financially successful dentist while enjoying dentistry and having fun. Don't believe me? Just watch Tommy and Fletcher's videos
September 25, 2025
General Discussions
Message Board
Views: 5278 | Replies: 300
lower wages. Oversupply does not cause immediate collapse; it removes upward pressure permanently. Insurance consolidation Dental insurance has consolidated, giving insurers greater market power. Fee schedules are increasingly non-negotiable, and reimbursement fails to keep pace with inflation
January 20, 2026
Personal Finance
Message Board
Views: 2530 | Replies: 57
mature practice, sure. I didn't have any idea what I was doing when I opened- so guess who learned how to verify insurances? How to learn all the nuances of the insurance game? How to balance his own books? Pay his own bills, see what was coming in, what was coming out, how it impacted the practice
June 09, 2025
Pediatric Dentistry
Message Board
Views: 2459 | Replies: 147
. You cant beat a country in the asias/latin america that pays 5 cents an hour with no worker protections. With respect to all, THE tariff is insurance and all the other middlemen that siphon the industry. Another long-standing tariff is the shave of credit card processing or the interest that care
October 02, 2025
Practice Management & Administrative Forum
Message Board
Views: 1196 | Replies: 56
or personal funds available just in case), but I just feel more comfortable having some cash on hand. Here's my system for my practice. Over the course of each month, cash accumulates in business account from AR (insurance, credit card payments, etc). Day-to-day purchases are made on my Amex
July 09, 2025
Practice Management & Administrative Forum
Message Board
Views: 324730 | Replies: 34381
need but I think that is what we are going to get. You champion for the middle class, yet your staff wage is below middle class wage. As expect, you want others to pay rather yourself...got it. Maybe the issue is you? Clueless? I know when to stop playing the insurance game and am OON. You can do
October 29, 2025
Personal Finance
Message Board
Views: 582 | Replies: 49
you handle it. I'm considering implementing. Do have to pay tax on that 3%? I haven't had anyone complain to me about it, but I'm prepared to tell them that it's either the 3% or I'm going out of network with their insurance...which one would they rather have? It would be interesting to learn how many
February 11, 2026
Patient Finance Plans
Message Board
Views: 896 | Replies: 31
insurance. So guess what I did not place any implants that day, we had to send a new pre-tx estimate and reschedule. I'll never get that Gucci bag. Yesterday, I had a completely full schedule. Everyone was confirmed. One ass RS a couple of days before, but I kind of knew he would bc his time is more
June 07, 2025
Practice Management & Administrative Forum
Message Board
Views: 42880 | Replies: 1046
. Well when it comes to record high inflation and cost of living crisis- people will forgo their teeth to put food on the table. Wait till they lose their job and dental insurance. How? Its becoming one of the cheapest services around. I live in northern VA (affluent bunch) and I am still getting flyer
June 04, 2025
General Discussions
Message Board
Views: 204197 | Replies: 100207
health insurance plan (e.g., TK or AOK) as an American student is approximately 110-120 per month (as of 2025). This amount covers both statutory health insurance ( Krankenversicherung ) and long-term care insurance ( Pflegeversicherung ), which are mandatory for students in Germany. Breakdown
September 24, 2025
Politics
Message Board
Views: 1661 | Replies: 72
insurance participation look like? I would start dropping the worst PPOs. You could also move healthy patients to once a year hygiene. I've run into this same problem myself, its tricky. I also like to focus my advertising on emergencies so I can get new patients directly into the Drs schedule
October 02, 2025
Practice Management & Administrative Forum
Message Board
Views: 4047 | Replies: 122
in dentistry.....92% $800,000......so I did 1/20th the work and made 4 times the money. But you have to overcome being bored. Dentaltown and online chess help. All good, but someone has to do the work. I get where your coming from tho. It's a mind trick the insurance companies have convinced you
June 20, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 209 | Replies: 11
Few topics in dentistry generate as much confusion, heat, and eye rolling as fluoride. The science is deep, the messaging is messy, and patients arrive already convinced they read the truth somewhere online at two in the morning. Add in insurance policies that quietly reduce coverage, and you have
January 12, 2026
Pediatric Dentistry
Message Board
Views: 232 | Replies: 20
. I used and looked at insurance websites for providers. In my area 99% of offices are in network with Delta Dental, so thier website allows you to put in a zip code and distances. This can be helpful to give you a head count and I made a spread sheet with each office and dentist. Once I made
February 26, 2026
Practice Acquisitions
Message Board
Views: 1117 | Replies: 54
be less staff and dropping the worst insurance company. Problem is that these type of offices probably cant make staff changes because they are already at bare minimum. They need to find ways to increase production. The FFS offices are not in this mess. They can function with fewer staff. The problem
May 22, 2026
Practice Management & Administrative Forum
Message Board
Views: 204 | Replies: 3
your hand in dentistry, you'll be able to maintain your tax deductions for your health insurance premiums and other professional expenses and perks... good luck! Congrats! You're still young and already have 4 mil. I would not stop working but reduce the hours. You have spent so much energy and efforts to become a dentist, why waste it? Do what you like from dentistry, or try to do charity work.
May 22, 2026
Retired and Soon to be Retired Dentist's Forum
Message Board
Views: 1405 | Replies: 74
) step two: I did not return her call today. step three: I advised the receptionist to call her back tomorrow to inform her we will take payment in full up front, and her insurance will reimburse her. hopefully between steps 2 and 3 she found another sucker. If not, step 3 should weed her out
September 18, 2025
Patient Communication / Education
Message Board
Views: 5258 | Replies: 440
in dentistry, do that over and over and the money will follow. years ago I wanted to drop all insurances. and after years of practice I realized the only patient demographic I looked forward to seeing were my special needs patients and my Hispanic patients. now, ten years later my practice
September 30, 2025
General Discussions
Message Board
Views: 4047 | Replies: 122
is the first step, then drop the worst insurance (get help if you need it from droptheppo) collecting over 1.5 milllion past couple of years around 45% overhead with a staff of 7 including myself. We take most PPO's some through TPA.It is doable with hard work and planning .First you need to have a good team
June 25, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 614 | Replies: 30
strange but the larger the organization the greater the likelihood that no one is truly minding the "till" Somehow I believe I would have missed 76k/month missing a whole lot sooner. Something similar happened to me. Long term employee embezzled >$30k plus committed insurance fraud for all her
December 01, 2025
Accounting / Bookkeeping
Message Board
Views: 251 | Replies: 11
in these unprofitable patients and their shitty insurances with open arms? Not all special needs patients need extra time or behavior management, but it very hard to screen for this ahead of time. Once the patient is in my chair, I think it's a bit too late to have that conversation with the parents without offending
June 02, 2025
Special Needs Dentistry
Message Board
Views: 8229 | Replies: 436
used car-salesmanish to me. When I tell patients insurance doesnt cover that silliness, its not brought up again. And THAT sir, is because you are a DOCTOR, and understand that every time a tooth is messed with you are putting it risk of pulp damage. When I see Tx plans that involve spinning down
September 01, 2025
PPOs and HMOs
Message Board
Views: 950 | Replies: 28
fillings into crowns a lot. Really? Besides the ethical aspect of the care, insurance will not pay for crowns when they look at photos and x-rays. Call me naive but I don't see how this can be done. So the only way PDS and the likes can keep GP busy is to attract a lot of patients. How do they do
October 03, 2025
Associates Corner
Message Board
Views: 542 | Replies: 23
even know where to start, especially if insurance is involved. You read my post all wrong I think you should definitely do it BUT Just like extractions, don't take a weekend class and then try wisdom teeth. Take a weekend class and do some 4mm crowding cases. Take a few more classes and do some 6mm
February 25, 2026
Orthodontics
Message Board
Views: 34 | Replies: 0
scheduling. Automated insurance verification. Smarter documentation. Lower staff burnout. Faster communication. More production with fewer people. Some of that is real. Some of it is marketing. Most of it sits somewhere in the middle. The biggest mistake dentists can make right now is believing either
May 22, 2026
Software Discussions
Message Board
Views: 337 | Replies: 7
agree. I bet quite a few people are still sub-$100. Ok I charge $150 for exam and hygenist prophy . Once a year I take X-rays and charge $245 for exam , 4bw/2 pa or Fmx if needed and cleaning with Hygiene. I rarely get complaints about the fees How can you guys pay a hygenist and charge sub par of $100 MY UCR fee is $124, one of my main insurance fees is $96, the other main ones are $79 and $77
September 15, 2025
Hygiene Discussions
Message Board
Views: 13 | Replies: 0
Societys political action committee, an organization representing more than 5,000 dentists. He played a pivotal role in the 2022 insurance-reform ballot referendum, teaming up with orthodontist Mouhab Rizkallah to organize funding, mobilize patients, and rally dental professionals. Their efforts
June 18, 2025
Politics
Message Board
Views: 333 | Replies: 12
every opted out plan and talk to them? Call the umbrella company? At the point I'm ready to drop the insurance plans 100%. I'm fed up of making phone calls. You need to make a flow chart of the plans you are in and the umbrellas you are in. Once you have that start crossing out the opt out paths
October 23, 2025
Going Out of Network
Message Board
Views: 317 | Replies: 12
insurance submission, no pt. filling out med hx in advance online, nothing digital. If I can run my system like I always have then I'd be fine with that. My gripe with Dentrix in the past was that on the few occasions I needed them to troubleshoot my staff told me that while the problem/question
July 03, 2025
Dentrix
Message Board
Views: 2403 | Replies: 156
they pay him a guaranteed daily rate of $750. With the bonus (based on % of production), 401k, health insurance, malpractice insurance that Western Dental pays him, it's equivalent to an independent contractor dentist making $1000/day. My sister-in-law has always felt guilty about not being able to help
July 19, 2025
Dentistry In The News
Message Board
Views: 54 | Replies: 0
TO (FROM INSURANCE)- DBA OR LEGAL ENTITY, IF DIFFERENT Startups typically do take a bit longer than planned, just because of permit delays, weather, etc. Assume it'll go perfectly on time or even faster than expected so that you build enough time in your planning that you're not feeling pushed to take
January 06, 2026
PPOs and HMOs
Message Board
Views: 457 | Replies: 14
Training Program in Atlanta GA! What will a doc charge for IV sedation and does dental insurance pay at all? Just checking to see what ROI truly is NotSoFreshFace, First let me say, do not get into providing sedation for the money. The benefit comes from the ability to do more dentistry in one
July 31, 2025
CE Comments / Suggestions / Events
Message Board
Views: 1105109 | Replies: 63426
a followup on the Annuity discussion- I am doing the paperwork to liquidate my dad's Genworth annuity, and, true to form, they are making it difficult to get the money. I had this very same experience when dealing with them in regards to my mom's long term care insurance. I also had this same
February 07, 2026
Retirement Planning
Message Board
Views: 773 | Replies: 55
. Currently on pace for 1.9 gross 1.4 collections this year. (Up 5% gross and net production YTD, up 9% collections. 11 HYG days a week. In network with DD premier, Cigna, then TPA for about 6 other insurances. 2500 active patients. Recently started not seeing new DD patients. My schedule is booked 2-3
May 15, 2026
Going Out of Network
Message Board
Views: 161 | Replies: 4
, the owner dentist also does consults/exams/etc - many of them, in fact, and many hygiene checks. Obviously, insurance is reimbursing at specialty rates for everything billed out under the owner dentist. How does this get reconciled or accounted for, when making an offer to purchase? Not exactly sure what
August 02, 2025
Practice Sales
Message Board
Views: 171 | Replies: 5
that much. Is there such thing as bankruptcy insurance? Cause these folks are going to need it. To be fair(?), It is a three year program, not four. That tuition is still insane but it is probably inline with other private programs The new dental schools keep rolling out and yet the new hygiene
March 12, 2026
General Discussions
Message Board
Views: 70 | Replies: 4
", and therefore still network fee. You can find all your state laws and several other major insurance rules on this here: s Colorado is the same as NJ. In this case you would give the patient the Delta Dental contracted rate because it is a covered benefit, just during the waiting period. -Mary B. Thanks Mary very much for making your first post on Dentaltown! Thanks!
March 10, 2026
Delta Dental
Message Board
Views: 84 | Replies: 2
Is standard of care to perio chart full mouth once a year and maybe spot check every 6 months? Or should full mouth charting be done every 6 months? Insurance and the perio community generally point to annual full mouth charting at minimum, with spot checks at the other recall. For any patient
May 28, 2026
Periodontics
Message Board
Views: 34078 | Replies: 2116
of an already rising healthcare costs. The healthcare insurance industry see this coming, it will be interesting to see where the insurance premiums will be by then. The average family premium was about $2,500 in 1990, it's close to $30k today. Many studies project that will easily be over $50k by 2035
October 25, 2025
Personal Finance
Displaying 851-900 of 2268
Page 18 of 46
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