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Searching: insurance denials
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Page 1 of 9
Message Board
Views: 1050 | 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: 182 | Replies: 7
off for low fees like happens too much in the US. Regards Terry Had 86 year old teeth! That's excellent work . Fees are very good . I would be lucky to get $200 per tooth. State insurance only pays $105 Below is our 2025 fee schedule for composite restorations. Our fees are negotiated every year. 40
May 03, 2026
Cosmetic Dentistry
Message Board
Views: 869 | Replies: 22
me asking? Yes we are fee for service but follow the Provincial fee scale set by the New Brunswick Dental Society. Fees for 5 surface bonded composite restorations on anterior teeth cost right around $300 per and since I did 8 the fee was about $2400.00 for 4 hours of hard work!! Insurance covers 80
May 06, 2026
Cosmetic Dentistry
Message Board
Views: 4800 | Replies: 152
that get patients that are largely motivated by I only want it if my insurance pays for it. A tooth like the ones in the picture will get a lot of either denials that require followup to get paid or just denials and no payment even with followup. For the #3 pictured, probably 90+ % of my patients
April 08, 2023
Cosmetic Dentistry
Message Board
Views: 6853 | Replies: 112
they are, the more unorthodox I'm willing to go personally. Thanks dkterry! Some of us in the states aren't worried about litigation - in a country where they can sue you for literally anything and nothing at all, it's why we carry insurance and I'm not going to live my life in fear. Anybody that disagrees
April 08, 2026
Cosmetic Dentistry
Message Board
Views: 422 | Replies: 17
in taking care of herself. EdThe chips on her lower incisors and the stain on her upper incisors may be telltale of using a pipe. EdA bowl? IMO - Mom is in denial and her daughter rules the roost. Most parents don't let their 16yo girls get those kinds of studs in their lips. Anywhoo... I will bet
August 09, 2014
Cosmetic Dentistry
Message Board
Views: 555 | Replies: 9
I have a 47yo female who clinches and grinds but she is on denial about doing it during the day. (on a side note I'm convinced we do it while we are focusing on something good or bad and we are NOT talking or singing or chewing) She finally got a night guard from the store which she
February 12, 2015
Cosmetic Dentistry
Message Board
Views: 273 | Replies: 14
for insurance fees for 2 MIFL resins. How is everyone billing out diastema closures? If you accept insurance....you are the fool who agrees to those fees. I bill for the 4 surface fills, but I am oon with most insurances. You should bill for what you do, which is a 4 surface composite filling. Maybe don't
December 08, 2025
Cosmetic Dentistry
Message Board
Views: 364 | Replies: 22
to continue to use my cosmetic lab and see if their is a way to charge the patient to off set the write off in a legal way. Can I charge a consultation fee or such. I have explained to the patient that my lab fee is higher thus the cost is higher and I require the 1200. I just dont want the insurance
January 28, 2015
Cosmetic Dentistry
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: 19378 | Replies: 634
allocation, and pretense for denial of insurance reimbursement rather than sound scientific methodology. The third issue is that of the scope of the devices used for TMD diagnosis and treatment. What devices should be included in a classification process for use in the diagnosis and/or treatment
December 04, 2005
Cosmetic Dentistry
Message Board
Views: 95 | Replies: 0
Happy Holloween!
October 29, 2021
Cosmetic Dentistry
Message Board
Views: 2952 | Replies: 58
with ever-x /ribbond technique (major challenge) Or do an alginate and Essex retainer with the tooth crowns in it Good times! At least you patient is not in denial what is perio-dont-al disease??That is the worst3 months is great for that tx. Mine wouldn't last the drive homeMichaelI have done a 6 unit
July 01, 2015
Cosmetic Dentistry
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: 1240 | Replies: 23
not consider themselves "artistic" can do these if they follow very simple repeatable protocols. Each tooth takes about 45min to an hour. Prices can vary depending on patient insurance, but are around $700-900 per tooth. Artie I love to do cases like this. Frustratingly my patient base has terrible
January 28, 2026
Cosmetic Dentistry
Message Board
Views: 475 | Replies: 16
these need touch ups / repairs ? Ins wise she has DD , how do I get reimbursed for my time for these cosmetic cases ? What a typical charge of chair side veneers . DD would pay in the neighborhood of $300 per tooth .What do you usually tell pts who have insurance and have very low reimbursement rates
April 15, 2025
Cosmetic Dentistry
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: 654 | Replies: 12
sponsored insurance for people without private insurance and that will make a huge difference in my area and we are seeing that for the past 14 months. Patients pay about 15% of the fee and the government via Sunlife Insurance pays me usually in 48 hours - direct deposit BINGO!! Anyway I have enjoyed
July 21, 2025
Cosmetic Dentistry
Message Board
Views: 137 | Replies: 0
Nearly half of 2018 is already over, have you raised your UCR fees this year? Are you wondering how you stack up to the other practices in your area? Could you be profiting larger margins from insurances who capitalize on and impose harsh write offs? What is a UCR fee anyway? If you've had to call
May 11, 2018
Cosmetic Dentistry
Message Board
Views: 575 | Replies: 10
So I've had instances where I'm doing veneers on pts who have insurances. But fees are very low almost around $600 In order to get best results I need to spend $250 to 400 per unit on lab but that's not doable . How do you go about charging lab fee to pts or offering them to use a quality lab vs
April 28, 2014
Cosmetic Dentistry
Message Board
Views: 3173 | Replies: 102
that posterior interferences. We will complete the molars over the next few years to maximize insurance and establish function by finalizing the occlusal scheme. <br/><br/><br/><br/>Teeth were prepared to fabrication of veneers and crowns on teeth #4-13. Material chosen was I.P.S
August 18, 2010
Cosmetic Dentistry
Message Board
Views: 478 | Replies: 9
out a composite bridge? I do not do this often an usually when I do it is a provisional for an implant case. At this point the patient's insurance coverage is usually maxed out. It is sad how often patients are driven by insurance. I try very hard to educate every patient that their dental insurace
October 19, 2023
Cosmetic Dentistry
Message Board
Views: 998 | Replies: 17
46 year old young lady whose front teeth were a bit jumbled up. Ortho not possible due to finances. But her dental insurance covered restorative so we reshaped her front teeth with composite. Rotated and crowded teeth.Isolation with 90N clamp and rubber dam and Premier cure thru matrix
January 05, 2019
Cosmetic Dentistry
Message Board
Views: 1556 | Replies: 34
veneers or crowns at my regular fee and just adding in the wax up fees, but I haven't been charging anything separate for temps. I'm not in network with insurance, so I'm not restricted by their fees. I haven't done too many large cases yet, but for the ones I've done, I felt like I didn't charge
June 15, 2017
Cosmetic Dentistry
Message Board
Views: 1073 | Replies: 17
felt that was too expensive as their insurance would not cover any ceramics. So I did my composite treatment. The right lateral has a small root and it might not go the distance and an implant might be better down the road. Time will tell and thank you for your comments and sharing your expertise
February 05, 2026
Cosmetic Dentistry
Message Board
Views: 222 | Replies: 5
I know we have been thru this before , but lately some of the insurance companies are downgrading to composites. I try to be conservative with tooth structure but this crap is getting old. Any ideas? You must come to the realization that your goals of delivering quality care to your patients while
June 12, 2014
Cosmetic Dentistry
Message Board
Views: 307 | Replies: 6
. Can you pm with course times. cant do the nov one. Thank you! It took me 2 hours first appointment and 1 hour follow up. It is she. She wanted white spots. I am assuming it wasnt covered by insurance No. I usually do that privately, very rarely I do it under insurance.
November 02, 2023
Cosmetic Dentistry
Message Board
Views: 530 | Replies: 9
of satisfaction. Patient thought the bridge felt fine and better than his old retainer. Implants were out of the question for this young man but his insurance will cover the bulk of the cost. This is not the first double pontic composite bridge I have done replacing missing laterals nor
November 30, 2020
Cosmetic Dentistry
Message Board
Views: 101 | Replies: 0
New patient with several broken down teeth in need of repair. The right central was fixed a few years ago some where and had 2 pin holes left in the tooth stump. Patient is 70 years old. We plan on making him a RPUD when his #10 is gone and his restorations are completed. Incisal view of 90N clamp...
October 18, 2017
Cosmetic Dentistry
Message Board
Views: 182 | Replies: 4
I have a few patients for veneer cases. I know that Insurance companies most likely won't cover the veneers for cosmetic purpose. What should be considered in order to get covered by the insurance companies? Thanks It doesn't matter if you have a good reason for veneers. It all depends on if it's
August 10, 2017
Cosmetic Dentistry
Message Board
Views: 983 | Replies: 17
Resin bonding #7, 8, 9, 10. Anyway, I think I did pretty good here. Nothing Fancy. Single shade used for all 4 teeth. No layering this and staining that. Just straight up composite resin. I thin it turned out pretty decent too. Next time these will be cash only. The insurance check won't cut
June 09, 2014
Cosmetic Dentistry
Message Board
Views: 251 | Replies: 4
I have a large insurance based practice. All my anterior work goes to one lab and my routine posterior work is done with cerec or sent to glidewell. My fee is only $800- $1000 for a veneer. I use a decent lab for cosmetics but they still aren't the greatest. However the fee is something I can live
May 30, 2022
Cosmetic Dentistry
Message Board
Views: 644 | Replies: 18
with such a low reimbursement. How should I approach this consultation? I don't mind keeping the patient for general restorative and hygiene, but I am not sure how to tell her I don't want to do her veneer case. If I do decide to take on the case is there a way to up the fee while not committing insurance
May 15, 2019
Cosmetic Dentistry
Message Board
Views: 599 | Replies: 9
gentleman with 2 partials and you can see the improvement in his smile. He could not afford porcelain but composite does the trick and at 86 you won't need to guarantee this work forever!!!! My point is that anyone can do this stuff if you want to to!!! Insurance compensation prohibits
August 12, 2016
Cosmetic Dentistry
Message Board
Views: 471 | Replies: 11
lab made porcelain. Plus What's the deal w insurance? Do they cover it ever? My patients always wanna know how much insurance is going to pay... If they ain't paying my patients ain't playing! I do a lot of composite bonding and it makes up a big part of my business income. In Canada most
October 02, 2015
Cosmetic Dentistry
Message Board
Views: 140 | Replies: 2
to be reimbursed $200 from insurance. Any help would be greatly appreciated... Call it a temporary Pontic, charge what you want bc insurance isn't going to payD6253 I think
June 18, 2019
Cosmetic Dentistry
Message Board
Views: 1244 | Replies: 12
, improvement)I've had great results with ICON.This is a case I did today on #8 and 9. Thepatient has had these white spots for over 20 years. I etched 3 times for 2 minutes each cycle. Schranie - How do you charge for these? Submit to insurance for a 1-surface filling or charge pt for a cosmetic
February 20, 2019
Cosmetic Dentistry
Message Board
Views: 431 | Replies: 12
to send them, he has Delta insurance (which we are in-network with) and we did everything with the insurance codes last time. His insurance did pay for a significant portion of his bridge. But since I'm replacing it and we won't be submitting any codes to insurance....am I tied in to his insurance fee
May 20, 2016
Cosmetic Dentistry
Message Board
Views: 138 | Replies: 1
Hey docs, Wondering if using the chairside veneer code D2960 is appropriate to describe using bioclear to close diastemas and esthetically improve a tooth. If billed as MILF/DILF most of the insurances are not paying enough to make it worth the time and effort. Besides that there is typically
January 29, 2019
Cosmetic Dentistry
Message Board
Views: 375 | Replies: 16
Do Emax crowns change color ? The last time I checked Crowns do not . Patient and Insurance requesting refund of Crowns I placed because Patient feels color has changed after I placed Crowns . The crowns cannot change colour. However, the same can not be said for the underlying substrateDepends
September 20, 2017
Cosmetic Dentistry
Message Board
Views: 827 | Replies: 24
and many times dental insurance cover 80% of the costs of these rehabs. Regards Terry Thanks Stephen I have been very busy lately and not posted much for the past 2 months so just catching up a bit. The Canadian Government started a universal dental coverage program on May 1 , 2024. Many dental
September 21, 2025
Cosmetic Dentistry
Message Board
Views: 159 | Replies: 4
encountered an issue where a patient couldn't use it for dental) and thus revert to dental codes, not CPT codes. I frequently bill TMD to medical insurance, as well as sleep apnea appliances to medical insurance, and I agree that one needs to have a associates degree in medical coding, as an associates degree in psychology to deal with your staff who will want to shoot you for being involved with medical insurance.
September 08, 2016
Cosmetic Dentistry
Message Board
Views: 387 | Replies: 4
compared it to what she saw online. Although her teeth have always been very healthy, they didnt look like the perfectly aligned pearly whites that she desperately wanted. Since she didnt have dental insurance and couldnt afford the out-of-pocket expense, she turned to YouTube to change her teeth
April 11, 2025
Cosmetic Dentistry
Message Board
Views: 263 | Replies: 3
at least around DFW, TX. I've seen the same thing...remember, these DMO's only pay like 200 bucks per crown, so the office upcharges the living crap out of the patient. The up charge can be for an all ceramic crown. Even if you are a PPO provider certain insurance companies allow you to up
March 28, 2014
Cosmetic Dentistry
Message Board
Views: 994 | Replies: 45
for a year but don't really feel like this situation falls in that category. Crown fees presents again, pt again wants cheapest solution available. A couple questions... Do you make the patient pay for the treatment again? This is a PPO patient, so the insurance will not cover the filling two weeks
February 09, 2016
Cosmetic Dentistry
Message Board
Views: 371 | Replies: 8
patient base is Insurance driven and with Annual Maximums of today's Insurance, it would take 15+ years for a case like this to be completed. How many times have you had a patient say, I haven't been able to see a dentist because I haven't had any dental insurance. The patient's current conditions
March 25, 2014
Cosmetic Dentistry
Message Board
Views: 8240 | Replies: 285
him from getting into the lab business. Al, you are a master, and you let your work talk for you. Can't be better than that. But... Dentists are not at fault for these changes. First, cheap has been around longer than all of us. That is not new, just human. But the influence of the insurance
July 20, 2015
Cosmetic Dentistry
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: 6911 | Replies: 110
the anteriors and using the premolars to help share the load might be insurance against excess anterior force. Just my reasoning but in my limited reading on the Dahl technique when they use an appliance they rest it on the premolars so I did the same and actually added the second for my piece
June 28, 2022
Cosmetic Dentistry
Message Board
Views: 362 | Replies: 6
? Is there a code for insurance? I practice in a very rural area where patient funds are an issue. I think this approach could be helpful. Would it be billed out under a provisional bridge and then just leave it as long as it lasts? Another way to possibly do this as I am thinking here would be to put
December 05, 2021
Cosmetic Dentistry
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