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Searching: insurance denials
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Page 25 of 46
Message Board
Views: 140 | Replies: 5
(OpenDental) to tell me which plans they in-network with? If not, how to I determine this? On a separate note, I have run "Insurance Mix" report which I believe gives me a list of all the carrier names and the number of patients on each one. I have noticed that many of the carrier names have slight
June 15, 2025
PPOs and HMOs
Message Board
Views: 253 | Replies: 23
want to keep a close eye on him and that's what we all agreed to yesterday. Stephen. I agree its best not to get wrapped up in terminology. Fortunately he is on our in-office plan so we don't have to bill to insurance. However, if he did have insurance are there any issues in billing out prophy's
June 05, 2025
Periodontics
Message Board
Views: 1949 | Replies: 85
but insurance reimburses like 19 dollars so I dont offer it really. we charge $300+ and it is worth it. I only use it a few dozen times a year. Do your insurance plans pay for nitrous? If they don't its a noncovered service and you should be able to charge your office fee and not submit to insurance
August 28, 2025
Anesthesiology
Message Board
Views: 561 | Replies: 35
to service, no stink. Service is drain the water, unscrew the jar and empty in the trash, and reinstall the jug. I have seen dental office concrete floors cut because the Dr. did not think he needed a plaster trap. Cheap insurance. It does help to avoid putting food waste down the lab sink, a little
August 31, 2025
Laboratories
Message Board
Views: 865 | Replies: 16
: $250 per tooth for standard extractions, which includes a panoramic x-ray, evaluation, local anesthetic, and the extraction itself. Wisdom teeth extractions are $350 per tooth. They do not accept insurance or offer payment plans, emphasizing simplicity and affordability. How It Works: As Easy
June 18, 2025
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 324771 | Replies: 34383
of increasing reimbursement rates for dentists lol. She was hired by Trump. ( Russia , russia?) dentists cant even recognize inflation post covid has decreased their incomes by 30% or so....they keep chugging along and accepting insurance because they are scared!!! ohhh...I am shaking!!!!! what do you
June 24, 2025
Personal Finance
Message Board
Views: 1598 | Replies: 93
a schedule with a couple offices, I know several that had to leave their office because there weren't enough patients to go around. Usually the higher volume offices cranking out 8-12 cases in a day take more insurance (and lower fees) to get the volume. FFS practices charge more and lower volume. I
August 13, 2025
Practice Acquisitions
Message Board
Views: 3455 | Replies: 45
successful dentist don't treat the patient's wallet or insurance plan, treat the patient and the money will take care of itself!! Before you s__t your pants this gal had no occlusion on the lower but wanted some top teeth for aesthetics. That metal bar was a hex wrench sacrificed for dentistry
January 01, 2026
Cosmetic Dentistry
Message Board
Views: 223 | Replies: 20
from dentists. It will come from: Insurance companies Large DSOs Malpractice carriers Once they start saying: 'We expect documentation supported by AI tools' 'We offer premium discounts for AI-assisted diagnostics' 'We deny claims where risk wasn't flagged' That's when this changes fast
March 23, 2026
Artificial Intelligence
Message Board
Views: 1294 | Replies: 39
I am a single practitioner (Owner) in a very insurance based bread and butter practice. We are very busy and produce about 1.6 mil/ year off of just bread and butter services. Crowns ( Cerec) dentures, Partials, fillings, Endo. Before you find a program or curate selected courses to put together
May 07, 2026
CE Comments / Suggestions / Events
Message Board
Views: 1716 | Replies: 60
and office has been on decline for years. Not pushing production, not updating fees, not negotiating with insurance, not learning new procedures, not evaluating any metrics, AR can be lax, supplies are ordered from rep with no consideration to overhead, and everything is run through the office. Often
July 03, 2025
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 961 | Replies: 32
like my other RPD. that means I get whatever insurance pay for me. Sometimes $750, sometimes $550, sometimes $900. This is the only "RPD" that I have more cash patient than insurance patient. If you think about it, any patient with this amount of destruction on teeth, probably didn't have anything
January 21, 2026
Removable Prosthodontics
Message Board
Views: 1105111 | Replies: 63426
is an insurance policy for investors in times of distress that we know markets will be saved at a certain %. Prior to 2008 and 2001 there was no fed put- thats why you actually had very scary and real drawdowns. Here are fed puts in recent times: Dec 2018- market down 20%- fed has a closed door meeting
December 10, 2025
Retirement Planning
Message Board
Views: 2167 | Replies: 161
to the lowest hourly paid staff. Their task is to empty the insurance benefits of that patient. State boards have rules that can be applied to individuals with a license, individuals they can actually control by risk of damage. That feeds into the problem. State boards only have control over people
May 04, 2026
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 577 | Replies: 26
. Of course if this is at PPO/ not FFS fees, you will loose your shirt doing them. That should give you a clue why a lot of PPO Dentists prefer them. Cast based RPDs are often not covered well by insurance The metal subframe with rests serves to stabilize position of teeth, minimizing drift and extrusion
June 23, 2025
Removable Prosthodontics
Message Board
Views: 204274 | Replies: 100231
Soros check. You may need to get some mace in your eyes or take a headshot...but dude.....the money is GOOD!!! Ok....where do I sign up....if I die I die.....I get to quit teef....my wife gets the insurance.....and my family will fetch wrongful death... I understand TDS....i will admit....i had BDS
January 26, 2026
Politics
Message Board
Views: 204274 | Replies: 100231
wage, provided health insurance, CE, and 4 weeks paid vacation a year plus whatever other holidays came along. 2 full timers stayed with me for 14 years (it took me a few years to figure things out)...The part timers were glad to be there and always volunteered to fill in. Open up your wallet, Tim
March 05, 2026
Politics
Message Board
Views: 484 | Replies: 29
. This is the connection dental fee schedule they just offered me. This is "their highest fee schedule". I think it sort of sucks. Can anybody tell me are your connection dental fees higher or lower than this? The EOB for the other insurance companies should identify which fee schedule they are using
April 12, 2026
Dental Insurance for Dentists
Message Board
Views: 1046 | Replies: 67
mind boggling the amount of tar thrown at me for practices previously established at the practice (missed appointment fees, credit card charges, fee schedule/insurance participation) Didnt change a thing beyond renegotiate insurance schedules with a 3rd party for my PPO patients. Frankly, I just came
April 06, 2026
Practice Acquisitions
Message Board
Views: 1695 | Replies: 56
. The rural town I work in has 3,000 people and draws from around 5,000 people. I'm there 2-3 days a week there was another office there 4 days a week. I couldn't even stay busy 2 days a week in network with most insurances because if you aren't in network they are willing to drive 1-1:30 hours
September 25, 2025
Finding and Analyzing Career Opportunities
Message Board
Views: 164 | Replies: 10
does that. I actually agree with this completely. the technology just isn't there yet I totally understand this. AI is hard to work with in general. At Stratus AI, the AI communicates with the insurance companies to gather full breakdowns instead of with customers. Using AI in this way is very
August 14, 2025
Artificial Intelligence
Message Board
Views: 607 | Replies: 17
from mose ce courses I've paid for Thank you Thanks so much. I am still mostly PPO, though we are slowly getting rid of some insurances. That's said, this does not take that long to do compared to a single shade composite. Thank you. I I'm just trying to make things easier for other dentists. I had
September 18, 2025
Cosmetic Dentistry
Message Board
Views: 4455 | Replies: 165
new patients I'm doing some research, and I ask them what they think is the true cause of tooth decay. Most of them say, Lack of flossing? Lack of brushing? Sodas? Sugar? Lack of insurance and/or can't get to the dentist? Genetics? Laziness? Plaque? ... Very few know it's a disease. Even fewer have
July 29, 2025
Cariology
Message Board
Views: 2009 | Replies: 57
insurance. Still steady. Last month was a high month for us 110k. We usually do about 80-90. I think this month will be around 85. averages out i think that holiday months like July 4, Labor Day thxgiving tend to see more cancellations. so Im not surprised that our July 4 week was a bust. Depends on the practice, summer months are slower, unless you are pedo or ortho. Kids out of school.
July 14, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 228 | Replies: 10
if they were out of network with insurance companies? They actually dropped delta dental due to their fees were too low even for a fake dentist The human smuggling part makes me scratch my head. Warrants issued for two defendants in Lyon County human smuggling, identity theft, illegal dentistry
June 12, 2025
Legal Issues
Message Board
Views: 270 | Replies: 12
, and sleep. The funniest and most witty New Year's resolutions are usually brutally honest. 'In 2026 I will stop diagnosing with my sympathy.' 'I will stop saying yes to insurance plans that hate me.' 'I will stop buying new dental toys to avoid fixing old systems.' 'I will finally believe
January 02, 2026
Holidays
Message Board
Views: 41 | Replies: 2
to validate performance before the AI handles renewals autonomously. Doctronic says its model matched physician plans over 99 percent of the time in internal comparisons and carries malpractice insurance like a physician would. Supporters see it as a way to improve access and adherence, especially
January 13, 2026
Artificial Intelligence
Message Board
Views: 82 | Replies: 4
. This will let you know if the fight over the sidewalks is worth the ill feelings. You can also check out other places including the people cleaning the parking lots. Also ask the landlord if he/she maintains general liability insurance on the property in case you have a slip and fall while
November 30, 2025
Lease Terms and Negotiation
Message Board
Views: 185 | Replies: 15
for the probability of the necessity of the inevitability that it might be needed. Maybe What insurance is the patient using? What does that have to do with anything? who's on third? You have a lot to learn, lol #19 looks like possible, maybe, could be, probably will be trouble. The patient likes
March 20, 2026
Restorative Dentistry
Message Board
Views: 227 | Replies: 5
. There is no continuity of care and it is completely unproductive on the hygiene side. I would rather uptrain some dental assistants, drop an insurance and have a better running practice. Temp agency hygienists should NOT be paid more than our full time long-term hygienists. I just had someone tell me
May 01, 2026
Practice Management & Administrative Forum
Message Board
Views: 1350 | Replies: 105
controlled by insurance companies, so there is room to pay more and still make money. Not Canada in general, but corporations in Canada. OP disappeared several days and 90 post ago. It is in the best interest of both parties to come to some deal that seems fair to both. An independent valuation would help
April 01, 2026
Practice Start-Up
Message Board
Views: 34078 | Replies: 2116
a number, Get my health insurance, benefits, pto. Etc. But nothing. I think even those jobs are now being seen as cushy and hard to get I believe that was the number that was often bantered about when I was in school in the early 80's. Gross not net!!! Nobody repairs the dishwasher anymore. Just like
October 20, 2025
Personal Finance
Message Board
Views: 1522 | Replies: 75
for your comment! Marketing shapes consumer perception and becomes reality for the those who do not seek truth. Yes, many Dentist do have patients that pay money for us to fix their problems but a growing number have insurance. As inflation and material costs continue to increase will the patient base
June 25, 2025
Public Health Dentistry
Message Board
Views: 2028 | Replies: 71
not increasing? You also have to reo, production doesn't equal collections of you're an insurance driven office. That's the first question I had when I saw your post. The problem is you. My guess is that you never worked with people. Never had jobs as a kid in which you had to interact with a large
August 07, 2025
Associates Corner
Message Board
Views: 2273 | Replies: 93
down on all the unprofitable hygiene. Reread Murph's thread about firing all his staff and quitting all insurances....he's been in your shoes. Also, billing isn't that hard. You can do it yourself. (MediCaid is particularly hard). What's your PMS? If it's OpenDental, I can walk you through
December 18, 2025
Practice Management & Administrative Forum
Message Board
Views: 750 | Replies: 36
I recently found a Google review that falsely accuses my office of insurance fraud, substandard care and more. None of this is true. How should I respond? See review below: 'After nearly a decade-long as a patient, I am deeply disappointed and lost all trust in this practice due to a severe decline
February 19, 2026
Social Media
Message Board
Views: 450 | Replies: 36
insurance plans you may be dropping in the future. If you stop prescheduling, the system will be the same system you are currently using for patients without a recall appointment. I'm assuming you have a system for that because patients do fall in the cracks. The month before the patients are due
April 25, 2026
Ask a Dental Consultant
Message Board
Views: 858 | Replies: 47
seeing. It's weird, it isn't really my vision as it's still fully corrected, and I have great loupes, but it's like my brain can't focus in as much detail as it used to. So for me it's kind of more like how long will I be able to do work well enough to keep working? With the cost of health insurance I
May 05, 2026
Retired and Soon to be Retired Dentist's Forum
Message Board
Views: 204274 | Replies: 100231
was the perfect example. My dad worked as a door to door insurance salesman for Prudential and probably never earned more than 50K per year in his life. Stay at home mom. At some point in the 50s they bought individual stock in AT&T, Chevron, etc., a bunch of blue chips. I don't know what they paid
May 30, 2025
Politics
Message Board
Views: 516 | Replies: 15
How and how long are FFS (or minimal insurance practices) scheduling new patients? What is your procedure? I need help to improve my New Patient Exams. I see mainly older adults and use Open Dental software. 1 dentist office. (not sure what category to post this in?)I'm still struggling getting
June 14, 2025
Patient Communication / Education
Message Board
Views: 1021 | Replies: 59
noticing a lot of the bad in network with the delta patients will leave because Ill just say, sorry we dont take your insurance. Appreciate this postag3dmd delta pts are the cheapest of the cheapest pts out there. they have been brain washed to think everything should be free or borderline free. IDK
August 06, 2025
Delta Dental
Message Board
Views: 1059 | Replies: 37
these crowns. You can't. Don't even consider it. Now that you know this guy is waiting to pass judgment on it..just don't go there. this is ridiculous. No wonder patients also feel the same sense of entitlement of having luxury esthetic work while using a third party (medicaid/insurance) to pay for said work
December 25, 2025
Practice Management & Administrative Forum
Message Board
Views: 324771 | Replies: 34383
health insurance and get denied claims from insurance about how your PA didn't show all the roots and you have to now eat the cost of doing a 1k crown for free. No thanks. 1. I have no idea. And, if you are being truthful, neither do you. Quite frankly, I doubt it. He did not need politics to make
January 08, 2026
Personal Finance
Message Board
Views: 342 | Replies: 10
to actually get your practice recommended by AI. For simplicity going forward, we'll think of 'factors' as different things that make you book an appointment, like location, comfort options, trustworthiness, insurance acceptance, etc. The unexpected advantage of being visible to patients who use AI
November 10, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 515 | Replies: 34
scheduling so that high value procedures don't have to wait 4+ weeks? And have you trimmed insurance participation at any point in those 10 years? I am *assuming* that you are putting up much better production numbers than I am, which is the crux of my issue. If I was consistently doing $7,000
March 19, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 70132 | Replies: 5147
to a DSO to manage. That's what I was getting at with the OMFS example. He could have paid a consultant 10k to clean up his billing and insurance contracts, then pay an OM to manage, instead he paid a DSO way more every year in the form of profits. So they pay/give up 60% of profits with nothing
April 22, 2026
Academy of Dental Management Consultants
Message Board
Views: 108 | Replies: 4
. Across multiple data sets, cost is the number one barrier to care. Not fear, not time, not trust. Cost. Patients with insurance go more often. Patients without it delay. Many people are not deciding whether a crown is clinically indicated. They are deciding whether it fits into their life right now
April 19, 2026
Case Presentation
Message Board
Views: 1027 | Replies: 45
in offices utilizing assistants for hygiene I also see the potential for insurance companies to start scrutinizing who's doing the 4341's more closely. It will be interesting to watch and see what happens. I guess very different than Alabama because there the assistants are actually hygienists when
May 11, 2026
Dentistry In The News
Message Board
Views: 384 | Replies: 42
have to be fully FFS yourself as there is not enough volume to be an insurance office. That may not be a factor if that was your intention anyways Goal is definitely to be fully FFS Can you explain more, your thought that the seller needs to stay on? I actually always say it's more important
May 29, 2026
Practice Acquisitions
Message Board
Views: 908 | Replies: 15
in that 72% range. Im fee-for-service.My associate job is in Silicon Valley. Its a very high functioning office. I work about 5-6 days a month there and average about $13k/day in production. Im in network with 3 insurances. If I worked there full-time I could definitely pull over $700k. But its a W2
June 10, 2025
Practice Sales
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