Search Results

Searching: insurance denials
Results: 102
Displaying 1-50 of 102
1 2 3
Page 1 of 3
Message Board
Views: 695 | Replies: 26
delay treatment over things like this. I have seen people with cancer do the same thing. Maybe it's denial in some form, who knows. Good luck finding a private oral surgeon who is in-network with any medical insurance these days. Especially for this complex stuff. None of our local oral surgeons
September 07, 2016
TMD and Occlusion
Message Board
Views: 32 | Replies: 1
PRESIDENT OF THE AAOP THAT SPECIALTY DESIGNATION IS ALL ABOUT MONEY AND BEING ABLE TO CHARGE MORE AND RECEIVE MORE FROM INSURANCE COMPANIES AND THAT IT WON'T EFFECT PRACTICE STANDARDS. ***THIS IS A LETTER THAT WAS SENT TO THE ADA OVER SPECIALTY BY ME.**** PATIENTS, DOCTORS, SLEEP PHYSICANS PLEASE
April 07, 2020
TMD and Occlusion
Message Board
Views: 131 | Replies: 1
I am looking for a good *medical* insurance code to use for the NTI when it is being used as a temporary deprogrammer before definitive orthotic therapy. With medical insurance, I have patients waiting weeks or even months for pre-authorization to do a definitive appliance (B splint, Gelb, Farrar
March 18, 2016
TMD and Occlusion
Message Board
Views: 440 | Replies: 14
MONEY AND BEING ABLE TO CHARGE MORE AND RECEIVE MORE FROM INSURANCE COMPANIES AND THAT IT WON'T EFFECT PRACTICE STANDARDS. ***THIS IS A LETTER THAT WAS SENT TO THE ADA OVER SPECIALTY BY ME.**** PATIENTS, DOCTORS, SLEEP PHYSICANS PLEASE CONTACT ADA. Catherine Baumann, Director National Commission
September 30, 2020
TMD and Occlusion
Message Board
Views: 2266 | Replies: 150
. Yes... orthodontic treatment can affect the anatomy of the airway. What is the sense in all of this denial and disparagement of doctors trying to advance the knowledge of physiology?? Why would anyone try to block that?? It also begs the question; What is ideal? In the American Civil War
November 17, 2016
TMD and Occlusion
Message Board
Views: 77 | Replies: 0
Background about medical billing for dental procedures 1. there is a medical CPT procedure code for every dental procedure we do in dentistry 2. there is diagnostic codes to support reasons why dental procedures should be performed 3. medical insurance pays when work s performed due to pain
December 01, 2021
TMD and Occlusion
Message Board
Views: 281 | Replies: 7
What gets covered by dental insurance and what doesnt? If i'm making an occlusal splint for TMD, most insurances dont pay more than $400, my lab bill alone is $200 plus other costs. How do we charge out when i'm doing mulitplie adjustments on the splint. I'd like to get paid at least $ 700
February 20, 2017
TMD and Occlusion
Message Board
Views: 209 | Replies: 7
Is there any money to b made in TMD treatment?I live in town of 50,000. Average household income for family of 4 is $35000. Just $10,000 above poverty level. If insurance doesn't pay for it they don't want it done. Went to seminar on implants. Speaker had practice in Troy, Michigan. Had
June 29, 2018
TMD and Occlusion
Message Board
Views: 304 | Replies: 3
easy to document. Hope this helps!Thanks Rose! Yes that helps a lot. I appreciate the insight.You're welcome! Many medical insurance plans do reimburse for TMD appliances, too! In our medical billing for dentists seminars, we review all the codes and tools for medical billing for TMD orthotics
July 25, 2014
TMD and Occlusion
Message Board
Views: 482 | Replies: 22
dentistry; surgery, huge amalgams, etc. I hated dentistry and I would hate it again if I were a young dentists working for a chain doing insurance driven dentistry. In 1977, my dentist brother forced me into going to the Pankey Institute. It was there that my life changed. I learned TONS about
February 16, 2018
TMD and Occlusion
Message Board
Views: 243 | Replies: 6
is not the type of person who would want to run her own business, so I figured it would be perfect if I could somehow convert a future operatory into a Physical Therapy room and have my front desk schedule her patients, file insurance, market to people who have TMJ pain, etc.. Maybe not even 1 day a week
December 28, 2017
TMD and Occlusion
Message Board
Views: 920 | Replies: 12
and whether her dental or medical insurance will cover it. I am thinking about taking a course on delivering Botox and told her that I don't know the answer to that question now. Then I think DT would know so I am asking on her behalf: does medical insurance cover and what code will we need to use
August 11, 2021
TMD and Occlusion
Message Board
Views: 211 | Replies: 16
is licensed for direct access. Also some insurances won't pay for direct access. Maybe it's just in certain areas, but I've had PTs come to the office with referral forms asking us for referrals if we have patients with TMD, myfacial, neck, shoulder or back pain. I've referred several patients
February 10, 2022
TMD and Occlusion
Message Board
Views: 289 | Replies: 4
Apparently here in Michigan delta and blue cross are now requiring us to bill them as a code 9946 - hard appliance partial arch and will reimburse something like $300. Keller lab bill is more than half of that. What are others doing?I have pretty decent dental insurance. I just tried all three
April 23, 2019
TMD and Occlusion
Message Board
Views: 127 | Replies: 2
I've been following the imaging vs no imaging debate here for a while. My question is more logistical than philosophical in nature here. I've been getting imaging on this patient () and the medical insurance company's preauthorization company is not being helpful. I spoke with a physician who
April 15, 2014
TMD and Occlusion
Message Board
Views: 614 | Replies: 2
for Migraine is averystructured protocol. There is insurance compensation, but only after other modalities have been unsuccessful. If insurance compensation is authorized, and you get caught doing a little cosmetic application here and there, you're in hot water. So perhaps you could do Botox
September 27, 2017
TMD and Occlusion
Message Board
Views: 296 | Replies: 13
have a direct effect on joint sounds, as can many other variables. We need to be careful about the assumption of the mechanism at play when for example decreased joint sounds are noted. It should also be noted that the vast majority of insurance companies while they will pay for a ligament
May 14, 2019
TMD and Occlusion
Message Board
Views: 321 | Replies: 19
a reduction in medications taken, increased quality of life, yada yada yada, and the reply is That's great. Will my insurance cover it? The value wan't built, was it? Maybe I talked too much. I'm trying to talk less and let the assistant talk more but its tough to do with headache/TMD/splint
January 26, 2015
TMD and Occlusion
Message Board
Views: 3610 | Replies: 239
. In total, $3.1 trillion or $9,655 per person, about 17.9% of the US GDP was spent on health care by a combination of individuals and public and private insurance. In 1996, that percentage was 13.3% of GDP, with a total amount of $1.4 trillion, or $5,259 per person. The vast costs associated with health
July 24, 2022
TMD and Occlusion
Message Board
Views: 190 | Replies: 2
of before I ship it to her. She has delta insurance if that matters. Any legal issues? She has to return for delivery to make sure it fits and is not a safety/choking hazard.If she can't return, refund her money.You might want to get it adjusted in.
July 13, 2019
TMD and Occlusion
Message Board
Views: 83 | Replies: 1
I had a patient come in that has a night gaurd made one year back and has not been wearing it because she felt that it didnt fit right. I looked at it and it was fabricated poorly and I had to make a lot of adjustments to it. Is there a code that I can charge out to the insurance company. She didnt have the money to make a new one and I wanted to help but It did take a lot of time out of my schedule. Thanks just use...
April 09, 2014
TMD and Occlusion
Message Board
Views: 31 | Replies: 0
Hello, I am interested in starting to add IDE (independent dental exams) in my practice, whereby I exam the TMJ/musculature, diagnose and treat with appliance therapy if needed. These are through insurance companies that have clients who have had motor vehicle accidents, work related injuries
January 24, 2018
TMD and Occlusion
Message Board
Views: 5574 | Replies: 451
retort to the denial, I don't grind my teeth is: Oh yeah? It looks like you fell, face-first, into a running belt sander. I am using that line tomorrow! That is awesome! What is wrong with people when you bring that topic up? It's like you said they kill kittens or something... -ragnar You
May 01, 2013
TMD and Occlusion
Message Board
Views: 124 | Replies: 1
I have been an associate at this practice for about 6 months. I have seen a decent amount of patients who have nightgaurds that they have chewed through. They state to be maintaining them properly. I'd say 3/4's are Comfort H/S. Basically, how long are these supposed to last? Will insurance cover
October 11, 2017
TMD and Occlusion
Message Board
Views: 140 | Replies: 3
and learn in a few weeks. I'm intrigued, but always suspicious about magic bullets. I'm a bruxer, and so is my receptionist, so we may be the guinea pigs, but I'd love to hear from anyone who has experience with them. I'm sure you're insurance company will love you when you start working outside your remit and mess around with people's ears I've seen the 'studies'. They don't hold upIt's a diversion tactic
February 24, 2016
TMD and Occlusion
Message Board
Views: 9388 | Replies: 225
in my sleep. Doing veneers makes me lose sleep. Also, insurance covers crowns, so there's that. Here's two scenarios, with my patients: 1. Me: You need a crown on your bottom right tooth. Patient: How much does that cost? Me: Depends on your insurance, but usually insurance pays half Patient
October 12, 2015
TMD and Occlusion
Message Board
Views: 385 | Replies: 19
according to police report. In this case most attorney would take the case in contingency. If your patient happens to be at fault then use his/her car insurance policy first then if needed use his/her medical insurance. I never lost a case and always win some financial awards/compensation for the patient
June 02, 2015
TMD and Occlusion
Message Board
Views: 121 | Replies: 3
it feels like it hurts Teeth 18-20 tested vital with no sensitivity on percussion or palpation. Some minor wear noted. Muscle exam - only tender muscles in suboccipital area. Joints - healthy. Submitted to insurance for occlusal guard. Spoke with endo - got recommendation to send her for CBCT
July 13, 2017
TMD and Occlusion
Message Board
Views: 5000 | Replies: 360
Okay-I have been meaning to get this thread going for a while to go over and share a bunch of the questions, protocols, fabrications, insurance issues and various trivia...to share, to learn...Hope this goes well...I won't be going over every aspect of every case but I wanted to review~share some
June 17, 2009
TMD and Occlusion
Message Board
Views: 120 | Replies: 1
i typically do and hard/soft night guard maxiallary. i've been hearing about the dawson splint and how its more effective. the cost is more thru great lakes ortho. what code do you use? i take a lot of insurance PPOs so i rather not submit it as an occlusal guard otherwise i will get paid about
October 22, 2016
TMD and Occlusion
Message Board
Views: 421 | Replies: 17
in the U.S. likely have TMD pain. That's not rare-that's a public health scale problem. TMD is beyond insurance because INSCO doesn't pay, meaning those 7% have to pay cash! Knowing how to diagnose and treat absolutely helped me to do well enough in my practice to retire comfortably! Thanks for posting
February 02, 2026
TMD and Occlusion
Message Board
Views: 600 | Replies: 22
insurance covers the cost with less hassle. 3) This didn't develop overnight and won't change drastically overnight. A few months delay won't significantly alter the treatment or outcome. A couple of things worth mentioning: 1) I could be wrong but I don't believe there is any evidence to support
May 23, 2023
TMD and Occlusion
Message Board
Views: 228 | Replies: 25
carefully evaluated. I firmly believe that health costs can be reduced by proper treatment of TMD . Shimshak article: Personal Experience with Chicago HMO and TMD Treatment in reducing insurance company costs. I found I had a patient in my practice who definitely required treatment for a TMJ
January 17, 2021
TMD and Occlusion
Message Board
Views: 321 | Replies: 12
injections in the muscles if he has medical insurance. Show us a picture of this hunk of plastic. You may have VDO open too much or the thing may just be extra bulky or the pt is the Princess from The Princess and the Pea. I have found that patients have difficulty with orthotics if they don't fit well
July 09, 2021
TMD and Occlusion
Message Board
Views: 4461 | Replies: 117
taught to get an image of a painful TMJ before treating it? How often were we taught to get an image of a painful tooth before treating it? No wonder we are confused!!!! How can we treat what we do not know about? Why would insurance ever consider paying for such unguided care? If you sought care
July 13, 2016
TMD and Occlusion
Message Board
Views: 764 | Replies: 19
reduce sensitivity and improve appearance. These are chosen when recession is the problem. Parafunction causes recession. Restorations do not. So periodontal referral is not mandatory for every case. It is based on the patient's needs, not the presence of a notch. Insurance coding keeps things
October 31, 2025
TMD and Occlusion
Message Board
Views: 203 | Replies: 6
. Occlusion was checked and no occlusal interferences were found when patient goes into CR or into this particular position. Decided to refer the patient to a TMD/TMJ specialist for further evaluation but patient was unhappy because her insurance will not cover this. What should I do now? Any advice
December 07, 2023
TMD and Occlusion
Message Board
Views: 457 | Replies: 18
other ideas? Parafunctional habits comes to mind. The tx may not change at all, but determining why it's necessary to begin with seems like a logical starting point All the time. You should consider it every time you see pathological wear on cuspids related to patient age. Is a cheapest insurance
August 16, 2020
TMD and Occlusion
Message Board
Views: 5574 | Replies: 451
a long-standing convention in the online forum world. Most patients with this issue are very much in denial. I don't grind my teeth. My last dentist ground them down like this. Jim, I love your posts and am a better dentist from learning from you (as well as Barry, Don, Bob, Melkers and Steve among
April 07, 2013
TMD and Occlusion
Message Board
Views: 482 | Replies: 11
and figure out how to bill my patients for it, they were totally unhelpful. Unless you pay an extra $497, they won't give you any type of support and answer your questions. Honestly, if I had the choice to do this course over again, I would not do it. It was unorganized and from what the lecturer told us, insurance rarely pays out for botox/TMJ treatments.Mark
February 13, 2019
TMD and Occlusion
Message Board
Views: 264 | Replies: 9
. If the practitioner wants the Botox to be paid for by insurance, they must have a specific migraine diagnosis and then follow a specific injection protocol. -Jim Yep, both onabotulinum toxin A. Just different FDA application approvals. | BLA #103000 | VIAL; SINGLE-USE | Prescription | ALLERGAN | BLA
November 07, 2022
TMD and Occlusion
Message Board
Views: 372 | Replies: 16
a local Dermatologist that provides this service. Well, the PA does the injections. $140 per side, insurance(medical or dental) doesn't pay. So are you in Florida? Anyone? Here is the guy's message to me; I had my neck done last year and the tightness seems to have not gone away in fact its getting
June 29, 2022
TMD and Occlusion
Message Board
Views: 183 | Replies: 13
: decay and gum disease. Dental school drilled us on those, and insurance companies still act like thats all dentistry is about. But the third problemthe way the teeth come togetheris barely touched on in school. At least it wasnt when I went through. Be honest: did you really learn how to diagnose
September 01, 2025
TMD and Occlusion
Message Board
Views: 1242 | Replies: 61
insurance has nothing to do with it of course.. A MORA is non destructive, benign, reversible, and allows the theory to be put into practice, the concept of informed consent is useful and allows the patient ownership rather being stewarded...mild cases of TMD based facial myalgia are best monitored
April 25, 2020
TMD and Occlusion
Message Board
Views: 223 | Replies: 5
for me was absolutely amazing. I was to the point of going through the hoops to use my disability insurance, MRIs, CT scans, numerous visits to neurologists, nerve conduction tests, the whole 9 yards. His name is Don Warren, he practices in Clinton, Arkansas. And I am a believer
September 02, 2015
TMD and Occlusion
Message Board
Views: 294 | Replies: 23
; we need to understand the concepts of evidence based medicine fathered by Sackett and frequently misused by gurus, insurance companies, and health care practitioners with an agenda to promote or a "legacy" to protect.
February 20, 2026
TMD and Occlusion
Message Board
Views: 922 | Replies: 33
the sweetspot advancement location of the mandible. What orthognathic surgery can do. Like insurance companies do? Try the Sleepwell Jeffrey Glidewell - silent nite with glidewell hinge appliance. I have made a couple of these. They cost less, are well made and are easy for the dentist or patient
August 23, 2024
TMD and Occlusion
Message Board
Views: 1744 | Replies: 86
. Welcome to the new world order! Jim, May I ask what type of appliance are you suggesting in the complete displacement? docfm, Do you order MRI strictly according to the Insurance rules ? How often do you refer your patient for TMJs surgery ? Is RI rule considered a World Order that we all
May 27, 2014
TMD and Occlusion
Message Board
Views: 8644 | Replies: 276
with their teeth as you mention in the above post; two are infection, decay, and gum disease, the third is mechanical. Decay and gum disease have been figured out as you posted. They are the only procedures taught in dental school. Dental insurance is based on these infections. The third way is beyond insurance
January 25, 2024
TMD and Occlusion
Message Board
Views: 645 | Replies: 30
. It was the best thing I have ever done, and the first time I can say in dentistry that I truly love what I do. I've heard the argument that MRIs are too expensive. That's not the case at all. The vast majority of my patients end up with out-of-pocket costs of less than $200-300. My government insurance
April 18, 2015
TMD and Occlusion
Displaying 1-50 of 102
1 2 3
Page 1 of 3
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