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Page 21 of 46
Message Board (2267)
Message Board
Views: 324751 | Replies: 34382
on the tennis channel. Sinner is about to start his match.... Dr W...have you not learned yet...is he duping you again....you thought he wouldn't attack Iran and you were wildly wrong and in denial about it even though all his moves pointed otherwise....move military assets into the area evacuating Americans
March 21, 2026
Personal Finance
Message Board
Views: 1211 | Replies: 83
fillings per hour and expect my quality and stress to remain the same. High complexity easily exists with low volume and high quality. This is where you have to charge more than other dentists because you are providing something different. All those DSO guys are either in denial or surrounded
April 09, 2026
Practice Management & Administrative Forum
Message Board
Views: 1167 | Replies: 51
, were you in network with more insurance? If you're in a crowded metro area, they have lots of options. Do you have someone in the office answering phones when you aren't there? I always worked Fridays, because that's when patients will call you. Availability leads to exponential growth imop. Those
September 03, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 1561 | Replies: 62
dental school are focused on the patient experience, which is great. But my main question is this --is there a good comprehensive book on practice ownership in terms of finances, dental insurance, and what I need to know to be prepared during this transition? I want to get the wheels up
June 26, 2025
Practice Management & Administrative Forum
Message Board
Views: 5278 | Replies: 300
into a pissing match about "IAN blocks" and Painless injections" it doesn't change the fact the insurance reimbursement is stagnant and expenses have gone up. It always turns into a pissing match. I am better than you. If everybody did what I do they would all be loved by their patients. You just need
November 27, 2025
Personal Finance
Message Board
Views: 70130 | Replies: 5147
the opportunities in the profession still exist, and with a little bit of work and planning, can be realized. I don't think a lot of older docs understand the predicament a lot of young grads are in. From sky high home costs, to insurance to staff wages. IMO we are going to see a lot more bankruptcies
January 23, 2026
Academy of Dental Management Consultants
Message Board
Views: 4347 | Replies: 228
the majority of people just want what their insurance covers, we are struggling. I am trying to see a way out of this without resenting hygienists exploiting the situation. On Facebook there are hygienists lambasting dentists, saying that we're not qualified to do cleanings. Which is utter BS because I
March 09, 2026
Hygiene Discussions
Message Board
Views: 393 | Replies: 31
insurance. Among dentists not currently in the program, 93 % said the cuts would deter them from becoming Medi-Cal providers in the future, while only 1 % said they would consider joining and 6 % were unsure. CDA President Robert Hanlon warned that reduced participation could shrink the provider
April 09, 2026
Medicaid and Welfare Issues
Message Board
Views: 2614 | Replies: 162
recommendations, why does the title matter? I'm just not understanding these knee jerk reactions talking about the title, what exactly is the concern about the title? Kudos on the new book, Tuan. With all due respect, I still remember the 'we accept your insurance' messaging your FFS office despite being out
May 07, 2026
Patient Communication / Education
Message Board
Views: 357 | Replies: 4
tricks to getting him the best compensation possible from Delta and other insurance companies? We have been mentioning that I am retiring soon to patients for awhile now so a lot of them know. Any dos and donts? Thanks for any input, Robert A Scott DDS 1. Dont think it is easy because
June 30, 2025
Practice Acquisitions
Message Board
Views: 149 | Replies: 2
accept Medicaid, largely due to financial unsustainability under previous low reimbursement rates. Advocates describe the increase as foundational but note that approximately $30 million more will be needed before Medicaid rates align closely with commercial insurance levels and support broader
July 28, 2025
Medicaid and Welfare Issues
Message Board
Views: 168 | Replies: 4
(seems like balancing direct and umbrella contracts + negotiating with people they know who work at these insurance companies). They want $6750 for the first six PPOs plus 225 per additional company. Has anyone worked with them for an acquisition that can give me any insight into if it was worth
August 04, 2025
PPOs and HMOs
Message Board
Views: 161 | Replies: 3
you have overhead protection insurance? If so, how long before it kicks in? mine is 90 days. as such I keep roughly 90 days worth of expense in a combination of checking and money market with about a 75% lean towards the money market. keep in mind 90 days expenses when you can't practice vs when you
January 26, 2026
Practice Management & Administrative Forum
Message Board
Views: 169 | Replies: 9
drift of the 1st molar? peds specialist here put in an LLHA as insurance against space loss ext K/T maybe a little osteoplasty over 20 to promote easy pathway pan q6 months to evaluate i've seen those teeth #20 spontaneously upright Peds1 Thank you sir! I have also seen those bicuspids upright
November 18, 2025
Orthodontics
Message Board
Views: 107 | Replies: 12
was told that D6111 (implant supported denture) with D6191 - semi-precision abutment D6192 - semi-precision attachment do not get reimbursed well. Can someone who does this on the regular chime in? I know ada said that 6191 was the way to go but they don't care about ppo insurance reimbursment. Im so
April 24, 2026
Coding Q&A
Message Board
Views: 41 | Replies: 0
say the activity was not isolated. He allegedly promoted dental services online under names like 'Dr. Rich Implants' and marketed a practice called 'Prevention Dentistry,' even stating that insurance was not required. When confronted by regulators, Shulze reportedly admitted to continuing care
April 17, 2026
Legal Issues
Message Board
Views: 496 | Replies: 4
a spill. She should definitely file for workman's compensation. She was traveling on a work trip for your office and was injured. She should file and use the Workman's compensation insurance she and you are paying for. This is the best thing. Yeah I think anything work related and you would need
April 06, 2026
Legal Issues
Message Board
Views: 75 | Replies: 4
insurance as you are. I believe Dentrix does 18-24 months, but bases it on the family file's last visit. So I'd pick the ones that actually show up regularly vs the emergency care type. I typically cleaned up the list and inactivated those who have been reached out to multiple times and haven't been
May 07, 2026
Practice Management & Administrative Forum
Message Board
Views: 123 | Replies: 5
a 7% bump in fee schedule moving to Careington, but I don't have much wiggle room with other insurance contracts so I was seeing if I could improve this one. I get UHC through Connection Dental. Are you saying that UHC is terminating their TPA agreement with Connection? I hope connection does not stop picking up uhc. I just turned in the paper work to join connection really only to pick up uhc medicare plans
May 16, 2026
PPOs and HMOs
Message Board
Views: 658 | Replies: 20
a week. Refers out all ortho, implants, surgical exts., and most endo. Last year the practice dropped Medicaid and all insurances. Many patients left following due to that and consistent turnover of associate dentist. The current total number of patients is low at 813 total and and only 46 new patients
June 06, 2025
Practice Acquisitions
Message Board
Views: 1224 | Replies: 29
care about if the specialists are in network. I tell them I recommend they are more motivated by receiving appropriate quality care than just insurance participation. If you are willing to see kids and take medicaid it seems like you will get all the volume you can handle, just gotta figure out how
August 24, 2025
Practice Management & Administrative Forum
Message Board
Views: 222 | Replies: 12
good things to say about me. It seems like I take the same PPO insurances. I wouldn't take on any other staff, but seller is willing to come work a few days if I need. Apparently the patients have known that he will be selling in the future, so that's good. A few concerns: 1) The practice is about
September 24, 2025
Practice Acquisitions
Message Board
Views: 533 | Replies: 22
was so desperate for new patients I was in network with every shitty plan known to insurance and the profits were small. I needed a shit-ton of equipment, bigger compresor, bigger vacuum unit, more drills, more of all supplies and the overhead was crushing. My 2 chair practice the overhead is between
September 09, 2025
Practice Acquisitions
Message Board
Views: 170 | Replies: 10
sorry you felt pain during your extraction. We did our best to keep you comfortable.' (Confirms procedure and specific complaint.) Unsafe Example 5: 'Your insurance didn't cover the whitening treatment you mentioned, but we offered the discount as a courtesy.' (Confirms treatment, insurance status
September 10, 2025
HIPAA
Message Board
Views: 290 | Replies: 21
/ortho and need a fancy machine. I've never had a patient frown on me looking at lightbox at their pano. Noone cares. Insurance will reimburse you the same on a 5k pano versus a 40k pano. Always overlooked, and when it comes with living with it daily? Dealbreaker. It is easy to say dip the pans, lots
November 07, 2025
Equipment
Message Board
Views: 1027 | Replies: 40
Thanks, in a large part, to guidance from this community I have transitioned to an out of network model for my practice. Through the process my practice demographics have changed. Most of my patients are retirees who no longer have insurance and have enough of a nest egg they can afford to pay
February 23, 2026
Going Out of Network
Message Board
Views: 175 | Replies: 9
, usually with no formal training. I think the profession is getting better, but mostly because it has to. Overhead, staffing, insurance, and DSOs have forced dentists to pay attention to the business side whether they want to or not. Frameworks like your four pillars, or the People-Time-Money model
March 25, 2026
Australia
Message Board
Views: 4415 | Replies: 218
, assign trainer for new team members, set office fee, which insurance to be in net work with, monitor colleagues for all locations. zero RDH this thread needs a bump reread the whole thing and have been thinking about ways to implement some strategies these patients that have a bunch of restorative
August 03, 2025
Staff Management Issues
Message Board
Views: 324751 | Replies: 34382
present immigrants (e.g., refugees, asylum seekers, DACA recipients), not undocumented immigrants. Democrats have advocated for restoring and extending access to federal health insurance subsidies and Medicaid eligibility for certain lawfully present immigrants, access which was restricted under a recent
November 05, 2025
Personal Finance
Message Board
Views: 34078 | Replies: 2116
able to look back over my almost 40 years as a dentist I will concur that today, right now, it is more difficult than ever to thrive as a dentist due to the immense cost of education, the competition and saturated markets, the stagnant wages brought about by the insurance industry
October 26, 2025
Personal Finance
Message Board
Views: 521 | Replies: 22
the business and management backbone behind one. The licensed dentists handle all clinical decisions and patient care, while the DSO manages the business side: HR, marketing, billing, insurance, payroll, supplies, IT, and compliance. This model exists because most states prohibit non-dentists from owning
January 24, 2026
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 2604 | Replies: 136
next appointment with human to human contact. Agree. I have 3 in each front office. 1 for all phone functions, 1 for insurance verification and 1 for all the functions you mentioned. I hope to one day cut it down to just 1 each front office. That's what all our clients have found too. If no one's
February 09, 2026
Patient Communication / Education
Message Board
Views: 1235 | Replies: 29
are always crazy busy Just a point and pull clinic would be amazing to serve the niche So How many chairs you have? How many assistants you have? How much you charge for simple and sugicals? Are you dealing with dental insurances? How many teeth are you removing on a typical day? How many hours are you
September 26, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 5258 | Replies: 440
. Post Covid, if you are still taking plans that refuse to raise fees or offer meager increases, you cannot afford to take them anymore. Let me offer a bit of optimism: I have seen insurance companies more willing to negotiate fees. For once in many years, I believe dentists have the upper hand in fee
October 01, 2025
General Discussions
Message Board
Views: 1484 | Replies: 42
insurance and ten months until she found about it by chance WHAT A NIGHTMARE this could have been to BOTH MDS EVILI IS EVIL-would love his chief to know in the hospital What? An MD contacted DMV regarding your daughter? Can you share more? Sure sounds evil as hell, driving around without insurance
December 10, 2025
Legal Issues
Message Board
Views: 1706 | Replies: 39
(Couldn't figure out where to put this "venting" post so I'm putting it here since it has to do with bleaching.) Got this email today from a patient I haven't seen in a few years... I am a current client, but no longer have my dental insurance. I was wondering what it cost to have teeth whitened
March 17, 2026
Bleaching / Whitening
Message Board
Views: 234 | Replies: 7
is or if he is into retrubution. Suggestions? This is why we have malpractice insurance. Speak to them, as you know, you can be sued successfully for abandonment if you incorrectly dismiss him. AND ask the mods to delete this post in case he does sue you and they find this post . I have a long
August 30, 2025
Ethical Issues
Message Board
Views: 28 | Replies: 0
, Medicaid patients, and those without insurance or access to care tend to enter pregnancy with poorer oral health and have fewer dental visits, and that contributes to worse outcomes. Massachusetts is cited as an example: the state has guidelines (updated in 2024) for pregnancy and early childhood
September 18, 2025
Patient Communication / Education
Message Board
Views: 128 | Replies: 10
. And some of the online pharmacies want scripts via fax too. Windows 10 has Fax and scan built in to it. Windows 11 has Windows Fax and Scan. Can you use one of these? Unfortunately, a lot of businesses deal with faxes. We get faxes from insurance companies all the time. They won't email. If you don't
June 26, 2025
Front Office Discussion
Message Board
Views: 275 | Replies: 5
owner...time/cost/set-up/etc.? TIA! I do zero work. There is zero cost for me. They have compliance teams that knows the rules for every state and they do all the paper work and have all the teachers. They market and basically just use your office on downtime like a Fri or Sat. They have insurance
July 18, 2025
Personal Finance
Message Board
Views: 171 | Replies: 10
-n-bond to tx dentin hypersensitivity. i didnt mean to imply they were frivolous! As a ppo taker I want to make sure we are charging out every code we can to maximize reimbursements. I can tell you after looking at all the practices I do most of us arent charging these out. The insurance is crazy
November 06, 2025
Coding Q&A
Message Board
Views: 79 | Replies: 7
to do HMO. At least from what I have seen personally. Thank you for that info Dental Insurance Guy! If I am accepting capitation for the HMO (they do not make any direct payments to me for individual items), am I contractually obligated to accept their "no fees chargeable to the patient for xray exams
December 11, 2025
Claims Processing
Message Board
Views: 70 | Replies: 8
Agreed. it doesn't work and patients hate it. We utilize an AI program that helps answer calls if our front team are all tied up the phones with other patients/insurance. It helps manage those calls instead of going straight to voicemail. Like all things AI, it only helps to support human-filled roles
March 08, 2026
Front Office Discussion
Message Board
Views: 56 | Replies: 0
, patient records, and specialized infrastructure, meaning fires can wipe out years of investment in a single night. While no one was injured, rebuilding a clinic after a fire often requires months of reconstruction, insurance negotiations, and regulatory approvals before patients can be seen again
March 05, 2026
Dentistry In The News
Message Board
Views: 170 | Replies: 8
the patients. You have 2 scenarios: Hi Mrs. Smith, unfortunately now that we are out of network with your insurance, they will no longer mail us reimbursement, it will be sent to you. We will need to collect in full at the time of service or Hi Mrs. Smith, unfortunately now that we are out
June 04, 2025
Going Out of Network
Message Board
Views: 507 | Replies: 24
started. As I listed in the title I consider her a good friend, I want to help her. She worked for me for 20 years and always looked after my interests. Is this a bad idea? If she is licenced and a separate business and has liability insurance, I assume minimal liability? How does one fairly structure
June 18, 2025
Lease Terms and Negotiation
Message Board
Views: 180 | Replies: 14
offices to manage with close proximity until the first location closes next year. Has anyone done 2 offices at once? question is , do I pretty much apply for new TIN/ Insurances participations./ and all the administrative steps that are required when you open a new office? or is it different when
August 06, 2025
Staff Management Issues
Message Board
Views: 333 | Replies: 15
was at least partially driven by patient prefrences. They were cash/ HSA pay with no dental insurance and only a health ministry sharing plan for health insurance. I suspect keeping cost low was a big factor in the decision to monitor it for now as it was when I saw her for initial visit. She
January 03, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 194 | Replies: 15
and the Tesla is crazy fast. So far no tickets, it's already costly to insure. My brother would buy a Tesla, given he is now a single male insurance cost is like a frickin car payment. Do be aware if buying a Tesla, get an insurance quote, they are costly to insure even if you are mature
January 10, 2026
Practice Acquisitions
Message Board
Views: 345 | Replies: 14
it between checking in patients. Takes 20 minutes to verify insurance for next days patients. Maybe another 20 to figure out copays. Less if you've done pre-ds. So like 30 minutes per day done throughout an 8 hour period. Entering payments is like 10-15 minutes per day. Stop letting your front desk
March 16, 2026
Staff Management Issues
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Page 21 of 46
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