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Searching: insurance denials
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Message Board
Views: 609 | Replies: 12
potential need for retreat but I think its hard to tell without having previous radiographs to reference. Any thoughts or insights on this? Probably will have insurance denial due to RL.I would get a cbct of it and opinion from endo dontist Seeing this after the fact, my plan was to cement perm. crown
May 07, 2024
Endodontics
Message Board
Views: 929 | Replies: 27
to say I didnt even notice it until I got the insurance denial of the claim earlier this week. They denied it due to excess dental material out the apex. They also denied the crown due to that. it worried me, so I called the patient in yesterday and she has no symptoms and no paresthesia. I do have
August 22, 2024
Endodontics
Message Board
Views: 123 | Replies: 4
poor prognosis? Does insurance pay specialists when you do apico? If there is a poor prognosis, why would they cover apico? The word has spread among dental insurance execs that denial of crown benefits means much more money in their pockets. They will deny for trivial reasons that make little
September 29, 2021
Endodontics
Message Board
Views: 395 | Replies: 10
. Calcified or not, it's still treatable by someone with experience in the future, should the need arise. I agree with all of the above. One caveat, if they have insurance, be prepared for a denial of service. I am seeing it more and more. crown denied because tooth has poor prognosis . Wait what do you
November 09, 2021
Endodontics
Message Board
Views: 3113 | Replies: 111
of the best parts about ownership is not having anyone above you shaking their head at you...) Thanks for the insight. I'm looking for the quickest path to ownership I can get. Any tips or helpful material for understanding dental insurance workflows/denials? I feel like that's the missing piece
March 20, 2023
Endodontics
Message Board
Views: 371 | Replies: 17
. Ever see industrial CNC mills where they cut into metal slabs? They usually spray oil on the drill bit I think for cooling and lubrication. I think the RBs are probably fine either way, but I figure RC Prep is a little extra insurance. On extracted teeth it's also good to see what the limits
May 21, 2026
Endodontics
Message Board
Views: 14 | Replies: 0
that integrate with imaging, PMS, insurance, voice documentation, referral networks, patient communication, and quality monitoring. So yes, developmental platforms like NEMO deserve attention because they are directionally aligned with where dentistry appears to be going. But until systems like
May 12, 2026
Endodontics
Message Board
Views: 266 | Replies: 4
, as opposed to the somewhat random onesies that we see semi regularly. I came across a patient who had been in denial of a resorptive on a lower anterior that was accelerating. We were keen to update routine films to check on advancement - and he had another newly arisen in an upper posterior that had
November 13, 2025
Endodontics
Message Board
Views: 640 | Replies: 10
as well however the quality of radiograph isnt helping. Try to take one a little more mesial. It will give a better look at the DB which might be the one in question. Also, did you locate MB2? Could this be another thing they are looking for? ...sometimes a denial isn't about the RCT but it has to do
July 29, 2021
Endodontics
Message Board
Views: 320 | Replies: 24
I stopped doing endo a few years ago because I really didn't enjoy it and it didn't affect my practice. Recently all endodontists in my area have started requiring 3D scans with treatment at a cost of $325 with no insurance reimbursement. Today I tried to refer a patient to endo for #26
March 25, 2026
Endodontics
Message Board
Views: 236 | Replies: 11
. They also need honesty when complications happen. Overfills, separated instruments, missed anatomy, and post op surprises are not improved by evasive language. The profession has learned, sometimes expensively, that technical mistakes become legal disasters when they are wrapped in denial. The funniest
March 13, 2026
Endodontics
Message Board
Views: 536 | Replies: 16
to the tooth healed shortly thereafter. The insurance is paying for the crown and not the build up claiming it is not needed for the retention of the crown. I too am an ex insurance consultant (I reviewed rejected claims on appeal only). I would have to agree with lingual access restoration, declining
April 16, 2023
Endodontics
Message Board
Views: 208 | Replies: 8
malpractice insurance sooner rather than later. Kidding! This looks great and will not be a problem. I agree with swmodent that you probably are not in the sinus. And even if you were, I would not sweat it. Good looking endo. No issues here. You might worry about something like this You don't like
February 25, 2026
Endodontics
Message Board
Views: 881 | Replies: 9
in a lot of pain and I want to open the tooth for them to relieve their pain but Im always worried that Im not gonna get paid by the insurance company.What code could be used so that would actually be paid? This procedure is not covered by your dental plan. For today's visit, the fee is ------- Here
October 11, 2024
Endodontics
Message Board
Views: 71 | Replies: 2
Patient is 34 yo F. Has had braces for 5 years but didn't go to ortho for a few years. Her plan is to get the braces off 'in the near future' but no insurance currently. How should I handle this? Anyone have advice on this case? Thanks ! Check out this site. It will answer all your questions. Membership required (I think), but definitely worth it
December 17, 2025
Endodontics
Message Board
Views: 144 | Replies: 4
. Insurance wants certainty. Marketing is built on certainty. Biology does not care. The best clinicians learn to diagnose in probabilities and then communicate in calm, simple language. Here is the practical playbook that shows up again and again in real world dentistry. Stop making decisions based on one
April 11, 2026
Endodontics
Message Board
Views: 241 | Replies: 7
, the percentage of patients seeking the expert training of endodontists to treat tooth pain and save their natural teeth through root canal therapy has increased in recent years. Based on insurance claims processed from 2020-2024, endodontists' share of endodontic treatment and percentage of patients treated has
October 02, 2025
Endodontics
Message Board
Views: 251 | Replies: 14
her insurance would not pay for an implant because they have already paid for the endo. I don't know how this works. Insurance has paid the endodontist for the RCT and I got paid for I believe a core buildup. Will insurance reject implant? If myself and the endodontist return our insurance payments
June 04, 2025
Endodontics
Message Board
Views: 192 | Replies: 7
to be redone and is now costing the patient ~$2k because theyre out of network. Pts dad (pt is 21) is pissed and wants a refund. Well they never paid out of pocket to us..insurance covered it. I frankly dont care but dont know how these situations are handled so I can guide my OM.My question
May 16, 2024
Endodontics
Message Board
Views: 256 | Replies: 11
maybe that's why she isn't returning. She has insurance. Oh well, I guess I can just bill for an emergency palliative treatment?? I would send her a bill. She is not hurting anymore. This is part of the reason so many one step endo. Bill for the pulpectomy. If I bill for the pulpectomy
July 24, 2024
Endodontics
Message Board
Views: 234 | Replies: 5
20 y/o female patient came in with papule on #30. Extraoral examination: WNL Intraoral examination: Percussion positive on #30, papule on buccal of #30 Endodontic therapy completed on 11/17/20 Crown initiated on 11/23/20 Crown delivered on 01/11/21 Insurance denied the claim for the crown #30
April 26, 2021
Endodontics
Message Board
Views: 789 | Replies: 18
I know some doctors trust their apex locator and skip working length x-ray parts. To me sometimes, when they are taking x-rays, the file moves which annoys me. Also, insurance wise, it is mandatory to take WL x-ray? Lastly, stand of care wise, working length x-ray is mandatory? I am still learning
October 25, 2025
Endodontics
Message Board
Views: 75 | Replies: 3
How often should we be taking PAs of RCTs? Depends if insurance is covering it or not I take PAs whenever I feel the need. I'm past any assumption of getting reimbursed. I'm not going tonottake it. I take a FMX every 3 years (or 5 due to insurance rules). So that covers my follow up views. I've
July 08, 2024
Endodontics
Message Board
Views: 106 | Replies: 2
I was working on an RCT on tooth #3 yesterday and Ive been stuck on the MB root. I had initially started the root canal a while back but the pt.s insurance was inactive so they hadnt been back. When I was working on instrumenting the MB1 I was having a hard time getting down the canal with hand
April 23, 2025
Endodontics
Message Board
Views: 368 | Replies: 9
for what you did! Pretty sure insurance companies will not pay for both pulpotomy and RCT from same doc. I've billed out Pulpotomy in an emergency when I know I am referring the RCT.. I just bill out the RCT first visit and an in office finish RCT code second visit (usually accompanied with a core
August 09, 2023
Endodontics
Message Board
Views: 153 | Replies: 4
, but every insurance company may have slightly different definitions of what is defined as a canal. Personally, I charge for every canal that requiresseparateinstrumentation, whether or not they merge or diverge. If I happen to get a deep split without specifically instrumenting, then I won't charge
July 13, 2021
Endodontics
Message Board
Views: 1438 | Replies: 56
). Extra short needles are less expensive and easier to come by and work very well in comparison to the TNN IO technique. Use all of Dr. Tuttles info, but use the ESNIO instead of the patented TNN needle bender.Try ESNIO today! All Utah dentists who carry malpractice insurance through PIE
June 08, 2025
Endodontics
Message Board
Views: 319 | Replies: 5
, her insurance is maxed out and I could not get her to even schedule for the 13. I took a conebeam->damn the lesion is as big as it appears. From the MESIAL of 15 (conebeam looks like mesial root if short-filled by a good bit) all the way to and including 13. Looks like the apex of 13 has
October 10, 2024
Endodontics
Message Board
Views: 301 | Replies: 11
for the patient to make. New post core and crown and maybe CL will cost a patient maybe $1500- $2000 while an extraction, bone graft, implant, abutment crown about $4k-$7k. If dental insurance is involved, insurance will likely cover 50% of post/crown fee(out of pocket of $750-$1000) while insurance coverage
February 16, 2023
Endodontics
Message Board
Views: 32 | Replies: 0
So we have a specalist near us who takes more insurance than our other specialists. The other specialists will give a nice report on tests and procedures done, results, their interpretation and diagnosis. For instance (#30 responded normal to cold, ept, and percussion, PA was unremarkable, pt
May 20, 2021
Endodontics
Message Board
Views: 1663 | Replies: 55
. Is it because the Endodontist fee is much higher for insurances that Endo's generate so much? Is it the time efficiency of these specialists that allow them to generate so much? Im not too clear on how insurance payments work, but can I charge a similar fee through PPO to be better compensated for my time
April 03, 2021
Endodontics
Message Board
Views: 313 | Replies: 13
with removable. Its a good idea for a partial but they drastically increase caries rate from what I have seen. I would be rather concerned to increase caries risk in someone who has int. caries in LA. Well patient is on medicaid type state insurance that will pay for all the heroic endo and post crown
December 11, 2024
Endodontics
Message Board
Views: 661 | Replies: 32
insurance annual maximum had been reached. Despite these accommodations, the patient is requesting reimbursement for the crown. Question: Based on the radiograph and the history, do you feel an internal void within the core buildup could contribute to reinfection of the canals assuming the crown margins
March 25, 2026
Endodontics
Message Board
Views: 1152 | Replies: 18
shitty clause in the insurance and the spouse wanted to get even Thats exactly what CNN thought it was about. This world is not fair, at all, and its also not fair for his family to have go through this. Just life and the way it is. The video doesn't look like an amateur getting revenge, though
December 06, 2024
Endodontics
Message Board
Views: 409 | Replies: 20
either I'll post if I can hmo molar endo=REFERRAL unless you do charity I personally don't know any endodontists that take any insurance at all........ xOxOxO Oli I'm still waiting for that Mankini shot!! I'm posting one for you right now. The title of the thread will be Love
June 19, 2009
Endodontics
Message Board
Views: 864 | Replies: 9
to the endodontist until recently and came back today saying he has been in pain for 2 years and wants to take action. The owner wants my tail liability insurance number. Should I be concerned? Talk to your malpractice company, but I wouldnt worry too much. You took care of the patient in the moment. Its
July 02, 2023
Endodontics
Message Board
Views: 777 | Replies: 10
a job in the future if insurance starts covering implants.Thoughts? I think endo as a specialty will always be around. People still prefer their God given teeth over implants. That said, if he is really ambitious he could start a general dental office with an emphasis in tooth pain and he could do
May 18, 2023
Endodontics
Message Board
Views: 309 | Replies: 7
overtreatment in this case is better than compromised treatment. What do you think? NoIt is unethical to do over treatment for the purpose of insurance coveragePlease dont even consider this But if they can't afford crowns, teeth are severely damaged, and patients can't afford the treatment, should I still
August 31, 2021
Endodontics
Message Board
Views: 1608 | Replies: 38
to be referred. They came to YOU for help. FWIW, theability to work in a RC/BUCR has been worth many thousands and happy patients thru the years. The problem with endo, especially if you aren't fast and good in the PPO world is that you will get $700 from a good insurance
May 03, 2018
Endodontics
Message Board
Views: 175 | Replies: 3
months and a year. That's all for the endo part. Some sort of restoration on 8 would be ideal sooner than later. Out of the two, that one definitely has more of a risk of going necrotic. What kind of insurance does this patient have? Do you trust this patient to pay their bills? Yes... these questions
December 03, 2021
Endodontics
Message Board
Views: 280 | Replies: 14
? Money? What exactly? is there a GD with more endo experience close by? Geography and money. Nearest endodontist operating under her insurance is 4 hours away You can do it. Any abscessed tooth especially from trauma is trickier than a vital case, but the apex is closed, straight canal. Other than
January 18, 2024
Endodontics
Message Board
Views: 705 | Replies: 23
a year, he asked if he could just get his teeth cleaned once a year with no exam since his insurance only paid for one exam. I was eager to grow my practice with new practice debt at the time. I said sure. You get 30 minutes, no bullshit, and if I come in there to look at anything, you're paying...idiot
November 17, 2021
Endodontics
Message Board
Views: 179 | Replies: 7
the endodontist. She has dental insurance, so the crown and RCT would have cost about $800, and the implant and crown would have cost about $2000. I thought it was worth a shot to save the tooth, but I should have respected her wishes when she initially asked me if I would extract it and refer her
September 01, 2021
Endodontics
Message Board
Views: 3112 | Replies: 94
there was a long time between visits. Looks bad for the patient. Is it really that tooth? I would not trust the opinions of the new dentist just yet. I would do like suggested and call your malpractice insurance and see how they want to proceed. If this was all in house I would apply money spent
March 12, 2024
Endodontics
Message Board
Views: 873 | Replies: 19
to conventional root canal therapy. That describes exactly what you are doing. Do Insurance companies pay for this code? Sometimes Why not just start the RCT? You mean, why not just code out as a RCT? Because I have to have them back for the RCT again anyway. I'd like to get paid for the first
May 09, 2021
Endodontics
Message Board
Views: 1485 | Replies: 21
seem right that a GP is held to the same standard for treating #8 as a specialists, yet somehow insurance can pay GPs way less. Imagine Honda legally being held to the same performance standards as Ferrari but couldnt charge more? I personally dont see how the fact alone a root canal fails would
May 28, 2022
Endodontics
Message Board
Views: 3112 | Replies: 94
what I was signing so that is controversial.Unless they had their lawyer with them when they signed it. Offer they come back for evaluation, and if they refuse, refer them to see a specialist. more than that, if needed, let your insurance lawyer, take care of it if you receive an official letter from
May 09, 2024
Endodontics
Message Board
Views: 152 | Replies: 5
instBasically all the things I need to know so I dont need to call you.And of course. All the things a jury of your peers will need to make a decision in court Estimated payment from insurance also please patient name, dob, date correspondence written tooth,diagnosis, prognosis, treatment completed
April 15, 2025
Endodontics
Message Board
Views: 306 | Replies: 5
of occl for insurance T Really nice retreat and easy apico candidate should it continue to have problems. I'd echo pj on the margins. That's going to fracture more often than not even if you adjust occlusion. Half the width or more and deeper.
February 09, 2024
Endodontics
Message Board
Views: 511 | Replies: 8
the insurance company so the endodontist gets paid for the re-treat. I would consider that fair. On a slight tangent, leaving a broken file, depending on the when and where, doesnt mean the endo will fail It sucks to break one but if the canals have already been cleaned well, a broken file that seals
June 19, 2023
Endodontics
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