Search Results

Searching: insurance denials
Results: 74
Displaying 1-50 of 74
1 2
Page 1 of 2
Message Board
Views: 103 | Replies: 0
Anyone have a good narrative I can take a peek at to help write a narrative for fibroma removal on the lateral border of the tongue. Insurance is requesting additional info even though pictures and path report were supplied. Thanks in advance. I just don't want to leave anything out that may allow delay or denial of this claim. Pat
January 17, 2017
Oral Pathology
Message Board
Views: 4277 | Replies: 40
lady with a sore spot getting worse over the past year and much self-neglect and denial. She had a fungating mass (obvious squamous cell carcinoma) extending from he midline of her palate, over to the buccal mucosa. down to the lower vestibule and into the mandible. Not interested in surgery at all
October 13, 2016
Oral Pathology
Message Board
Views: 1563 | Replies: 20
is in denial. Getting an accurate history would be tricky and the husband's never seen it before. I've been considering learning how to do biopsy myself. For some reason I see a lot of suspicious lesions in my clinic. I'm not an oral surgeon, but this is not one I would want to do my first biopsy
January 02, 2015
Oral Pathology
Message Board
Views: 555 | Replies: 4
problems. People tend to minimize symptoms and go into denial. I see it as my job to make sure they get treatment. There are very few things in our profession that are a matter of life or death. This is one of them.
May 22, 2016
Oral Pathology
Message Board
Views: 663 | Replies: 23
. For a small lesion like this, just excise the entire thing. Thank you for the info. Is this billed through medical insurance or dental? It doesn't matter because neither will pay for it. The patient pay either way. Really? they won't pay for a biopsy procedure? how about the pathologist fees? Medical
February 01, 2026
Oral Pathology
Message Board
Views: 136 | Replies: 4
For everyone out there that performs biopsies routinely, what code are you billing out for most of them? And do you find that most insurance companies are covering the... Are you talking about dental or medical insurance? CPT or CDT codes?I'm talking about dental codes. Do most biopsies get billed
June 29, 2017
Oral Pathology
Message Board
Views: 256 | Replies: 6
history that you identified a problem, notified the patient, made a reasonable suggestion for referral and documented the denial. That is all you can do unless you truly believe you are liable for more in which case you can dismiss the patient. The only person that will care about that is a judge
June 16, 2015
Oral Pathology
Message Board
Views: 88 | Replies: 0
What is the medical insurance code for an intraoral biopsy of a lesion under 2 cm? Thanks.
February 10, 2015
Oral Pathology
Message Board
Views: 358 | Replies: 18
, keep in mind that dental insurance will not pay for biopsy and most OS will not deal with medical insurance. So it can end up being $1000-2000 out of pocket for the patient. Very often its most beneficial to the patient to refer to ENT and get it managed through medical. Why wouldn't dental
July 09, 2022
Oral Pathology
Message Board
Views: 490 | Replies: 15
to Cigna Medical unless this is one of those deals where the dental ins. won't pay until the medical denies the claim? Specifically what services did you bill the medical side for?It blows my mind why any dentist wants to get involved with billing medical insurance. Stuff like this shows how
May 11, 2018
Oral Pathology
Message Board
Views: 435 | Replies: 23
bulemia. We have covered that angle for years with strong denials. Then he finally tells me the story about LEMONHEADS. So the question is; Is this a plausable explanation for the damage he has done to himself? Or are there other factors at play here? He needs definitive reconstruction. I
June 13, 2015
Oral Pathology
Message Board
Views: 868 | Replies: 20
to be and the importance of speedy referrals! It has gotten so difficult to refer to OMFS or Oral Path promptly anymore, even in a major city with a large dental school present. Its only getting worse as insurance plans pay less and less. Its not a pretty future for our patients. Will hospitals see this type of pathology
June 27, 2022
Oral Pathology
Message Board
Views: 88 | Replies: 4
to treat fever blisters for patients. I never charge for it and for me its a good practice...I told pt I would only charge whatever insurance pays, it they pay for anything at all. I really would like to know if it;s something the insurance covers. Thanks for your advise.Hemi-glossectomy Thanks Alan! I'm pretty sure it's the the D_999 with a narrative.
August 24, 2018
Oral Pathology
Message Board
Views: 257 | Replies: 11
guessA brush biopsy will not give an actionable diagnosis like lichen planus.The brush biopsy was renamed brush test many years ago because it only collected epithelial cells. There was no depth to the tissue. I believe the name change had something to do with insurance. If a brush biopsy was submitted
March 28, 2019
Oral Pathology
Message Board
Views: 236 | Replies: 6
Is it worth introducing it into an existing practice? What is the accuracy like? And how much do you charge? Not worth it . I used to have it and it has yearly support . And pts will not oy for it and neither insurances . Your eyes are just as good in my opinion I dont think Velscope is at all
March 24, 2024
Oral Pathology
Message Board
Views: 517 | Replies: 12
Doctors in India Remove 232 Teeth From Mouth Of Teenage Boy. I dare anyone to try to get that insurance claim...They better have good radiographs or the insurance will deny the claim. United Concordia is very difficult about...Complete set of photos and radiograph of the 232 complex odontomas
December 28, 2014
Oral Pathology
Message Board
Views: 164 | Replies: 2
and a path report. I sent him to the OS down the street a couple of miles to evaluate for a biopsy. At the time, I didn't have any formalin vials; I plan to request some this week after my experience with this patient. I called him today and he went to another OS in the area (Insurance reasons; Great! I
October 11, 2016
Oral Pathology
Message Board
Views: 134 | Replies: 2
Do you biopsy anything that looks like an irritation fibroma or are they pretty safe to watch? Here's one from today (74 y/o white male): In a perfect world we would biopsy all these lesions like the Dermatologists do. However, in dentistry nobody wants to pay to have that done, and insurance
March 08, 2022
Oral Pathology
Message Board
Views: 191 | Replies: 6
dentists or oral surgeons, and she can bill medical insurance for medically necessary dental procedures. She describes oral medicine as dermatology for the mouth and is a strong advocate for educating the public and students about the importance of the field, which was only formally recognized
May 05, 2025
Oral Pathology
Message Board
Views: 212 | Replies: 3
insurance so does not want to have a path consultI have no idea why those pictures went black and white, I will try to fix itLooks like a severe case of oral herpes, or herpetic stomatitis ( if that is how it is called in English). But I'll reserve the right to change that diagnosis once the pics are corrected.Make sure that you save these pics in JPEG format, not BITMAP
July 14, 2015
Oral Pathology
Message Board
Views: 396 | Replies: 1
This patient presented with nasty, sore lesions on the side of his tongue. I thought they should be biopsied. He ended up at an ENT office because of his insurance and the biopsy came back Lichen Planus which was a bit of a surprise to me, as I have always seen this on the cheeks. ENT
April 01, 2014
Oral Pathology
Message Board
Views: 457 | Replies: 16
to the operation. And because insurance will pay $544 for a nerve transposition (CPT 64716). Even better than I thought!!! :) Cash Pay Baby! Would any of you operate this case just with the pano and without 3D imaging? Why or why not? I tend to get CBCT or CT prior to my biopsy
January 14, 2017
Oral Pathology
Message Board
Views: 212 | Replies: 4
hasn't seen an MD and told him I was very concerned his swelling might be related to a pathology which could potentially kill him. He quietly informed me he didn't have insurance and was embarrassed to tell me. I immediately got on the phone to my patient, his boss and asked if he could some how add
January 14, 2018
Oral Pathology
Message Board
Views: 406 | Replies: 16
to one of my favorite periodontists for a biopsy, with suspected differential of MMP, Pemphigus, or ANUG. She cancelled that appointment because they weren't in network with her insurance. So to save money she found a periodontist that was literally another hour and a half further away than the one I
September 18, 2023
Oral Pathology
Message Board
Views: 341 | Replies: 6
confer with an ear nose and throat doc. It also may be something that falls under medical insurance and perhaps the pt might get better coverage billed that way. If it's salivary oriented, giving the pt something like sour candy or lemons may cause some discomfort when the gland tries to flow...sialolith of submandibular...+1
November 10, 2015
Oral Pathology
Message Board
Views: 108 | Replies: 1
lesions. They are palpable extra and intraorally. Someone else suggested mumps, but Ithink they are too lateral to be submandibular glands, but instead lymph nodes, and I don't believe mumps would show as a calcified on a radiograph? I'm thinking neoplasm (lymphoma), but any other thoughts as to what these may be? I sent him to our closest university medical center ED (he is a migrant farm worker with no insurance). Stylohyoid/eagle...
April 20, 2018
Oral Pathology
Message Board
Views: 281 | Replies: 6
, they will get the kit to you for free. Don't remember the cost...........I think it is usually covered by med insurance. PatDo not biopsy that. Send it to pedo if you're not sure what you're doing. We see these all day long and never put the patient through an unnecessary...What would a pedo do? Biopsy. lolI also would not biopsy this one. But you should establish a relationship with a local university or other oral path service.
April 03, 2017
Oral Pathology
Message Board
Views: 319 | Replies: 8
to pay the path lab but I think they can bill medical insurance. Maybe I should charge at least 1/10 of that then. (: I charge about $150. Also, not doing the biopsy is some motivator for getting the patient back in for the recall exams. The patient have this unknown that weighs on them a bit
May 03, 2022
Oral Pathology
Message Board
Views: 92 | Replies: 5
patients leave for one reason or another (move across town, insurance changes, whatever) go to another dentist and then come back to me saying that office did not even check me for cancer! Patients see the value in it when they know what you are doing and it helps build appreciation and loyalty to you
April 30, 2025
Oral Pathology
Message Board
Views: 201 | Replies: 4
i ve heard different reviews on vizilitte but don’t know much about these things. what is a good one to invest in? and do you charge the patient or does insurance pay for this? Evidence does not support the use of these types of devices at the current time. would it be accurate to say
December 15, 2014
Oral Pathology
Message Board
Views: 452 | Replies: 10
even called him and told him that I did and that he should go and follow-up... His first reaction was - will my insurance cover the consultation....seriously...From what I can see in the photos: White halos, red borders, looks like you've got a case of geographic tongue. If it makes you feel better
April 25, 2016
Oral Pathology
Message Board
Views: 7635 | Replies: 75
include a CT neck and chest, and possibly a PET/CT for an advanced cancer like this. My goal is always to have the patient in the operating room within 30 days of my initial consultation. And surprisingly, it can often take this long for all the logistics... get insurance approval for the CT scan, call
March 26, 2018
Oral Pathology
Message Board
Views: 367 | Replies: 6
out like dental school Maybe a campaign for people at high risk to get a yearly laryngoscopy at their ENT? Biggest barrier to that would be if it wasn't covered by insurance. I worked with a H&N cancer team for awhile. Awful cancer to have. The base of tongue cancers were never found early in my
October 28, 2022
Oral Pathology
Message Board
Views: 235 | Replies: 7
. The bottom line is that it's either cancer or not, and since you are not able to diagnose or treat it, I do not suggest watching it. I would almost certainly get patient off to OS or ENT. I say ENT because sometimes medical insurance will give a much greater $$ benefit to the patient.Picture would help
July 16, 2018
Oral Pathology
Message Board
Views: 163 | Replies: 0
of something like this (being the dentist), but since Jim doesn't have any insurance (he recently applied for the state managed care), little money, and no one seems to be finding the cause yet, I thought I would post this to see if any of you have any ideas on what it could be or have any advice
January 24, 2015
Oral Pathology
Message Board
Views: 236 | Replies: 3
bleeding much. I'm in-network with many medical insurance plans and they pay me about $300 total for the consult and procedure. 200 for Medicare. Not a profit center but it takes me 5 minutes to do the consult and another 5 minutes for the procedure. For your question about pain, I have never had anyone have a problem with pain and many just take Motrin. But I always offer some hydrocodone in case they need it.
July 03, 2014
Oral Pathology
Message Board
Views: 683 | Replies: 27
that we use for prevention of ORN. By the way, when getting HBO approved you cannot use the words prevention in your letter/notes/etc. Medical Insurance/Medicare won't cover preventative procedures. BUT.... Medical Insurance/Medicare WILL COVER HBO for TREATMENT of C.R.I.T. (Chronic Radiation
August 24, 2024
Oral Pathology
Message Board
Views: 215 | Replies: 10
for.Unfortunately Robison only works for docs in Florida. Weird, not sure...Perhaps ithas to do with medical-legal or insurance issues across state lines... I dunno, maybe. But odd since I've used others in other states. My staff spoke to her office, I'll give her a call Monday to see why. Doug Damm
April 15, 2016
Oral Pathology
Message Board
Views: 598 | Replies: 14
and causing painful swelling. There are risks becauseIt's a 6cm neck incision and you have to avoid the marginal branch of the facial nerve, the lingual nerve, and the hypoglossal nerve. Insurance pays about $1200 for these.how did you obtain those images? I took a CBCT on... Thanks toofache. How
May 11, 2017
Oral Pathology
Message Board
Views: 595 | Replies: 18
and what do I do if he can'tcome up with the old pano. The OS has already asked for them twice and it seems like the front staff keeps dragging their tail.Missing a lesion on a PAN might be malpractice and would be covered by insurance. Intentionally deleting a PAN to cover up missing a lesion
May 19, 2017
Oral Pathology
Message Board
Views: 435 | Replies: 9
episodes of sialadenitis. While some people have had success using lithotripsy on these, I usually just remove the affected... Sassquatch DDS was right! It is calcification in lymph node!!! Patient has been sent off to ENT for evaluation. Waiting to hear what they will do. Her insurance won't cover
October 08, 2015
Oral Pathology
Message Board
Views: 497 | Replies: 13
, a dental insurance company had to mass evacuate it's processing facility when the entire computer system blew up. Authorities believe the melt down occurred when a claim for 300 extractions on one patient threw the server into an endless logical loop Blame is being placed on a new low level employee
March 18, 2016
Oral Pathology
Message Board
Views: 237 | Replies: 7
really hurting. Thanks in advance. rt buccal mucosa lat border of tongue lat border of tongue lat border of tongue I'm not any help with the lesion, but if lack of insurance coverage is preventing a biopsy, you could have him contact his primary care physician and ask about a referral to ENT. Hard
July 21, 2021
Oral Pathology
Message Board
Views: 203 | Replies: 5
you all think?? I assume you guys would refer this for biopsy or am I wrong? If it was a couple weeks I'd feel better but no resolve. Patient doesn't have insurance so don't want to waste their time if nothing to worry
March 11, 2017
Oral Pathology
Message Board
Views: 415 | Replies: 10
I saw the patient for the first time last September. Poor oral hygiene and caries. #7 was necrotic. She never came back b/c she says she was waiting for her insurance to be active come Feb 1st. She shows up today with #7 throbbing going on 4 days. I started her on Amoxillin last night
January 11, 2017
Oral Pathology
Message Board
Views: 544 | Replies: 5
! There is no per use fees, and the batteries are rechargeable. I do not charge anyone or insurance for the Oral ID. Takes 2 minutes of my time. For $80 I bought a filter that fits on my phone camera so I can take a photo of the area of concern, it also would work on some intraoral cameras. Small
February 24, 2016
Oral Pathology
Message Board
Views: 369 | Replies: 15
,but didn't think it went in. Send the patient off for biopsy of the lower and evaluation of the potential BB. Brian you're funny!))) Patient was under influence when he came, I could get any normal conversation. The only thing I know that he refuses biopsy when he went to OS because his insurance does
February 21, 2015
Oral Pathology
Message Board
Views: 542 | Replies: 8
with most insurances not covering the velscope exam ,what are y'all charging for it , if any at all! Thanks I think you'll find that a lot of knowledgeable people here find it worthless so they don't use it. Just the facts.The Oral Path community doesn't hold it in high regard. Biopsy
October 26, 2014
Oral Pathology
Message Board
Views: 348 | Replies: 6
I would shareI had a patient like this who for months was battling lesions just like this. All 4 quads. Sort of burning, really sore all the time. ENT had no clue. Sent her to him because we figured hermedical insurance would pay for a biopsy if need be. Finally I told her she just needs to pay out
December 14, 2018
Oral Pathology
Message Board
Views: 389 | Replies: 11
? Because these resolve on their own, you could inform the patient, and recommend a follow-up xray at the year mark. Remind them that insurance will not cover it, butif the psuedocyst has resolved,it will save them from the expenses of checking further with the OS. We see these time to time as well
June 23, 2021
Oral Pathology
Displaying 1-50 of 74
1 2
Page 1 of 2
Dentaltown Magazine
May 2026
Dentaltown Magazine May 2026 Read Current Issue Read Archived Issues
Sponsors
Townie Perks
Townie® Poll
What’s actually driving most of your new patient flow right now?
  
Site Menu
Message Boards Magazine Continuing Education Podcasts Pods & Blogs Classifieds Dental News Events Townie® Poll Ebooks Townie Choice Awards
Company Info
Contact Us Advertise With Us Howard Farran DDS, MBA Policies and Agreements
Site Help
The Dentaltown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@dentaltown.com
©2026 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450