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Searching: insurance denials
Results: 32
Message Board
Views: 172 | Replies: 3
on them.Bye Felicia.........Patient is in denial. In my office that's a full upper, keep any lowers as long a possible and then a full lower. And I'm brutally honest with people. My dentures fees are not crazy but I'm not the cheapest. I tell them if cost is the primary driving force, go to one
August 31, 2016
Prosthodontic Cases
Message Board
Views: 1089 | Replies: 38
Hello friends, so I'm 2 months out of school and I'm faced with this complex case. My first instinct was to refer to prosthodontics or AEGD but no specialists in my area that would accept her insurance and her finances are limited. I wanted to post this here to see if there is anything I can do
November 21, 2025
Prosthodontic Cases
Message Board
Views: 126 | Replies: 1
restorable are axed? I keep second molars so I don't have a distal extension as long as the path of draw can work. If this treatment plan is limited to what insurance will pay for I have done similar cases with either valplast partials or resin base with only metal clasps depending on the situation.
February 07, 2023
Prosthodontic Cases
Message Board
Views: 557 | Replies: 15
, and has difficulty chewing.<br/><br/>He was referred to ortho a while ago. He declined orthognathic surgery, or any ortho.<br/>I informed him that he should see a prosthodontist, but he declined because insurance doesn't cover it.<br/><br/>My current plan is to grind
January 09, 2016
Prosthodontic Cases
Message Board
Views: 413 | Replies: 7
within about 3 years. I think it's time to talk to the patient about bone grafts and implants. That route will take time and money, but it is the best replacement for what he has now. I would also tell him to get started ASAP if he has insurance, as he can utilize some insurance now, and more come
October 20, 2015
Prosthodontic Cases
Message Board
Views: 914 | Replies: 16
in 2014. We had a really good removable pros education/experience there, in my opinion. They're a great tool to have as an option for patients. I only curse them on the occasional removable patient who is never happy with their lower prosthesis. PPOs killed removables Insurance really killed off
August 31, 2022
Prosthodontic Cases
Message Board
Views: 485 | Replies: 9
, the lab bills, multiple appointments whittling in provisonals...and of course i'm an idiot and just use insurance fees but do charge for wax up... I figure once they have gone through my discussion about how they got here and what is ahead and I feel they have made an informed decision someone has to man
November 14, 2017
Prosthodontic Cases
Message Board
Views: 1394 | Replies: 24
to me. Maybe do a knife edge margin instead of a butt joint? whether its truly open or not if the pt goes to the dentist down the street they will most likely see that, show the patient on a big monitor, and tell the pt they need a new crown or they will die or something, then insurance gets
April 21, 2025
Prosthodontic Cases
Message Board
Views: 363 | Replies: 4
office. Then each segment is what my crown fee per tooth is. So if you replace 2/3/4/5 with definitives- then whatever my crown fee is multiplied by # of teeth. BTW- first phase has almost 0$ insurance coverage. If you take it step by step can take you 3 years. Be a nice finished product. OR tell him $25K and do it all.......
March 14, 2016
Prosthodontic Cases
Message Board
Views: 183 | Replies: 6
because I don't currently place implants and I think he's got some mental issues also..Or he knows that this is a cosmetic thing and would not be insurance covered unless he said, and you documented, that he was in significant pain. Or he knows he won't get a same day emergency appointment when he
August 17, 2016
Prosthodontic Cases
Message Board
Views: 110 | Replies: 1
insurance that will help get her some of the specialist help that she needs (perio is what I am thinking for the mandibular posterior) and to help me cover some of my lab expenses. Here is what I see and what I am thinking but I could really use some help here: She comes to me with long span temps
October 20, 2016
Prosthodontic Cases
Message Board
Views: 454 | Replies: 14
is ginormous compromising the stability of the cusps. Can go either way. If the isthmus is large...I really recommend intra-oral photos as insurance will most likely deny a crown/b/u for this tooth. Based on the image alone, it's pretty clear this patient grinds. Great example of porcelain beating
September 18, 2017
Prosthodontic Cases
Message Board
Views: 317 | Replies: 9
economic choice at most. If I start talking implants and tell them each one is 4k each without insurance and they blink, well then i switch my monologue to partials. For example. I know personally when I go get something, I want to tell the person my goal and then have them decide how to get me
October 06, 2021
Prosthodontic Cases
Message Board
Views: 613 | Replies: 9
, but this year, the patient came back with whole tooth completely broken and unsalvageable.<br/><br/>Patient doesn't want implant because insurance won't cover it--is cantilever from #4-x acceptable or too risky?<br/><br/> Don't become part of the problem. Be the solution
February 06, 2020
Prosthodontic Cases
Message Board
Views: 422 | Replies: 11
for implant vs bridge is not a huge jump but makes a difference when insurance will cover a bridge but not an implant, which now will be 100% OOP. The bridge also allowed me to fix the other esthetic issues (which I would have fixed with a veneer or bonding if patient desired an implant) Wow
February 28, 2021
Prosthodontic Cases
Message Board
Views: 2943 | Replies: 132
think of: 1) The practice started out with a round number, but they increase their fees by a certain percentage each year. So sometimes the fee amount comes out to an odd number. 2) The practice uses the same fee for the implant as their allowed amount insurance fee. The seller of my practice did
October 30, 2022
Prosthodontic Cases
Message Board
Views: 1802 | Replies: 30
it feels better. The second option is that you can go find another dentist to make you a new denture. When you give me back your current denture, I'll refund your insurance so that your insurance will cover another set.
April 05, 2019
Prosthodontic Cases
Message Board
Views: 314 | Replies: 17
pockets even on the mesial, though it certainly has bone loss. A bridge would certainly solve the issue of the strange emergence profile of a crown on #18. haha I guess that is one way. But no insurance coverage for implants so that is a sure no from her. Any number of ways that have been talked
August 21, 2020
Prosthodontic Cases
Message Board
Views: 3853 | Replies: 134
in the Air Force - because the patient did not have to pay for the dives which my residency director informed us, were expensive and typically not under the insurance spectrum. The HBO stimulates angiogenesis. A radiation tattoo showing the radiated area would be very helpful. Recently on another
December 09, 2014
Prosthodontic Cases
Message Board
Views: 2568 | Replies: 43
I prepped #6. Still don't have the correct word back from the insurance company so only one tooth today, and the last one next week, patient is then ready for impressions as soon as the insurance company approves it. #7 will be removed and replaced just before final impression taking
November 27, 2014
Prosthodontic Cases
Message Board
Views: 665 | Replies: 15
. this is great advice Since this got some comments I will give an update: Ended basically temporizing all the decay with composite, using the teflon trick to pick up the rest seats nicely from the existing partial. I kept the lower canine by doing endo and a build up and ext lower premolar with the funky crown. Patient ran out of insurance coverage and haven't seen him yet this year lol. Hopefully he comes back and we get the ball rolling.
June 21, 2023
Prosthodontic Cases
Message Board
Views: 2943 | Replies: 132
something nice as opposed to giving more money to the feds with taxes. I may have missed it, but cannot do this if insurance is involved since they set the fees. This is what I plan to do in retirement. Ive had my entire life to save for it. As a ppo practice you should be charging for every code
November 03, 2022
Prosthodontic Cases
Message Board
Views: 686 | Replies: 14
- Let's say the cost of the keyway is prohibitive to patient or to me because of insurance limits/coverage or whatever. Can I instead add retentive elements, say proximal boxes or proximal grooves to limit the buccolingual movement? Would that give a similar amount of retention, or just be a waste
November 29, 2017
Prosthodontic Cases
Message Board
Views: 985 | Replies: 23
Esthetic case for my future wife... tooth 11,21 Tooth 11 had a rct. And tooth 21 also has a composite. She fell down over 8 years ago and chipped the teeth. Her insurance pays for the cheapest quality filling but with the our wedding fast approaching next month we are looking
September 13, 2017
Prosthodontic Cases
Message Board
Views: 1042 | Replies: 40
compared to fixed dentistry. ROI was non-existant. Don't get me started on this. Not doing dentures is just as foolish as not taking insurance and doing mandibular blocks. :) But I do take tons of PPO's and do blocks. And the available and potential pt. pool for CU/CL rpd's in my area is miniscule.Oh
December 08, 2014
Prosthodontic Cases
Message Board
Views: 347 | Replies: 13
. Told him $800 for the work up. Insurance didn't cover it. He shut up quick. OP, given the amount of time planning and presenting, you need to be paid for your services. This is not a hygiene treatment plan. Get paid for your time. Jamar had great advice. You can use the diagnostic process to test
November 23, 2021
Prosthodontic Cases
Message Board
Views: 902 | Replies: 28
whitening his others now and got a nightguard. He finally got some insurance through his business and has otherwise paid cash for everything, knowing full well he is NOT getting a discount. He's not expecting one on this, either, and when I first estimated a crown and a veneer at around $2k he was fully
May 09, 2018
Prosthodontic Cases
Message Board
Views: 822 | Replies: 15
with it but you probably have it down better since you've stuck with it. If I had a lab down the street to do the model work and intial coping I'd definitely do it routinely. Did I ever mention how lazy I am. I'd probably do the partial for insurance only if it was over 5 yrs old just to avoid
June 02, 2016
Prosthodontic Cases
Message Board
Views: 3232 | Replies: 30
more often than I'd prefer, that preps are deep. In Denmark we don't have insurance programs like USA, so a crown is all 'copay'. No wonder people are hesitant getting a 1000$crown if they don't see/feel a need. The OP has postponed crown on this tooth (and many other teeth) for several
December 28, 2015
Prosthodontic Cases
Message Board
Views: 2943 | Replies: 132
professional relations if you discount a fee for any service that discount goes towards your average charged fee. If that fee is lower than their reimbursement rate they can demand you pay them back the difference. So if you take insurance you need to bill for all services. You can always do
October 31, 2022
Prosthodontic Cases
Message Board
Views: 3441 | Replies: 38
of necessity and fall in the we have nothing to lose category. Pt has insurance that covers composites and not crowns. So it's either that, or exos. You end up finding out that composites perform very well over time and are a good treatment option due to the ease of repair. But I don't think we
February 16, 2018
Prosthodontic Cases
Message Board
Views: 4079 | Replies: 105
is actually good. Little to no bleeding or pocketing. I think she would consider removable. The only time crunch was to use up some of her insurance this year, which we took care of today with 5 extractions. I don't see how thebone reduction wouldn't be different from any other full arch hybrid
December 29, 2016
Prosthodontic Cases
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