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Searching: insurance denials
Results: 19
Message Board
Views: 54 | Replies: 0
whats everyone charging per quad? in addition to their normal insurance fee. so for example lets say youre getting reimbursed 200 per quad. what fee are you adding on top of that for your laser. pewpew
September 29, 2025
Scaling & Root Planing
Message Board
Views: 169 | Replies: 4
We just started employing a hygienist, we are heavy ppo. The hygienist is telling us after srp, we can bring them back in 6 weeks for a followup prophy. Is that true? Insurance will pay for that? What is the code? Goooood luck with the insurance paying you for that. I'm happy if they just pay
November 13, 2018
Scaling & Root Planing
Message Board
Views: 1197 | Replies: 48
going to flush your gums with this rinse that provides zero biological benefit for your pockets and I'm going to charge you for it X Dollars and your pt. agrees then I'm totally fine with that. BAmo, there it is. This is one of those things I almost always do, and if I can bill insurance
April 21, 2015
Scaling & Root Planing
Message Board
Views: 1927 | Replies: 69
Perfectly explained and this is how we do it. Fair enough. I do have a question though, maybe it doesn't pertain to your particulars. How do you insurance bill for a prophy and then subsequently in short order file a claim for SRP? Are there no questions from insurance about that? That's what I've
September 30, 2017
Scaling & Root Planing
Message Board
Views: 305 | Replies: 7
Dilemma here-- New patient presents today for comprehensive visit. Probing reveals no pockets greater than 3mm. Lots of tartar but requires numbing for doctor to clean teeth. Thinking of doing quad scales (2 at a time). How would insurance handle this and/or is their another insurance code we
November 10, 2016
Scaling & Root Planing
Message Board
Views: 370 | Replies: 2
I'm interested to hear what your protocol is after a patient has received scaling and root planning? We are trying to reduce our bloody prophies and increase our scaling and root planning cases. This has not been easy and can be a real headache when dealing with insurance companies. I
May 29, 2014
Scaling & Root Planing
Message Board
Views: 1927 | Replies: 69
version has the official definitions.I agree. But how do you get insurance to cover SRP after a prophy was completed? They decline perio tx and patient gets upset. I have never had that happen to me. They will pay SRP after prophy.Does anyone know what the typical frequency limitations on D0180
September 20, 2018
Scaling & Root Planing
Message Board
Views: 457 | Replies: 8
visits, though, and so the re-probes have happened at the 3 month periodontal maintenance appointment. For those of us that practice in the real world, we know that many insurances dont cover a follow up until 3 mos after srps... Makes sense. And yes there is some evidence that continued
July 15, 2020
Scaling & Root Planing
Message Board
Views: 128 | Replies: 6
with a periodontist. My bigger question is why are you doing prophies on perio patients?so that we can maximize insurance benefts for patientsFrom what I understand alternating PMV and prophies is considered improper coding. A patient can switch from PMV to perio stable (and thus receive prophies) long term
August 27, 2019
Scaling & Root Planing
Message Board
Views: 392 | Replies: 12
patients who are too anxious. (I do charge more per quad in addition to the sedation fee because it is my chair time). The plus of doing sedation is that we get all 4 covered by insurances as well. be prepared for a very long appointment and sore wrist esp with heavy calc deposits! Per the Periodontal
June 26, 2025
Scaling & Root Planing
Message Board
Views: 358 | Replies: 8
seeing any kind of insurance patients, you'll have fun explaining their insurance only covers BWX's every 1-2 years but the hygienist will take some extra bwx's today to make sure no tartar is left , and its out-of-pocket From what I know, calculus detection is all about feel.I've been
May 02, 2014
Scaling & Root Planing
Message Board
Views: 172 | Replies: 6
), I am recommending RPs. Most insurance companies will pay for it. Some will not do it until they see 1-2 mm of bone loss on the xrays (by then it is too late). Error on the aggressive side of treatment,...descriptorfor D4355 is:Full Mouth Debridementto Enable Comprehensive Evaluation and Diagnosis
June 28, 2017
Scaling & Root Planing
Message Board
Views: 786 | Replies: 9
one quad 1-3 teeth are SRP and the rest of the mouth is prophy?.At recare visit , is it perio maintainance for the whole mouth or you do perio maint and prophy at the same time same visit and charge insurance both? Thanks Unfortunately, there's no clear answer, which is the primary problem
February 01, 2022
Scaling & Root Planing
Message Board
Views: 710 | Replies: 12
dentistry without a license and would it be illegal activity in my office? Depends on who, if anyone, is complaining. Probably cant get an insurance company or the State to pay for SRP without documentation. So its likely that probing documents were submitted. The dentist who didnt do the exam may have
May 08, 2021
Scaling & Root Planing
Message Board
Views: 434 | Replies: 11
Has anyone submitted a claim to PPO Ins for both Prophy and SC/RP (one quadrant) on same visit?Thankswallgecko In my career I have seen it happen once and one of the services was denied. Honestly , I can't remember which service was denied, but given it is insurance I would suspect it would
February 06, 2014
Scaling & Root Planing
Message Board
Views: 1424 | Replies: 30
are trying to do and cram people into one of two boxes.Timmy, I think you are spot on, but this mentality exists in my opinion due largely to dental insurance. I think they whole perio/prophy CDT thing is F'd up and needs to be revamped. To me this is the type of stuff the ADA should be all over; fighting
May 02, 2014
Scaling & Root Planing
Message Board
Views: 971 | Replies: 35
months the same thing, over and over and over for about 7 years now. He knows he needs it. He knows he will benefit from it. His insurance has approved it. He has never stated exactly why he declines tx, but after every visit he thanks me for being consistent in my recommendations. When I
January 02, 2021
Scaling & Root Planing
Message Board
Views: 590 | Replies: 27
a typewriter instead of a computer you would expect there to be a surcharge for their troubles. Has anyone been successful in billing any codes with insurance that would reimburse for this sort of thing (e.g. behavior management)? The cavitron is hard. I have had some luck with turning it WAY down
May 03, 2025
Scaling & Root Planing
Message Board
Views: 1028 | Replies: 15
insurance coverage before hand so we can quote a price As always we do a full perio charting and FMX Offer oral sedation or nitrous oxide How are you educate your patients in such a way that they understand and value of the work that we do for them to combat perio
April 02, 2016
Scaling & Root Planing
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