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Searching: insurance denials
Results: 49
Message Board
Views: 786 | Replies: 28
the basics. Claims went out. Payments came back. Staff posted them manually and hoped nothing slipped through the cracks. That worked when volumes were lower and insurance plans were simpler. Today, it is a different world. More plans, more carve outs, more coordination of benefits, more denials
May 27, 2026
Artificial Intelligence
Message Board
Views: 57 | Replies: 1
Canada's Canadian Dental Care Plan is not socialized dentistry. It is not the end of private practice. It is also not 'free dental care.' It is something much more familiar to dentists: a large, government-funded insurance program with copays, eligibility rules, preauthorizations, fee gaps, patient
May 27, 2026
Canada
Message Board
Views: 121 | Replies: 12
, treatment planning tools, insurance workflows, and patient communication systems. Now Utah has given everyone in healthcare something much bigger to chew on. Utah approved a pilot program allowing an AI system from Doctronic to renew certain existing prescriptions without a physician signing off
May 27, 2026
Artificial Intelligence
Message Board
Views: 413 | Replies: 19
My wife showed this to me the other day. I'll bitch about work and insurances and she just nods, but I think this was pretty eye opening for her on how big of a racket it is. A while back I looked up delta of colorado. The CEO only made 500k/year. BUT then when I looked deeper it was for 4-5 hours
May 29, 2026
Dental Insurance for Dentists
Message Board
Views: 17198 | Replies: 1131
observations as someone who has watched lawyers at work on highly technical cases and seen a lot of subtle deflection to important questions: Waymo said 'the Waymo vehicle is always in charge of the dynamic driving task.' That is not a denial that the human is performing some of the driving task. (Being
May 27, 2026
Automobiles
Message Board
Views: 36 | Replies: 4
. The unique part is that obviously I will be looking to grow my new practice and bring in as many patients as possible, but my current practice is also looking to shed patients and drop insurance plans. So if a handful of patients follow me to my new practice that's a bit of a win-win. My current
May 29, 2026
Patient Communication / Education
Message Board
Views: 324637 | Replies: 34370
% in marvel from politicians stock buys Trump could bang their wives and they'd find a way to justify it. Actually on second thought, they'd definitely let him Yep, I offer Health insurance, paid holidays, PTO, and retirement plan, thats my limit. You dont offer health insurance? i offer 50% insurance 0
May 28, 2026
Personal Finance
Message Board
Views: 97 | Replies: 1
Hey everyone, looking for some advice from those who've navigated insurance decisions as a practice owner. I recently took over a dental practice and inherited a bit of a complicated insurance situation. The office is currently in-network with Delta Dental PPO (previous owner was Premier) and out
May 29, 2026
Ask a Dental Consultant
Message Board
Views: 944 | Replies: 29
minimal cost to keep it. I will not let mine lapse. Mack I would think it's a very low risk high reward situation. Especially if you do not have to pay for liability insurance, disability insurance, workers comp etc and so on the cost of keeping you license would be so minimal in comparison and I
May 28, 2026
Retirement Planning
Message Board
Views: 204108 | Replies: 100178
use in military culture. Two acquaintances told KFile he had described the tattoo as a Nazi symbol years before his public denials. Platner said those posts were about Marine scout snipers. His own former political director called it antisemitic: "He knows damn well what it means." He didn't cover
May 29, 2026
Politics
Message Board
Views: 78 | Replies: 2
not have hospital call rooms, but we have PPOs, no-shows, staffing shortages, insurance games, angry patients, impossible schedules, hygiene chaos, OSHA, HIPAA, Google reviews, payroll, broken chairs, supply reps, team drama, and a front desk trying to explain why the crown is not 'free' even though
May 28, 2026
Practice / Family Management for Women Dentists
Message Board
Views: 523 | Replies: 34
I'm sure this will be a useful scenario for colleagues who will face similar undertaking. I'm selling; the closing is scheduled 4 weeks from now.. The new owner won't be credentialed in time to start billing under her own insurance provider ID. My broker suggests to have the new owner bill under my
May 26, 2026
Practice Sales
Message Board
Views: 32 | Replies: 0
Should routine adult dental care eventually be treated as an essential health benefit? Or would folding dental into major medical create more problems than solutions? Curious where Townies fall on this one, especially those dealing with Marketplace plans and insurance issues every day.
May 28, 2026
Dentistry In The News
Message Board
Views: 110 | Replies: 7
would prefer not to post publicly. Thanks in advance. No issues here. Saves me a lot of money on all kinds of stuff including health insurance. I did pay an attorney to review everything before I signed. If there is a downside I have not experienced it yet. Net32. No contract needed. I have been
May 28, 2026
Practice Management & Administrative Forum
Message Board
Views: 739 | Replies: 49
coming in. I am using a marketing company called LassoMD but I am trying to search for new avenues to increase my new patient flow. I am currently not participating with any insurances but I am contemplating adding 1-2 strategically to help with this problem. The previous owner spent years dropping
May 27, 2026
Marketing
Message Board
Views: 83 | 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: 419 | Replies: 6
entire adult life in clinical dentistry, Since your reply I am looking into remote dental jobs, teaching, insurance claims, treatment coordinating, or something non-clinical. You are absolutely right though - the physical and mental toll in dentistry is very real, especially for assistants. I think
May 28, 2026
Dental Assistants
Message Board
Views: 333 | Replies: 39
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: 204108 | Replies: 100178
, be prepared to do a lot of walking. Uphill walking at that. Good exercise! I've done great things too. On my farm in NC. But I sold it. I got too old. Still have chickens. Love my chickens. That statement makes no sense at all, but makes you feel better about your ridiculous denial stance over
May 23, 2026
Politics
Message Board
Views: 1141 | Replies: 19
in practice. Think in branches, not in averages. If it is swallowed and smooth, it is usually a GI observation problem. If it is aspirated or might be aspirated, it is an airway problem. And airway problems do not tolerate denial. The first move is always the same. Stop. Assess airway, breathing
May 22, 2026
Medical Emergencies
Message Board
Views: 883 | Replies: 26
. Some oral surgeons said the statistic matched what they were seeing with burnout, hospital frustration, insurance headaches, and younger surgeons wanting different lifestyles. Others called the article clickbait, AI slop, or outright nonsense because they personally did not know a single oral surgeon
May 26, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 60 | Replies: 3
Hi all. I am planning to add a traveling periodontist to my office. I am in the Bay area and most of my patient have Delta insurance. I am in network with Delta and 70% of my income comes from Delta. I want to start with 2 day/ month perio. What are the dos and donts? What are procedures that make
May 26, 2026
Periodontics
Message Board
Views: 324637 | Replies: 34370
gas cards due to inflation, , Im surprised people do. I am helping my staff more with their rising health care insurance costs year after year. That's the real kicker. Luckily most of my staff are living local. No long commute. So no gas cards for my folks. im to poor to give out that kind of money
May 28, 2026
Personal Finance
Message Board
Views: 556 | Replies: 31
insurance and standardization is a double edged sword, potentially putting everyone at a 'disadvantage'; except the insurance company You are 100% correct that this 'type of dentistry' is not feasible for PPO rates, but every dds I know is looking to get out of network and regain more autonomy
May 27, 2026
Restorative Dentistry
Message Board
Views: 447 | Replies: 24
on Dental Insurance. Especially the ones that don't pay! Surround yourself with top quality specialists.You don't have to do everything. Do the procedures you enjoy. Patients today are a lot different today. We have a mobile society, Some will stay forever. You may see 3 generations. Time is our most
May 26, 2026
Retirement Planning
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: 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: 120 | Replies: 3
that requires it? If the answer is yes, you can have a problem. And here is where things get weird. You can be fully compliant with Health Insurance Portability and Accountability Act, have a signed BAA, use an approved vendor, and still lose this case. HIPAA governs how data is handled. It does
May 27, 2026
Artificial Intelligence
Message Board
Views: 1833 | Replies: 35
with unmotivated staff. I'd agree with the other people to consider doing the following: 1. Drop one day. Focus on working on your office, instead of at your office. This can be administration, strategy, tracking metrics, practice restructuring...or just taking a walk. 2. Start dropping insurances. Start
May 27, 2026
Partnerships and Associates
Message Board
Views: 123 | Replies: 3
but still behave differently in a busy dental office with imperfect radiographs, rushed hygiene checks, insurance pressure, and patients staring at the screen wondering if that red spot means they are doomed. AI can absolutely help. It can catch things tired eyes miss. It can standardize radiographic
May 23, 2026
Case Presentation
Message Board
Views: 140 | Replies: 11
. They want to hook you on a subscription. In their eyes you can never have too much protection aka insurance... Most are the type of dentist who you just want your prophy and exam with a toothbrush but you are being forced into fluoride laser and irrigation... I think it sounds more like 4Q SCRP because
May 27, 2026
Computer Hardware
Message Board
Views: 584 | Replies: 22
that happen to them and then turn around and treat their patients the same way. Pressure tactiques, O we take you insurance BUT, you NEED veneers, Arrestin, Zoom, etc etc etc. As a profession, we have no right to complain about ANYONE, at least until we do a bit better ourselves. Great post When you consistently get under 30% you won't even talk to salespeople if they aren't carrying lunch in their arms. (Enough for everyone, not just me)
May 28, 2026
Practice Management & Administrative Forum
Message Board
Views: 1785 | Replies: 113
amounts of patient visits makes it seem like they are working hard and making an impact. There will be tsunami of closure of offices in CA. Also now many of us will have to go back in network or accept HMO s to sustain. Insurances must be smiling at this time.
May 26, 2026
Pediatric Dentistry
Message Board
Views: 166 | Replies: 8
England weather...instead of if you don't like it give it 10 minutes. You'll have to wait 2 years. For all the no kings folks, may I remind you that either you take the shot or you're fired or you have medical insurance or you'll get fined. Not much a decree here keep walking Hopefully it won't
May 26, 2026
Military Dentistry
Message Board
Views: 601 | Replies: 41
years. We don't make it a pampering thing, staff grabs from warmer and presents it to patients after air polishing, impressions, any procedure they might need to clean their faces after. We take a few insurance plans but only with limited write-offs. Single use cotton towels are cheap and people
May 25, 2026
Marketing
Message Board
Views: 1374825 | Replies: 39855
the phone. Says he needs #3 implant restored. Then he goes off on how he doesn't want to use insurance benefits for the exam and x-rays, etc. as he wants to conserve his benefits for the actual crown. He goes back and forth with my front office, finally understands exams and x-rays are non-negotiable
May 24, 2026
Just Plain Bitching and Moaning
Message Board
Views: 306 | Replies: 20
, and ortho. They have a CEREC but no pano or CBCT. Hygiene production (2025): 31% Employee compensation: 36% Estimated income before taxes: $341,200 Insurance mix: (PPO) 60/ 40 (FFS) Rent seems very high as you noted From personal experience going into affluent areas- Adding procedures that some
May 28, 2026
Practice Acquisitions
Message Board
Views: 2181 | Replies: 113
joined as an enlisted to try to get into a pharmacist officer slot but didn't work out so was deployed as an enlisted, think the person wasnt even a sergeant. Imagine the dental profession getting to the point that dentists join as an army dental assistant because the health insurance is better than
May 27, 2026
School Specific Discussions
Message Board
Views: 324637 | Replies: 34370
levels below the previous leadership. Its going to take decades for Iran to rebuild. The Uranium is likely under a collasped rock mountain . The Strait is more of a question about insurance than military. They cant pass through because Lloyds of London wont insure them. Iran has been rendered moot. Soon
May 26, 2026
Personal Finance
Message Board
Views: 399 | Replies: 10
at the time. We literally signed on with just a couple of insurance companies and had no business plan from there. Pretty pathetic now that I look back. I had a pretty good associateship at the time that put food on the table. From year one we made money and paid down our debt quickly, but I imagine
May 24, 2026
Practice Start-Up
Message Board
Views: 338 | Replies: 5
functions, with clear accountability and measurable outcomes. The owner sets the standard. The team executes it. The office manager role is where this often breaks down. Many practices give the title to someone who is really functioning as an insurance coordinator or treatment planner - handling
May 29, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 1048 | Replies: 47
IIRC insurance doesn't cover it well. No, not temp cement. The actual crown and bridge temp material. If you don't "pump" the restoration up and down as it sets on the tooth it will lock on. And no, you didn't smear it on the tooth. You put a drop of temp CROWN material on the intaglio of the veneer
May 28, 2026
Cosmetic Dentistry
Message Board
Views: 33014 | Replies: 3444
and I was home by 2 PM on Friday. I'll be off work for up to 6 weeks. I have a couple of locums looking after my patients. Dealing with my disability insurance at the moment. So thankful it wasn't worse. Very thankful for the great care received from my riding buddies, Search and Rescue, BC Ambulance
May 28, 2026
Sports
Message Board
Views: 898 | Replies: 34
to dismiss. I didnt even have to be there. It lasted over a year and was dropped , which means some lawyer actually lost money on the deal. Thats kind of funny. My malpractice insurance did not even go up. ITs been a non event. Case description . I referred a guy with rotton teeth to an oral surgeon . He
May 28, 2026
Patient Communication / Education
Message Board
Views: 324637 | Replies: 34370
damaged. It's like your home insurance denying a claim of a coverage you have been paying for, for decades. Plus their oil super tankers haven't crossed the strait of Hormuz to export oil for 3 months, possibly much longer, and each of their ships will pay the Iran toll. Ofcourse the Saudis want the war
May 25, 2026
Personal Finance
Message Board
Views: 70099 | Replies: 5146
if they want that profit margin. We're doomed You must not take PPOs then. Dentists have figured out how to run lean. But we can't run lean enough to share 50% or more of our profit with a home office. No amount of supply savings or special insurance reimbursements make up for that. This is it. In dentistry
May 28, 2026
Academy of Dental Management Consultants
Message Board
Views: 323 | Replies: 28
appraisal said was average for my area. My insurance , taxes and lawn care/snow is about 24K a year. Gotcha, that makes sense. So for simple numbers, if your practice was 2,000sqft, at those numbers, you would be at $36/sqft base rent with NNN's at $12/sqft for the incoming practice owner. It sounds like
May 22, 2026
Practice Management & Administrative Forum
Message Board
Views: 1015 | Replies: 63
? Maybe maybe not. Let's just say it would take a lot of work. Maybe akin to herding cats. I do think there is plenty of room for things like tuition, licensing, fee schedules, access to care, EFDAs, DTs, records management/electronic records, 'insurance' companies, etc to be addressed. The list above
May 28, 2026
Dental Students
Message Board
Views: 2027 | Replies: 116
bid for a house in CT. Their mortgage/property tax/insurance for the property? Right around 8K/month. You're fine. Control spending. Increase payments to your debt. How many years do you have left on your mortgage? This is excellent. 12 more years on mortgage but whatever is left owing when I sell
May 24, 2026
Practice Sales
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