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Searching: insurance denials
Results: 37
Message Board
Views: 64 | Replies: 2
Tells you if pt is bruxing. I'm tired of pts with extreme wear in denial about their condition...or hell, basic wear....like a suck down that shows wear patterns that won't break the bank. I palpate people's muscles but apparently no one has sore muscles....it's making me go crazy. Use a black sharpie on the discluding element (a la Melkers). What about this product brux checker? Seems pricey but if one buys a night guard it pays for...
December 14, 2017
Appliance Therapy
Message Board
Views: 209 | Replies: 5
So we usually bill under D9940 but PPO reimbursement is pretty lousy. Im considering D7880 but I dont know what kind of narrative and tests I need for insurance to cover. Are there any other codes ? Check this out: (the DT software is being weird... click on this): Rose Nierman did an awesome job. -Jim Ty ! Those are the ones I use as well. The links on the website no longer work, is there an updated version? Try this
December 21, 2022
Appliance Therapy
Message Board
Views: 135 | Replies: 5
I am wondering if anyone can shed light on this.I have done plenty of sleep appliances using a group that bills the patients insurance on my behalf.Today I received a negotiated letter of agreement between me and aetna. I have mo intentions of being in network with them or change my fees for them.I
January 09, 2025
Appliance Therapy
Message Board
Views: 119 | Replies: 2
Was just contacted by a company who, aside from marketing sleep apnea treatment for my office, also can run the insurance end of the treatment thru a medical office and collect up to $6500 for oral appliance therapy. Does this seem real? Are there dental offices out there who are finding
December 18, 2017
Appliance Therapy
Message Board
Views: 655 | Replies: 12
. They always seem game until they discover a lot of their insurances wont pay for it. Just trying to figure out if their is anything else I can say or show to help guide them to the importance of a night guard. Any suggestions or should I just let it be? Uwe I'll be honest and say I usually use a lab like
September 19, 2014
Appliance Therapy
Message Board
Views: 60 | Replies: 1
I've had some general dentists tell me they are in network with medical insurances to treat sleep apnea with appliances. Is this possible and how is it done (USA) I've been in network with BCBS and Medicare for a decade. All it took to be in network was calling the medical insurance and asking
May 04, 2019
Appliance Therapy
Message Board
Views: 70 | Replies: 1
typical lab made occlusal gaurds, or can't tolerate the bulk in their mouth. My question is, how to code it? If my regular occlusal gaurds are charged out as 9944, can I use the same code for an essix, but change the fee? How does that work when there is insurance involved? Unclear to me what to do
December 09, 2021
Appliance Therapy
Message Board
Views: 139 | Replies: 5
Patients always say oh, that sound great. I then have a staff member tell them the fee ($200) and that it will not be covered by their insurance plan and they rarely follow through. Proving your point that if their insurance does not covered the cost they will not proceed with treatment. I hope this helps
January 21, 2018
Appliance Therapy
Message Board
Views: 302 | Replies: 3
Ok, I'm crying wolf, but I just saw this on Indiegogo, a kickstarter technology website. Really - does this have a chance at getting FDA approval and insurance reimbursement? really? - You've got to be kidding!!! It's got to be totally bogus....but just wanted to throw it out
February 29, 2016
Appliance Therapy
Message Board
Views: 289 | Replies: 7
consider an NTI and lower slider, but I would probably not use a sleep apnea appliance with no snoring or apnea. I would just use my George Gague and set it to her normal bite. It is covered through her medical insurance at 100% and deductible met. As I'm in network I can get reimbursed at 90
July 27, 2021
Appliance Therapy
Message Board
Views: 51 | Replies: 2
retainer for him to use while he sleeps. What would you use to code this? I am planning on sending to insurance for a Pre-D and I don't think he will have any reimbursement for a retainer. Thanks in advance! I would use 5932, definitive obturator. Thank you!
May 11, 2022
Appliance Therapy
Message Board
Views: 342 | Replies: 13
is just Screening and as such Negative Screening can never imply Negative Diagnosis.So in your opinion, should every patient with nocturnal parafunction be sent for a PSG test before making any sort of appliance...NO...The key is if we talk about OSA we need... That is just not true. More insurance
September 04, 2017
Appliance Therapy
Message Board
Views: 325 | Replies: 12
that we dont want to take their insurance, and that I LOVE their shoes. They are for sure going to want to give me a hug. Crack me up. People. People with Google. People with Google that don't understand a study. People with confirmation bias. Choose your pick. Then run with it. I do not care. I
October 12, 2024
Appliance Therapy
Message Board
Views: 499 | Replies: 11
appliance to make, and two, maybe they file for medical? What do you think? WE have found that without a diagnosis of Mod to severe OSA, insurance wont pay. Even with more severe OSA, many insurance want patients to try CPAP for 90 days and or sign an affidavit saying they cant use it. Maybe others
April 30, 2021
Appliance Therapy
Message Board
Views: 376 | Replies: 15
instinct tells me to just refund and have her get a new one at her new DDS. Was it paid in full in cash or is there an insurance claim to contend with? Is she aware that either you or the other dentist will be paid, not both if its insurance related? My feeling is that she has to come in to have
September 15, 2017
Appliance Therapy
Message Board
Views: 94 | Replies: 4
Good morning.Occasionally I have the need to make an office splint for a patient using my vacu form machine. For example if a patient has no insurance or a once in a lifetime benefit and theyve had a lot of dental work done and no longer fits, to see if they can tolerate a splint and sleep before
March 19, 2021
Appliance Therapy
Message Board
Views: 202 | Replies: 1
is the correct code for TMJ orthotics or “occlusal orthotic device” when there a diagnosis of TMJ, clicking, facial or head pain, etc. TMD orthotics may also be billed to medical insurance. I hope this helps!
March 04, 2014
Appliance Therapy
Message Board
Views: 159 | Replies: 7
no financial interest or other conflicts of interest with these companies or products. Look into a night owl. Recently approved and is covered by almost all insurances. You don't get paid but you dispense to patient in office. Singlre patient use but can be used several times. Full polysomnography
December 28, 2020
Appliance Therapy
Message Board
Views: 411 | Replies: 27
bite change and AM aligners. They are not simple. Insurance is a big pain. I have many hours of CE on this and Istill struggle, but my OM is super good with the insurance par. Dyna Flex Lab is very good. So is Prosomnus. Medicare ( for older patients) requires specific types and it is a process
October 19, 2021
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
Your work up is pretty much spot on in comparison to mine. Goal is to treat any acute flare ups and try to break the cycle before it moves into a chronic state. Education is probably the most important treatment we can provide, unfortunately this is undervalued by patients,insurance companies
January 11, 2018
Appliance Therapy
Message Board
Views: 200 | Replies: 11
week, alady came in with her son asking for the same thing.. oral device can help reducing tick. What exactly is that device? Isnt it just an occlusal guard? This is the information he gave me. Do you need additional malpractice insurance to do this like sleep apnea devices require
December 10, 2018
Appliance Therapy
Message Board
Views: 326 | Replies: 16
on insurance and 100% covered. And I bet no long forms to fill out-just send in a game video of the guy getting a hockey stick to the mouth and spitting out teeth onto the...A lot of these guys don't bother to get the missing teeth fixed until after the finish playing. I can only imagine a stick injury
April 07, 2014
Appliance Therapy
Message Board
Views: 389 | Replies: 9
. The guy worked crazy hours and we had the Uber deliver pick it up at 1AM. Nuts, but it worked. I don't take credit cards as collateral, its tempting, but rare. If he didn't return it, i figure theft insurance would cover it, and often the sleep company will give you a MAJOR discount to replace it.
September 11, 2018
Appliance Therapy
Message Board
Views: 406 | Replies: 10
he needs a nightguard and I would agree, but his insurance changed and thus I will be making one for him. I have not made one since dental school and would just like some overall advice as to which is best for his situation. Thanks so much for all your help! Chances are a night guard will relax
February 04, 2015
Appliance Therapy
Message Board
Views: 316 | Replies: 17
. Interesting, what are the typical lab costs for a neurosensory stent? I'm guessing dental insurance wouldn't pay on these and you would have to get reimburse from medical?Under 100$ usually. Sometimes they pay but not often. They also usually don't pay for the compounded topical any more.Sounds like
September 05, 2017
Appliance Therapy
Message Board
Views: 1141 | Replies: 29
doesn't lecture for us but I do hear from our clients that he has a good courseDo you guys do basically the same thing? What's the difference? I'm asking because dentists ask me where to go. I've heard Kent is good too. All the courses worth their weight have to cover the medical/insurance protocols
February 08, 2015
Appliance Therapy
Message Board
Views: 880 | Replies: 37
has fractured this one! The 2 I have delivered to her were both Bruxeze NG's. I was able to smooth off the jagged edge and she is still able to retain it well. Of course now the lab warranty is expired, and her insurance won't pay for another one, so what should we do? I am tempted to leave her
April 19, 2018
Appliance Therapy
Message Board
Views: 194 | Replies: 1
about sleep apnea (trained by moi) but they live in an anti-government off the grid type area. Many of their patients just want to pay cash for an HST and appliance and not have their insurance or Medicare find out. At least they know better than to treat without an HST but they also dont want
March 28, 2021
Appliance Therapy
Message Board
Views: 757 | Replies: 15
chipped teeth. People can die from sleep apnea related events. People with worn incisors tend to survive. I don't do sleep dentistry, but took some courses in it----couldn't get the medical insurance stuff to work in my favor. This might be a good referral to someone who does the appliances. Maybe
May 14, 2020
Appliance Therapy
Message Board
Views: 883 | Replies: 38
-900 for pt, all out of pocket because no insurance recognizes it yet. He proposed the product as a after everything else in your arsenal hasn't worked, have them try this. Needless to say, we signed up.We've been doing this for going on three years. We've had a lot of success. We've had people
July 18, 2015
Appliance Therapy
Message Board
Views: 3266 | Replies: 79
make them multiple times a week. Also, any TMJ specialists in my area start with a $250 consult and don't accept insurance. If I sent every patient there, my patients would hate me. Eek.. Personally -- the only times that my NG don't fit / hurt -- is if the impression was not good / warped. I
August 29, 2021
Appliance Therapy
Message Board
Views: 2884 | Replies: 37
and then I'll have a patient with more severe occlusal problems, and they can't get used to the Astron guard. I can't make anything more complicated for my patients, as it's not worth doing with the insurance reimbursements the way they are. So, if someone needs something more complicated, I'll refer
September 19, 2017
Appliance Therapy
Message Board
Views: 1233 | Replies: 40
opening. We have a TMD specialist in town but it takes many weeks to see him, and I heard now that a referral from MD is required (I guess for billing medical insurance?). He is also near the retirement age. I've referred patients (jaw deviation, jaw pain, jaw clicking, etc) in the past
July 27, 2023
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
of Complex apnea or break thru central apnea. JUST POINTING OUT YOUR DICHOTOMY. You stated previously you use prolotherapy even though not evidenced base. So I chose to do with NMD. You stated in previous post if insurance does not cover prolotherapy then you don't use it. I find that insurance does
June 25, 2019
Appliance Therapy
Message Board
Views: 5673 | Replies: 153
patient access to care and the number of dentists available to treat them. It has always been about access to care and insurance hurdles patients face. It has never been about limiting practice for any dentist, but standard of care has always been a dynamic thing that progresses with the science
October 17, 2019
Appliance Therapy
Message Board
Views: 1931 | Replies: 91
) the device is removable so patients or the doctor can more easily give up on the treatment plan and slide into relapse more quickly. IMO, the responsibility lies behind the doctor prescribing the device. It would seem like this is why we carry malpractice insurance, in the even a patient accuses us
March 10, 2023
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
. With the new orthotic, she is still out of pain. No medication was included in her or any of the other testimonials for what ever that is worth. How many lurkers out there feel insurance companies and other controlling entities will use science, their own science, to try and control what we do
November 23, 2017
Appliance Therapy
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