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Searching: insurance denials
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Page 1 of 11
Message Board
Views: 92 | Replies: 8
for the extra time you need to spend on this. If you are in network and she has insurance then I wouldn't treat her. It seems completely unreasonable for the patient to leave their dentist halfway through treatment. Maybe she's not paying her bill from the previous office. I would only treat someone like
June 12, 2026
Implantology
Message Board
Views: 55 | Replies: 2
We are edentulating a patient that has 3 solid implants. She wants dentures, but I figure we sleep the implants since they're solidly integrated and could potentially use them down the road. Is there a billable insurance code for this? I figure probably not, but was checking to see if anyone else
May 20, 2026
Implantology
Message Board
Views: 189 | Replies: 5
have a buddy that did a pre-auth for implants insurance came back and asked for size and brand anyone ever have this happen? Sounds like a cash flow strategy (delay payment) or a gamble that you won't reply (pre auth denial)My guess would be wanting to,weed out the mini's from the traditional...+1
October 23, 2014
Implantology
Message Board
Views: 315 | Replies: 7
if the patient has multiple missing teeth in the arch they may downgrade it to an RPD.We always preauth as implants involve a lot of $ and patients always seem to be under the idea that my insurance covers everything. We have seen approval for implant, abutment and crown, denial of the abutment
July 13, 2015
Implantology
Message Board
Views: 325 | Replies: 8
Placed an implant on this patient - insurance denied - stated that an RPD was indicated but that they might pay for the crown. Any thoughts or wording I could use in a narrative? Wasting my time?!? Thanks It's not that an RPD is indicated it's that's is all they are willing to pay for. In my
August 16, 2016
Implantology
Message Board
Views: 521 | Replies: 16
Thoughts about just throwing in a few extra implants in high risk patients, just in case one fails, you got others to fall back on? Free-hand to save money, also? Saves extra surgeries... I think it's reasonable. I also suggest doing custom abutments and then 3 bridges on each arch. It makes things...
January 13, 2026
Implantology
Message Board
Views: 38 | Replies: 1
Has anyone had luck with insurance covering implants? Just asking Yes. Easily 50%+ of our patient base has coverage for implant placement, with some of the expected qualifiers (missing tooth clause, etc.). The office I work at always files a pre-treatment estimate or verifies online the patient's eligibility for implant placement. The coverage percentage in 2004 was significantly lower.
June 26, 2019
Implantology
Message Board
Views: 245 | Replies: 12
was able to look up the history of what they billed the insurance (they are in network with delta and our website for colorado lets you see the history). They did a prophy. I know a lot of guys are less aggressive with perio treatment....but this is pretty clearly perio patient. When I told him he
March 25, 2026
Implantology
Message Board
Views: 333 | Replies: 9
I have seen a few patients coming into my office that have specific and separate implant benefit with their dental insurance. Has anyone had any experience with this? For example: My patient has a yearly dental insurance benefits of $2000 per year with Cigna. On the Cigna Website, it also
October 08, 2023
Implantology
Message Board
Views: 19 | Replies: 2
What's the code for multiunit abutments ? Prefabricated abutment code ?6056 Is there a separate code for Ti base abutments that goes under zirconia full arch fixed bridges? What if the surgeon used the pre fabricated abutment code? I am sure insurance will not pay for abutments 2 times . Why are you getting insurance involved with Full Arch cases?.....It will be a blood bath of time and frustration ..... Some patients ask for PreD.
January 24, 2026
Implantology
Message Board
Views: 128 | Replies: 1
I'm preparing to start placing implants in my practice and while setting fees, I am trying to figure out how single tooth implants are typically reimbursed. What % are most insurances paying for implants, abutments and crowns, respectively? Also, based on the respective reimbursements
May 11, 2018
Implantology
Message Board
Views: 284 | Replies: 3
Does anyone know what is the average acceptance rate for cbct by insurance? i.e. denied vs paid? Also what is a rough average that they pay? (if they do) Denied with every insurance (dental) that I know of. There was also a thread here on DT of a doc that submitted them as panorex to Delta. His
April 19, 2017
Implantology
Message Board
Views: 282 | Replies: 2
I am fabricating an implant supported complete lower denture--patient is going to have implants placed in the #22 and #27 locations for which I will be using locator attachments anyone familiar with the insurance coding for these procedures--restorative only as surgery is being done by my oral
August 27, 2015
Implantology
Message Board
Views: 280 | Replies: 5
How do u file implant crowns? For example ifu take insurance and file an implant crown I had one lady that insurance covered $900 some dollars and that doesn't cut the cost. Can u legally charge the implant crown more or atleast file parts separate? How do u do it coz sometimes it's notworth
February 21, 2015
Implantology
Message Board
Views: 376 | Replies: 11
. Companies dropped doctors from their ads. In 1964, after a decade of public denial and debate, the US surgeon general's report concluded officially that smoking causes lung cancer. What cigarette do you smoke, doctor? They didn't have to remove the ad, they just needed to retool it :) the British
December 07, 2025
Implantology
Message Board
Views: 126 | Replies: 4
D 6089 is the code for opening the access hole and retightening implant screw . Insurance question 1. Will the insurance pay any of these? 2. What's the code to use for a new screw if needed? Is it all under the same code 6089? Anyone have input on this? Thanks! D6089 accessing and retorquing loose
December 29, 2025
Implantology
Message Board
Views: 149 | Replies: 2
Im confused with the terminology and codes. Is a screw retained crown an implant supported crown? If so would this just be one code? If cemented, would you use 2 codes? Why am I so confused about this?!!!! Weve only been billing one code. I think its usually 6058(?) please someone clear this up for...
May 23, 2022
Implantology
Message Board
Views: 55 | Replies: 2
Can anyone chime in on appropriateness of this? I was under the impression that 6057 abutment fee, 6059 crown fee is appropriate? I am in network with this particular insurance FWIW. Looks like I'm being hosed for this, but what do I know... Looks like you coded correctly, they just downgraded from high noble to noble. Good point. At times, I was fooled by the alternate benefit. Thanks
June 23, 2020
Implantology
Message Board
Views: 547 | Replies: 18
opinion, the first molar and the implant has to go and two proper implant needs to be placed.Laz I agree. I think the surgeon knew it but was maybe in denial. Unfortunately its not like redoing a short fill on a root canal. I would sayfortunatelyit's not like re-doing a short RCT fill. Often an RCT
July 10, 2021
Implantology
Message Board
Views: 119 | Replies: 12
-to local OS uses Straumann. Others use BioHorizon or Nobel. I imagine they cost more as well Before you invest in this, try to pencil out the math and ROI on this. Straumann are very expensive. They make sense in a FFS cash fee basis. they make ZERO sense if there's any insurance involved. You can get
April 08, 2026
Implantology
Message Board
Views: 123 | Replies: 6
Hello, I have a patient coming up for an all-on-5 officially. The surgeon wants to stage this out, so I'll ultimately have 3 prosthesis. I'm worried that if I code wrong, insurance won't accept my charges. They won't pay that much anyway I'm sure but I want to help maximize my patient's benefits
October 29, 2025
Implantology
Message Board
Views: 240 | Replies: 3
anyone knows if they pay and if so the... The answer is yes depending on the patient's plan. What specifics would you like?Whenever you deal with medical insurance in the dental world, you have to get paid in advance regardless because medical commonly doesn't pay. What I'm getting
June 30, 2016
Implantology
Message Board
Views: 1151 | Replies: 34
, they just didn't see the value or they didn't want to pay for them. No insurance for implants around here. Every GP has a lot of patients that need implants but never get them. And unless you're Jerome Smith in Louisiana, other GPs will NOT refer to you. They refer to OS or periodontists. I see far too many
February 17, 2026
Implantology
Message Board
Views: 1211 | Replies: 19
position (failed implant) #27 radiograph at time of placement 1.5 months later, pt returns with this swelling around #27 implant. I removed the granulation tissue, placed a taller HA, hoping that the tissue would not be able to grow over it and respond better (wishful thinking, aka denial). She
February 16, 2024
Implantology
Message Board
Views: 1799 | Replies: 45
I am running into a problem where cignas fee for an implant supported denture is $1390. The lab fee for that procedure is $4000 minimum plus parts. Their response when I call is I guess you can't do that procedure How do you guys handle this? refer to a prosthodontist or drop the insurance
January 19, 2019
Implantology
Message Board
Views: 235 | Replies: 1
This may not be the best location on DT to post this, but this forum tends to have the most knowledgeable people, so I'm throwing it out these. <br/>One of the doctors I'm teaching asked me about insurance billing for large grafts. I can walk him through the procedures, but I don't know
February 09, 2015
Implantology
Message Board
Views: 593 | Replies: 13
This is an insurance question, so not sure if this is in the correct section. I am in-network with an insurance company that has a very low D7953 (socket preservation graft) fee. Is a CollaPlug considered a type of Resorbable Barrier, since it is resorbable and it is abarrier to the graft material
December 22, 2022
Implantology
Message Board
Views: 334 | Replies: 16
of it happening to anyone else. Shit! They try to back the implant out - they try really hard - but it just won't come back out. It's too far down and seems stuck somewhere. What to do now? How's the nerve? Will this patient be numb for the rest of their life? What's going to happen to my insurance? Am I
March 30, 2026
Implantology
Message Board
Views: 478 | Replies: 11
that they will cover it, but this is getting to be a PIA with all these narratives. Looks pretty good to me. What are you going to tell your patient when they ask about the letter? Gee Mr. Patient, I think your insurance company was correct. I did a terrible job with this one and you
September 18, 2019
Implantology
Message Board
Views: 99 | Replies: 0
Checkthis extract and place implant on a young girl who had a fractured root below the gum line. It was a sports injury meaning it's covered root to crown @100%, whats cool is Dr uses the extracted Tooth as the healing temp and the bone comes back perfect 2 months post op....
November 16, 2016
Implantology
Message Board
Views: 216 | Replies: 3
Looking for a script to write insurance company denying bone graft at time extraction, for future implant site. I'm sure this topic has been covered on here before but if anyone can supply me with wording or a link to an older board I would greatly appreciate. Bryan Bryan-what are the citing
March 18, 2014
Implantology
Message Board
Views: 407 | Replies: 13
Does anyone know the codes for all on four? MUA? temp denture? Perm teeth? Thanks I tend to just quote an overall fee for case. If someone has it broken down with codes that would be a help. Easier to quote case fee instead of breaking it down. If patient has insurance you can submit codes
December 15, 2024
Implantology
Message Board
Views: 599 | Replies: 31
, but Can I pass on the lab fee of Special Order Parts to patient? Or would delta consider this inclusive of the fee? Would appreciate any insight if anyone has been in a situation like this where special order parts are necessary and patient has PPO insurance. Thank you! what were you expecting lab cost
July 01, 2025
Implantology
Message Board
Views: 203 | Replies: 2
to help him claim for this implant and crown to his insurance. Huh? This is the letter he took a pic of with his phone and forwarded to us: So let me get this straight: this insurance carrier wants me to somehow guess what treatment this patient had done, and when, and where, and spend my time
May 10, 2019
Implantology
Message Board
Views: 174 | Replies: 0
New patient to my office complaining of pain in the #14-15 area. Why did he come to my office?----a treated his friend with immediate implants. <br/>HIs insurance now cover implants and that is what he wanted!<br/>Due to the maximum allowable benefits we placed implants on a staged
June 30, 2017
Implantology
Message Board
Views: 743 | Replies: 29
had SRP, the whole idea of caring of gums, not just teeth was novel to him. Thus, subgingival/furcation decay on #18. Brushes 2/x/day, though. Oh, and the health beliefs are a mix of fatalism (que sera, sera) with optimism and denial (If i don't see/feel it, it's OK). I had to talk with him for 30
August 24, 2015
Implantology
Message Board
Views: 993 | Replies: 42
This particular insurance did not pay most of my implant claims stating that payment cannot be made if there are existing pathology in other area of mouth. Insurance claim that if there are any type of untreated perio, caries, extraction of hopeless teeth or periapical pathology
July 12, 2024
Implantology
Message Board
Views: 702 | Replies: 20
I would like to restore 4 maxillary implants placed by a periodontist. The patient wants zirconia full arch (all on four). I am in network with her insurance. The problem with everyone is that insurance doesn't even come close to covering the lab bill. I've heard that, if you are in-network, you
June 08, 2023
Implantology
Message Board
Views: 946 | Replies: 28
that was getting pretty deep into it, they said there was a specific health insurance that would cover it similarly to what you posted, around $50K/arch from the med insurance. I think it was Cigna? You also had to pay their specific medical coding company to get the reimbursement. I don't know
January 23, 2024
Implantology
Message Board
Views: 129 | Replies: 2
they can have medical insurance pick up 90% ofa single implant to a full mouth of All On's, We canhelp patients who may be looking athavingan implant placed, wecan also helptheir spouse with sleep apnea, wecan help withbone graphs,impactedthird molars, medical necessary orthodontia, implants
May 05, 2017
Implantology
Message Board
Views: 440 | Replies: 17
Have you heard of this? What the heck? How do I deal with this? Insurances don't decide things on reason. But I can't figure out how you would even do them separately.bump...Do the graft at 11:59 PM and the membrane at 12:01 AM the next day.Tell the pt their insurance company wants to put them
March 03, 2017
Implantology
Message Board
Views: 251 | Replies: 10
insurance office driven answer.I keep my life simple.1. Uncover and place abutments. I normally charge $1400 per abutment. If I didnt place the implant and I have to uncover it, Id raise my fee to $1500 each. File insurance for the abutments2. Make a denture. I use my normal denture insurance code
September 22, 2024
Implantology
Message Board
Views: 2289 | Replies: 44
and trying to get my guys away from this jerk, so we could continue on. It was obvious that I was with the Dr.s. These Hiossen guys SUCK!! They need to go back to selling whatever they were selling before cars, insurance, juice machines. Very unprofessional sales people. which reflect on what might
November 16, 2018
Implantology
Message Board
Views: 204 | Replies: 5
Hi everyone, I just had a patient on Delta dental come in for loosening of a molar implant crown due to screw loosening. I had to drill thru the pfm for access to re-tighten, torque the screw back before patching up the hole. How and what codes do I use for insurance reimbursement? Thank you all
October 15, 2022
Implantology
Message Board
Views: 5134 | Replies: 89
this issue and have only gotten back that look ......it must be only me and my technique. What's that boy drinking kind of look! I don't get it. Are most clinicians in denial? I just seated a screw retained crown about 9 months ago on tooth #15. Recently saw the patient and the #14/15 contact point
May 17, 2018
Implantology
Message Board
Views: 1265 | Replies: 14
I am in the process of fabricating an All-on-Four fixed complete upper denture. I have coded it as follows: D6114 - Implant/Abutment Supported Fixed Upper Denture D6055 - Connecting Bar (Upper Arch) Insurance (MetLife) has paid for the D6055 Code which was in the amount of $260.50
March 27, 2017
Implantology
Message Board
Views: 901 | Replies: 25
Bought a practice last year. Did a bunch of work w/ Five Lakes before I left my last practice as an associate and I followed their recommendations for my new practice as well. I am OON with a few insurance companies that pay 100% of UCR for preventive and diagnostic. However, for restorative
January 25, 2018
Implantology
Message Board
Views: 107 | Replies: 2
Hi Everyone, we have started offering lots of implant-related procedures in our general dentistry private practice. I am wondering how everyone handles filing insurance for dental implants as well as watching out for patients to not max out and make for an empty hygiene schedule in the later part
January 19, 2023
Implantology
Message Board
Views: 19 | Replies: 0
What is the quality of STI implants vs Biomet? Referred pt to oral surgeon for extraction and implant #10. He went to an implant type practice for insurance reasons. They want to extract and place implant same day despite them saying that the pt has an abscess associated with the tooth. Dentist
August 07, 2025
Implantology
Message Board
Views: 905 | Replies: 21
, to me 11 years is a win. Well done. Don't fret. It's of no consequence. Do the right thing here and refund the patient. After 11 years? You gotta be kidding. hip replacements last 10-12 years(hopefully longer) before parts wear out and have to be replaced. Yes medical insurance will pay for revisions
December 04, 2025
Implantology
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