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Searching: insurance denials
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Message Board
Views: 884 | Replies: 17
be fair. But if I do this for insured patients and just up my fee for 4-surface amalgam to $350, patients will get a letter from the insurance company saying I am overcharging. What do the rest of you do? Unfortunately .....I eat it. PS I was a pinodontist but haven't used them since dentine bonding
January 05, 2017
Amalgams
Message Board
Views: 1917 | Replies: 72
. There was the suggestion that amalgam be removed from the public health care system, but as the public health insurance doesn't have nearly enough money for something like that, it's being pushed further into the future. Thank you for the response, I am glad that you do agree. And that's without even trying, Don
September 23, 2016
Amalgams
Message Board
Views: 1747 | Replies: 37
of you guys out there have gone through this please give any advice you have as far as dealing with insurance companies and also explaining to patients why they owe the extra... If you are in-network with the PPO and they downgrade your composite to an amalgam (as many PPOs do per the contract), how
July 20, 2015
Amalgams
Message Board
Views: 1079 | Replies: 16
, and that dentist doesn't want to see that patient so he jacked it up so much that the patient won't do it. Either way you are not gonna be in business too long with those prices. Taxes do increase costs for business, but because of insurance, you can't really pass those costs to patients so easy. I don't think
September 14, 2017
Amalgams
Message Board
Views: 154 | Replies: 1
minutes but need to extend it. Its just tough when insurance companies reimburse as little as they do, so I keep thinking if I schedule less time, I will force myself to hustle and complete an amalgam much faster, but it just doesnt happen.
December 29, 2022
Amalgams
Message Board
Views: 1050 | Replies: 20
i'm happy to take your money. BTW this is cosmetic and we won't be submitting to your insurance so that'll be cash up front. Well i want you to do it because you take my insurance and the last dentist didn't. So will you be wearing gas masks and what will prevent me from inhaling the mercury
May 16, 2015
Amalgams
Message Board
Views: 3341 | Replies: 117
prosperity of dentists. Most arent being placed by dentists on the level of doc Terry, etc I guarantee you that clinicians greatly differ on what diagnostic criteria they use to recommend a crown. Insurance companies also differ in the criteria where they will pay for a crown. So I bought a practice
April 14, 2024
Amalgams
Message Board
Views: 774 | Replies: 35
, (Navy and Air Force) back in the 80s. A couple are basically amalgam crowns. Both guys are about to retire, (not from the service, but from civilian jobs) and want to know if I should replace these before they lose their insurance. I've told them that they look pretty good at this point and should
September 08, 2024
Amalgams
Message Board
Views: 16913 | Replies: 935
ask me for amalgam. We also have a notice at the front desk that we don't place amalgam, and your insurance company will likely pay an alternate benefit, and the patient is responsible for the difference. Again, I'm in a fairly affluent area, so it's usually not an issue. No it is not. If you
January 26, 2016
Amalgams
Message Board
Views: 293 | Replies: 6
one 105€. Ceramic lithium disilicate would be 125 and 150 from the tech. I charge 275€ from the patient for a composite onlay and I get another 100€ for it from the insurance company. It takes me around 2,5 hours of chariside work to prep, immediate bond, impress, cement, articulate.
October 16, 2014
Amalgams
Message Board
Views: 1917 | Replies: 72
it at full fee, no insurance claim if they are clinically acceptable. I don't really care if the patient thinks it will cure cancer, save the world, or make them more attractive to the opposite sex. As long as I am not making/confirming these claims I don't have any reason to worry about
October 14, 2014
Amalgams
Message Board
Views: 887 | Replies: 56
insurances will stop downgrading my composites The problem is not the inert mercury in fillings. Not so sure about that when it hits stomach acid...I think it's pretty well proven whatever Hg comes out ends up in your central nervous system...maybe just a little but still...prolly adds up for autoimmune
February 17, 2025
Amalgams
Message Board
Views: 133169 | Replies: 8904
, and has no income. He has no dental insurance. He has no esthetic concerns as he is in a fight for his life. Edit by administrator due to violations of the Dentaltown rules that we all agreed to abide by.... No personal attacks, or name calling on the board. The “Golden Rule&rdquo
March 09, 2011
Amalgams
Message Board
Views: 16913 | Replies: 935
freeze-frame shots and store them directly into patient's chart quickly (no uploading from memory cards needed) for the following reasons: A) medico-legal, B) insurance, C) internal marketing; and most importantly, D) pt education reasons. Some dentists who use scopes also have a video feed which
January 31, 2016
Amalgams
Message Board
Views: 133169 | Replies: 8904
these materials to make custom wedges for unusual class 2 restorations. EdOh great idea.. A woman who once had a job and dental insurance I did the gold. Now is disabled and has no insurance did the amalgam, 7 years out Amalgam, solving the big problems that plastic just shrinks away from! funny
December 15, 2014
Amalgams
Message Board
Views: 816 | Replies: 17
interested.This is a waste of time. They tell you this insurance school because majority of students are pulp exposing left and right but in pvt practice, if your that close your going to place theracal or dycal/liner and restore, and 99%of the time the tooth is asymptomatic. If your in a high end
September 06, 2017
Amalgams
Message Board
Views: 133169 | Replies: 8904
For some reason that makes me feel dirty,,,,,not the good kind, but the bad insurance ho kind So to answer your question Glenn, the guy had an amalgam in the tooth before- it last 30+ yrs- he thought he would like another thirty out of it . The composite on 29 was for his wife . Money
June 11, 2009
Amalgams
Message Board
Views: 133169 | Replies: 8904
right. A man who has a ugly tooth Small clear strip at mesial, cord placed. True kindness. Yes, I do crowns and I did those that we see. But after 45 years of observation I FEEL far better doing the less invasive restoration Here is the big problem in dentistry today. INSURANCE compensation
December 31, 2015
Amalgams
Message Board
Views: 541 | Replies: 19
recommendations today. Also consider using a pair of hemostats to grab the band when ready. Then roll the band gently around the bek of the henostats to pull it out sideways as tou keep rolling it around the hemostats. You generate a lot less destructive forces that way. Takes a few extra seconds, but it is a great insurance policy.
April 19, 2016
Amalgams
Message Board
Views: 133169 | Replies: 8904
. These people who do not have insurance CANNOT afford healthcare so many go back to their country or elsewhere/ Guess what elsewhere might mean?Kenny, don't you think they have come to you for a reason? Having dental insurance would not make dentistry more affordable. Having a good job, a stable
April 01, 2008
Amalgams
Message Board
Views: 212 | Replies: 8
surprisingly VERY INSURANCE DRIVEN. Anyway, I had him treatment planned for a buccal composite on tooth # 32. Wanted a pred, so we did for him. Came back with substitution with amalgam, at much lower fee. I offer to do it for just $35 more in composite (still much less than my comp fee). He says no, I want
May 22, 2021
Amalgams
Message Board
Views: 133169 | Replies: 8904
that is a smarter way to do it but have never tried it. I've got a guy that needs one (if I can ever pin him down on his schedule, he's a dodger which is crazy because he has dual insurance and rarely pays a dime) and would like to use that method instead of the try and access through the buccal or lingual
January 19, 2009
Amalgams
Message Board
Views: 749 | Replies: 26
it. Bond/restore. Literally, the patient was in and out in 10 minutes. It would have taken longer to drill out extensions for preventions and wait for the amaglam to set up and carve it. So yeah, if you are at a clinic that is an extension of an insurance company, you can't do this. Drill away
August 29, 2014
Amalgams
Message Board
Views: 133169 | Replies: 8904
patient! Indeed, it made me so happy to read this. You made my day! May you be helping patients for a long time, my young friend! If you don't mind telling us, what is next to nothing you charged for this? For mine it is $300-$350. I charge anywhere from $150 (no insurance, no money) to $250
July 09, 2021
Amalgams
Message Board
Views: 917 | Replies: 41
class V on an 80 year old, that's paying proper fee, I've got some 'mercury' ready to go. Will last a lifetime. The ADA did find one thing they could fight hard for and that's been Amalgam. 'We demand to keep whatever you reimburse the least for! We won't take no for an answer' insurance co: 'Jack
January 28, 2026
Amalgams
Message Board
Views: 133169 | Replies: 8904
and they chose no crown. I don't think they look bad at all, you're being too hard on yourself.I like polishing amalgams. I'm a nerd!#15 DOB on a lady today. She has no insurance, no money and her husband left her and their four kids. She can't afford ideal and I am proud to be able to do
April 30, 2008
Amalgams
Message Board
Views: 133169 | Replies: 8904
. If push comes to shove and the public says they want that mercury out of their mouths who will pay for it? The government? no. Private insurance? no. The ADA? maybe. The patient? sometimes. The Dentist? if dentists are found guilty of placing the poison while knowing
June 20, 2008
Amalgams
Message Board
Views: 133169 | Replies: 8904
to ban amalgam. But those same folks have never done dentistry on poor folks and those with rampant decay. Sometimes, there is no other option, even with a rubber dam. I only place like 1-2 a week, but they are very handy to have at the right time. I guess the good news is that insurance will quit
September 22, 2015
Amalgams
Message Board
Views: 133169 | Replies: 8904
came back and polished??!That is truly amazing. In my eyes, that is essentially a direct amalgam 3/4 crown, which is worth about $600-700 considering the skill it took to do it and how long it will last. I just hope you didn't get stiffed by an insurance company for 5 surface amalgam at $110
January 21, 2010
Amalgams
Message Board
Views: 1548 | Replies: 25
thanks, I have them, and I use them for anterior teeth sometimes, but never for posterior class II's I will give it a try. Thanks I will do this! You are going backwards from a composite, insurance office to a medicaid mill. What happened? +1000 Why would it be going backwards to use a material
December 14, 2021
Amalgams
Message Board
Views: 133169 | Replies: 8904
treatment to insurance limits. Terrible.iDon't know why only one showed up.....this is the other side. Things are worse in real life, believe it or not!OOOOOPH, #18 is screwed then! Yeah I hate to see that. Not that it can't happen with amalgam because it very well can, but technique matters so
June 19, 2008
Amalgams
Message Board
Views: 3341 | Replies: 117
staffing?? and of course the irs gets their cut. wink wink There are a lot of reasons My 3 kids are not going to be dentists(one is Domer like you), but a declining caries rate to me isn't even on the radar. A ton of university of Phoenix dental schools, dso's and insurance is the race
December 05, 2023
Amalgams
Message Board
Views: 2152 | Replies: 98
that were placed nearly 50 years ago .... I am so thankful to the dentist who placed them.... Without a doubt, there would have been a lot of recurrent decay, bigger fillings placed and eventual crowns had they been composite.... is the "no amalgam ever" philosophy an insurance policy so dentists will have
November 04, 2025
Amalgams
Message Board
Views: 133169 | Replies: 8904
it with insurance...yes, they are challenging, but if you do a lot of them, they become much easier... that big first molar you did is a beauty! polish that bad boy up at the next appointment if you can spare the time...it will gleam! your stuff is solid man...well done...Ah, the impetuousness of youth
February 12, 2018
Amalgams
Message Board
Views: 2152 | Replies: 98
thing its good for is for insurances to use as they downgrade to their amalgam fee. The public really does not want it and the effort to convince otherwise is a tough one. The stupid vapor tests and associated videos have made their rounds among many other similar things that just makes it an uphill
August 15, 2025
Amalgams
Message Board
Views: 133169 | Replies: 8904
an intraoral pic for the patient and insurance to see. Not a lot of patients want to arrive for a filling and end up with a surprise crown. I tell them to consider the filling I place today a crown buildup.Ace,The compelling reason here was high sensitivity to biting. Absolute nonsense.......if it was way
April 08, 2008
Amalgams
Message Board
Views: 133169 | Replies: 8904
that by one of the insurance company expert reviewers as a pre-fab post & core, but in no way, shape, or form is that a pre-fab post & core. Core build-up is the only accurate code. I treat a lot of geriatric patients. Sometimes we have a sort of 'traffic gridlock' because there are so many
September 27, 2011
Amalgams
Message Board
Views: 133169 | Replies: 8904
have been great if I had been able to prep 14 today as well. Unfortunately, he is an insurance patient and I recently did a rc #20 and seated the crown today. #14 was put on the 2009 crown list- when he came in today he asked me to look at #14 because it started to feel different- and obviously
October 06, 2008
Amalgams
Message Board
Views: 1026 | Replies: 45
convertible. I'll buy one for everyday of the week.This will never go anywhere, do you think insurance companies are not going to have anyting to say if this causes a stir. Hahaha! You guys are funny :) I have read the thread to my staff and they cracked up.Well, I RD'ed the patient, removed the large
January 29, 2015
Amalgams
Message Board
Views: 133169 | Replies: 8904
fromt the RD.Only used the isolite on 19--- pt loved the isolite, not so much the RD........ Nice morning- good patient and the procedures went pretty smoothly. He was here about an hour and 20 mins, not too bad for me......BradiBradi....why did you choose to restore #29 with comp and #30 with amal? Why not the same material on both?Insurance coverage is my guess.
June 05, 2009
Amalgams
Message Board
Views: 16913 | Replies: 935
everyday. Waaaaay easier than composites. I love composite but sadly most of my patients are low income and have very poor OH. Amalgams can still provide a great service to a lot of patients. I only place amalgam so I can restore more teeth. Insurance won't authorize that crown? Place an amalgam
January 19, 2016
Amalgams
Message Board
Views: 133169 | Replies: 8904
wants to share their feelings as well. I just answered such a message. Here's what I wrote: I agree with you about resin vs. metal. I do think resin can last a long time...but the effort required to make that happen is more than most are willing to commit to. Especially with the state of insurance
January 13, 2015
Amalgams
Message Board
Views: 133169 | Replies: 8904
appointment prep away Fugi and marginate amalgam core to moar root. This work is impossible to do with composite resin. That is why a non-extremist dentist has amalgam in the office. Waiting on insurance to kick in for a crown but needed a fix. I'd leave it alone for now. No crown
November 22, 2013
Amalgams
Message Board
Views: 133169 | Replies: 8904
that there is minimal surface area subject to the corrosive affects of the oral environment. I hope your malpractice insurance has a clause for psychological damages or you're gonna be paying for therapy for this woman for many yearsC'mon, PHIL......posting occlusal amalgams?!!??! You REALLY are a JR Friggin
January 15, 2009
Amalgams
Message Board
Views: 133169 | Replies: 8904
all done its a DOB buildup and pre-d sent to insurance for a gold onlay. Havent done an onlay before but I think there is too much tooth structure for a crown. For an onlay am I basically prepper like a crown, only leaving the margin say 4-5 mm supragingival on the buccal and just going over the cusps
December 17, 2008
Amalgams
Message Board
Views: 16913 | Replies: 935
dentist placing the composite makes a better restoration. The second is the insurance driven thing of only paying for amalgam in posterior teeth. Most pts. will go with the less expensive amalgam with ins. Also, with low reimbursement for composite most dentist don't want to take the extra time to do... I
January 29, 2016
Amalgams
Message Board
Views: 133169 | Replies: 8904
that, they look at you and ask Well what does my insurance pay? and I will tell them their insurance is covering about $600. They get all bent out of shape about having to pay the measly lab fee. Sorry to rant. It is just ridiculous dealing with these HMO patients, I can't wait to be free
June 30, 2008
Amalgams
Message Board
Views: 133169 | Replies: 8904
with his upper anteriors and now the insurance money is gone,baby.gone.And he is tapped out. The cash is gone.AnyhowRoot decay .Normal periapex at the momentCan we just watch and let the barn burn down Hell no! Access cut thru crown. decay removed. Then some GP removed, band placed and wedged.I ask
June 29, 2009
Amalgams
Message Board
Views: 133169 | Replies: 8904
rather than have a problem brewing for years, unable to be detected?Insurance pays for a new crown every 5 years. I know they have tons of actuaries that have figured out what the average life span of a crown is. What if your crowns last twice as long as average? Three times? Four times? But to ask
January 12, 2009
Amalgams
Message Board
Views: 133169 | Replies: 8904
of lingual, cheap insurance against fracture.What about the molar? Looks like trouble lurking on the buccal...I would do a nice gold onlay covering all cusps so she doesn't soon end up loosing it like she has the second molar.JohnTimmyI have found the source of your back pain. it is not from
June 24, 2008
Amalgams
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