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Searching: insurance denials
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Page 26 of 46
Message Board
Views: 1033 | Replies: 24
an Rx and use med insurance. I have a 9440 Office Visit - After Hours code set at $150 but I bet I haven't used it more than twice. As with some of the folks above, I'm only coming in for an existing patient that I like well enough that really needs help, so usually just the normal procedure codes
September 29, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 1824 | Replies: 77
. Not to be a Debbie Downer but, a couple of observations: one dentist in town takes Medicaid/most insurances, another dentist's website "implies" they take PPO (not sure) and also has an in house membership plan. I'm very anti-membership plans in every situation but, if I went to the proverbial middle
October 27, 2025
Practice Sales
Message Board
Views: 346 | Replies: 18
Hello, incoming gpr resident that is currently considering perio down the line, just curious on the outlook of the field in the future and the demand? edit: I read it wrong! Come take all my SRP crap I'll let you fight the insurance companies to get this garbage paid Thank you so much for the input
July 02, 2025
Periodontics
Message Board
Views: 2082 | Replies: 34
charge for a 3-4 surface resin(350-450 depending on how long its going to take me and how many Im doing )when I took insurance I would code these as a resin veneer with no insurance billing at 450-500 mark What did you charge these out as? Composite veneers for 7 through 10 or mdlf resin? Thanks
June 25, 2025
Cosmetic Dentistry
Message Board
Views: 256 | Replies: 19
fee that is not covered by insurance. They have no problems getting people for pay for these appointments so they can be seen after work. This is a systems question for me. I don't do deposits, because if they do not show up, am I taking the deposit and saying sorry not sorry? Our system is a robust
December 30, 2025
Pediatric Dentistry
Message Board
Views: 2389 | Replies: 86
parties look the other way if that's all it is. Other than that, start your credentialing ASAP. Thank you for your reply. My concerns is, should I negotiate now before I sign up with new Tax ID or wait until i establish myself for 6 months and then start negotiating with insurances? Biggest concern
January 20, 2026
PPOs and HMOs
Message Board
Views: 204274 | Replies: 100231
she pleaded with the 78-year-old to stop touring two years after he suffered a stroke." I always said: 'If you're doing well, you should do good.' I provided great health insurance to my staff (before Romney care and Obama care beat my best offer), gave them 4 weeks paid vacation a year along
January 30, 2026
Politics
Message Board
Views: 357 | Replies: 13
if this will quality as full crowns in insurance audits. Scalability : other docs in group are not trained in this and I am afraid when current doc leaves, this will become an issue every time there is debond Prep designs : some of these preps are flat-tops and I don't really have good feelings about
November 10, 2025
Restorative Dentistry
Message Board
Views: 484 | Replies: 16
stays on top of AR, insurance aging, and unscheduled treatment dollars instead of letting it pile up - Somebody handles ordering, payroll, basic HR stuff, team meetings, and puts out the daily fires so the doctors aren't texting about uniforms or why the lab case is late - Somebody watches the P&L
December 11, 2025
Practice Management & Administrative Forum
Message Board
Views: 382 | Replies: 12
! (Medial Relations in health care??????) ...the CEO (an accountant with corporate insurance background) makes 4 times more than the highest paid MD. -- ETC, ETC, ETC It's pretty incredible how hard it is to administrate a hospital. My wife works in the medical research administration of a hospital group
February 02, 2026
Practice Management & Administrative Forum
Message Board
Views: 1785 | Replies: 52
for solo doctors to ban together for reduced healthcare costs, reduced insurance costs, increased Insurance reimbursement etc... while still operating independently. I dropped Patterson/ Benco for net32, but I will look at amazon. At this point IMO it feels like if you are not in a DSO you
February 20, 2026
Dental Supplies
Message Board
Views: 599 | Replies: 25
, production based pay for hygienists is the best system available. Is there an accepted standard ratio for hygienist clinical vs. non clinical hours? I could see production pay working well in a FFS office and we're working on getting there - but I found the offset debit/credits from insurance
March 28, 2026
Ask a Dental Consultant
Message Board
Views: 158 | Replies: 3
Dentistry loves to talk about access to care. We talk about Medicaid, insurance, DSOs, rural shortages, hygienist shortages, associate pay, student debt, and whether the new grad can afford a house before age 73. But there is another access problem sitting quietly underneath all of it. Access
April 27, 2026
General Discussions
Message Board
Views: 361 | Replies: 22
you might as well hire a dentist for $120/hour, but then I suppose that gets tricky with insurance credentialing. I guess the only way is to lock in for at least 6-12 months to lower the subscription cost. The issue is if you hire and you have a subscription with them for 6-12 months. I have
May 19, 2026
Hygiene Discussions
Message Board
Views: 130 | Replies: 6
and insurance companies want you to keep saying and doing so they can keep paying us jack squat while they rake in the dough. FWIW, I'm a softy and do tons of free stuff like that but I also know my statement above is true. About 1.5 hours away with traffic.
January 08, 2026
Pediatric Dentistry
Message Board
Views: 1249 | Replies: 63
actually are created), and the robotics companies will be stumped on how humans can do this work for so little compensation. Engineers will look for more lucrative projects such as robot tattoo artists and robot chefs, where insurance isn't involved. I will remind again, they are already here. Yomi
December 05, 2025
Restorative Dentistry
Message Board
Views: 461 | Replies: 21
this IPS replacement paid by insurance, so no cost out of his pocket. The framework and interim fixed denture are all milled together and inserted at the time of implant placement. 1st such case done here in Connecticut. I've included some photos from the workup document and the surgery. Let me know
February 18, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 661 | Replies: 19
do a very similar work flow for larger composites. The hurdle I run into is that in an office with 3 docs, the assistants look at me like I'm insane for having so many steps and layers. The other docs tend to place much larger increments. Combine that with low insurance reimbursements and I wonder
February 24, 2026
Cosmetic Dentistry
Message Board
Views: 97 | Replies: 4
would tell me to get signed treatment plan, informed consent and payment first. Call your malpractice insurance if you want a real answer about liability. How does the case look overall? Do you know the aligner company she used? Thankyou all for your valuable responses. Her bite is open all over
April 23, 2026
Orthodontics
Message Board
Views: 134 | Replies: 9
are purchasing a property as an investment and it has an income stream attached. Does that make sense? I had my building appraised in late 2024 . Came in at 1.2. I pay myself 6000/mo. My insurance ( hi in NJ) $800 and taxes are 800, property care 300, so say I net 4000. Is that a cap rate of 4%? If I
May 06, 2026
Practice Sales
Message Board
Views: 2403 | Replies: 156
the burden to new dentists remains dangerously real. We need transparency, safeguards, and a plan. ----------------------------------------------------------- Ive said for years that the high cost of dental education is our biggest problem. Some of my friends argue that insurance companies
July 07, 2025
Dentistry In The News
Message Board
Views: 3840 | Replies: 137
investment in healthcare in the 80s. . Insurance was not so widespread in the 80s. PE has exploded in healthcare in just the last 10 years and is getting more and more into it. Rural areas have declined much more since the 80s Dentistry is not inelastic. Pharmacy used to have a golden age
January 04, 2026
Pediatric Dentistry
Message Board
Views: 2022 | Replies: 84
", and she didn't understand that if I went out of network, the patient would owe that 50%, she thought insurance would pay it all still. The combative attitudes combined with a lack of understanding or any empathy toward most issues in dentistry outside of doing physical hygiene is really
May 18, 2026
Practice Management & Administrative Forum
Message Board
Views: 1105111 | Replies: 63426
Long term US treasuries (most negatively correlated with stocks, basically recession insurance): 15-30% Alternarives (primarily gold and managed futures): 10-25% Portfolios with a similar construction to the ranges above typically yield somewhere around 5-6% 30 year safe withdrawal rates, and you can
August 12, 2025
Retirement Planning
Message Board
Views: 19734 | Replies: 1359
to employers dropping insurance leading to higher than expected enrolment in CDCP, as well as just dentistry costing way more than they expected in general. When that happens, I foresee within 5-10 years things go one of two ways 1. Government has to find a way to get people off of CDCP without making
September 25, 2025
Legal Issues
Message Board
Views: 726 | Replies: 23
NP count will drop. Mine did. I dropped Delta Premier last September, but we stopped taking Delta NP many months before that. As others said, and I didn't believe it , we lost more Delta patients when we dropped, than any other insurance. Delta is brutal with letters telling patients to leave you
February 02, 2026
Going Out of Network
Message Board
Views: 324771 | Replies: 34383
in everything aside from a few sectors. im in the upper k shaped economy but i dont think my experience extends to those on the lower half. my staff live paychecks to paycheck. they just got their premiums with held on their health insurance for 2026. even with a 2% raise across the board they are taking home
February 22, 2026
Personal Finance
Message Board
Views: 381 | Replies: 11
, Open Dental makes it easy to recreate these claims. When you receive a payment from an insurance carrier after your conversion, you can simply create a new claim in Open Dental, attach the relevant procedures, and post the paymentquick and straightforward. To submit electronic claims, youll still need
August 28, 2025
Open Dental
Message Board
Views: 860 | Replies: 20
by the riverside park Eating Fire for tips. Daddy always says, Stupid hurts. Ugh. This screams Darwin was right Holding fireworks with your mouth. Holding fireworks with your mouth. Fun to watch tho, why is it the facial tattoos are not a surprise. I wonder if he had any insurance to help pay for his
August 22, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 4823 | Replies: 112
Yes one is trying to find needed work to be done and the other is trying to find work done and reasons it should be denied. A credible system should be on the same standards and calibrations. At some point I guess we will have dentist AI systems arguing with insurance AI systems over what should
September 21, 2025
Restorative Dentistry
Message Board
Views: 400 | Replies: 14
it years ago and got rid of it. I'm not sure. I think many states will see how it plays out in Missouri and then set up their own thing. following Well unfortunately and it always seems intentional the attempts to address any access to care turns out to be the opposite. Organized dentistry has been very good at solving issues for insurance companies and corporations.
August 13, 2025
Academy of General Dentistry
Message Board
Views: 348 | Replies: 9
to surrender his license This is typical of most dental boards. Be a inept dentist?? No problem, it would take years and years to do anything about it. Steal from insurance companies and commit fraud, also years and years. Steal Rx's from patients, also years and years. WHY? because we usually have better
January 06, 2026
Legal Issues
Message Board
Views: 141 | Replies: 2
be surcharged. Disclosure rules matter. Insurance contracts may forbid it. And nothing makes front desk life worse than explaining extra fees to an already annoyed patient. Dentists share the same struggles. Associates want transparency. Owners want margins. Everyone hates surprises. The win is clarity. Define
January 21, 2026
Associates Corner
Message Board
Views: 251 | Replies: 10
her $100.00 and extraction was about $175. Below is our recently released Provincial fee schedule for New Brunswick of 2026 for composite restorations. Fees are high in my opinion but insurance companies usually pay current fee schedule or are 1 years behind. We opted 25 or so years ago in Canada
January 19, 2026
Cosmetic Dentistry
Message Board
Views: 238 | Replies: 5
1000 bucks, some of my insurances actually pay less than that, and Im licensesd, lol. Jay hit the nail on the head. Only thing difficult to get are drugs. Instruments and equipment are very easy to buy by anyone. While the law states must be a dentist there is zero enforcement, Attempting
March 11, 2026
Dentistry In The News
Message Board
Views: 27 | Replies: 0
, or running deficits. It helps to see how other systems work. Canada's Medicare (Canada) is a tax-funded insurance model. The government pays private doctors and hospitals. The UK's National Health Service goes further. The government funds the system and also owns most hospitals and employs many
April 11, 2026
Mexico
Message Board
Views: 34078 | Replies: 2116
in the market. The dental practice is just the thing that keeps the lights on, pays the bills, and gives you health insurance. The rest of the cash flow is where the money is made in the market. $$$ And imo, the current administration is gonna pump the markets with tax cuts, more deficit spending, and more
June 03, 2025
Personal Finance
Message Board
Views: 619 | Replies: 40
thoughts on creating a roadmap to profitability for this practice while hopefully starting to get out of the worst reimbursing insurances. I am aware that some staff may have to be let go and have concerns about destroying office morale with the remaining loyal and long term staff. Any advice
September 24, 2025
Practice Acquisitions
Message Board
Views: 412 | Replies: 42
in the Take it or Leave it camp b/c at $70/hr I would think you could get somebody else...depends in San Fran I guess. Tell her what the expectation is. One hour for $81. $70 hyg, plus $25 Assistant and $25 FD. You are losing $40 an hour. I hope other insurance pay more. Xrays help. This is the best
August 21, 2025
Staff Management Issues
Message Board
Views: 34078 | Replies: 2116
Just wait. Access to care will come up. They "won't be able to find" radiologists for underserved/small towns, there will be a push for a midlevel radiologist like a CRNA. Insurance/hospitals already compromise care with archaic standards for tests. They won't test for some things until you hit
October 09, 2025
Personal Finance
Message Board
Views: 70132 | Replies: 5147
comp - $329K of practice-level EBITDA or 14.0% - a typical full-time, 1-DDS/DMD GP practice usually generates +/- $225K of EBITDA depending on the MSA and insurance mix (no MA) Dave- Its the risk involved. When you have to replace the owner doc of a specialty you could lose most of your referral
July 02, 2025
Academy of Dental Management Consultants
Message Board
Views: 2442 | Replies: 116
care/free care or just what their insurance covers. That is their value and you will not AFFECT NOR LIKELY CHANGE THEIR VALUES in 1 visit. So they will fight and argue more about every single cost. There are those on PPO that realize "yay I got decent coverage and can go where I want. Hmmm this doc
January 21, 2026
Practice Acquisitions
Message Board
Views: 1105111 | Replies: 63426
shut it down and the docs involved had to pay the IRS a lot of money/fines etc. One of business partners was telling me that he has a large insurance policy to draw 350k no tax at age 60. I'm not sure his age, but I think he's 3 or so years older than me. Not sure when he invested in this (prob
November 10, 2025
Retirement Planning
Message Board
Views: 1501 | Replies: 45
handwritten welcome letters and referral thank-you mugs. Staff are trained to never say 'no' on the phone. Do you take insurance? Yes. Do you take Medicaid? Yes. Do you have payment plans? Yes. Barriers are eliminated, trust is built, and patients feel like the practice is on their side. Of course
December 16, 2025
Practice Management & Administrative Forum
Message Board
Views: 1036 | Replies: 114
'Medicare for All' plan, a government-run insurance program covering all Americans and replacing most private plans. 65% of respondents said they supported it. That includes 78% of Democrats, 71% of independents, and 49% of Republicans. Next, the pollsters described to respondents what Medicare
December 07, 2025
Canada
Message Board
Views: 661 | Replies: 30
. In essence, the piece illuminates a modern phenomenon: how medical tourism, driven by insurance limitations and high U.S. costs, has turned a sleepy border town into a global dental factory, offering real value for some, real risks for others. Mexicos Molar City Could Transform My Smile. Did I Want
August 05, 2025
Mexico
Message Board
Views: 2089 | Replies: 64
. $555.55/hour production. Now I'm paying $30 for that same zirconia crown, getting the same 1250 from insurance, no PVS or temp material, no post op crown coming off, patient is numb, no bleeding gums, etc. I book 3 hours. While the crown is milling today for instance I was doing a quadrant of fillings
August 25, 2025
Practice Management & Administrative Forum
Message Board
Views: 371 | Replies: 14
fixed as we have a new dental program in Canada that covers patients without any dental insurance and who make less than 70 grand which covers many people in your area Do you qualify for the Canadian Dental Care Program When can you visit an oral health provider What services are covered
August 30, 2025
Cosmetic Dentistry
Message Board
Views: 204274 | Replies: 100231
moved their operations to other states. One result: California posted the of any state in July. This, in turn, is creating a doom loop crisis for the state's indebted and fraud-ridden unemployment insurance fund. As employers are expected to shoulder the growing tax burden necessary to cover
September 26, 2025
Politics
Message Board
Views: 1077 | Replies: 23
not seen! It's an important reminder to try to enjoy the journey when you can and make the opportunities to do so! Step 1 - Realize that more work doesn't always mean more money. For example, seeing 40 medicaid patients a day has the same revenue as 20 regular insurance patients and the same revenue
August 11, 2025
Mental Health, Well-Being, and Stress Management
Displaying 1251-1300 of 2266
Page 26 of 46
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