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Page 22 of 817
Message Board (37849)
Dentaltown Magazine (455)
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Message Board
Views: 3424 | Replies: 159
not an owner but humbly ASKING for advice. How do I avoid this type of a situation when I buy my first practice? There are way way way to many dentists that do not know how to: file a claim know what insurance umbrella tpa they are under dispute a denial check ar Do quickbooks post a check send
December 14, 2024
Practice Acquisitions
Message Board
Views: 17741 | Replies: 1414
...and the people are MORE dead than the ones who die from denial of treatment....yeah....thats it. Unless we have unlimited dollars to spend on healthcare, isn't some entity going to have to ration it? If not the insurance companies then the government? No one deserves to be gunned down, no matter
December 04, 2024
Dental Insurance for Dentists
Message Board
Views: 134 | Replies: 8
surfaces of the anterior teeth with composite to help save the remaining tooth structure. These patients can be frustrating to try and help as many are in denial of their problem. Hi dkdocterry, Thanks for the feedback, and the great tip. I will add that when I update my presentation. My niece
March 18, 2017
March 2017 DT
Message Board
Views: 84 | Replies: 0
conditions, such as polycystic ovarian syndrome, who seek sterilization for health reasons rather than reproductive ones. Rep. Ellen Read, the bills sponsor, shared her own experience seeking a hysterectomy amid years of heavy bleeding and denial by physicians who prioritized potential future
July 26, 2025
General Health
Message Board
Views: 767 | Replies: 33
minutes for something better.Sigh. Everyone in my town has Tricare. D7140 = $80 I more so meant that the average fee is around that. I doubt most get their fee in regards to insurance. Our tricare sucks too and I discount military 50%. Medi here is 67$ which isn't a knock on the medi, but tricare
May 08, 2019
Pediatric Dentistry
Message Board
Views: 2384 | Replies: 60
as insurance aging. You can have 100 new patients a month, but if you aren't doing the dentistry, the number will be low. Another favorite of mine is patient retention. How many are...Sugarsandy, We're all hoping to see you turn this around. Please advise if you are planning on firing the OM and your
August 09, 2018
Practice Acquisitions
Message Board
Views: 460 | Replies: 4
I am 40 years old. Pretty Healthy , Blood work comes normal last month. I had Term Life insurance for 1 mil paying $211/month and disability insurance $4000/month paying $124/month through Guardian. Is this sounds good? Can anyone suggest independent broker whom I can consult and get better quotes
September 17, 2020
Life Insurance
Dentaltown Magazine
and inventories the contents), would prevent embezzlement. This question is an example of denial of opportunity strategies for controlling embezzlement, because its goal is to block a specific embezzlement pathway. While we don
July 2014
by David Harris, MBA, CMA, CFE and Pat Little, DDS, FAGD, CFE
Message Board
Views: 502 | Replies: 25
We just received a denial for a build up by Guardian due to lack of extensive tooth structure loss. Any ideas how we may be able to get them to cover this Was the endo done through the crown? Could you charge for a one surface composite ? Are you building up for a crown? Do you need a post
December 28, 2023
PPOs and HMOs
Podcast
the denial of your claims and once the appeal is considered by the insurance company that denied your claim to begin with. Your only recourse is to file in federal court instead of State court and state court are typically much more liberal. Once you’re in federal court, no jury and the judge
July 31, 2015
by howard
Message Board
Views: 618 | Replies: 25
a pain in the butt. I don't have an office manager so any financial decisions are mine. however for me all existing patients get periodic exams regardless if they have new insurance or not as they are known to you So I understand....an existing patient gets new insurance and you are asking
October 05, 2020
Practice Management & Administrative Forum
Message Board
Views: 2694 | Replies: 84
could take a middle class job and be fine. Premiums were to high and I've heard to many stories of denials that I figured meh, I'll go without it. I dropped my disability insurance a few years ago and am 43 right now. I regret it because I fractured my elbow pretty badly a couple of months ago
April 27, 2025
Disability Insurance
Message Board
Views: 4800 | Replies: 152
that get patients that are largely motivated by I only want it if my insurance pays for it. A tooth like the ones in the picture will get a lot of either denials that require followup to get paid or just denials and no payment even with followup. For the #3 pictured, probably 90+ % of my patients
April 08, 2023
Cosmetic Dentistry
Blog
changes to their insurance each time they visit your office. Anybody who has a new provider or even a new card with an updated copay will have the opportunity to present their information, so your staff can update it in your system. Taking steps to eliminate surprises and minimize claim denials will put
July 13, 2022
by TysonDowns
Blog
Assigning employee to undesirable shifts Blacklisting the employee Demoting the employee Denying overtime or the promotion to the employee Disciplining the employee Denial of benefits to the employee Intimidation by the practice owner Reassigning work to the employee
September 18, 2015
by dentalattorney
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: 170 | Replies: 6
! We look forward to hearing from you. YOUR NAME Dental would like to thank all applicants for submitting their resume, however, only applicants selected to be interviewed will be contacted. And I'm happy to share the denial letters/emails we utilize. Linked here: Thanks Shannon! That' a great tip.
May 15, 2020
Staff Management Issues
Message Board
Views: 3475 | Replies: 166
benefits in CA under the ACA are dental insurance companies. These will be riders, separate from the health policy. If this is the case, I believe we won't need to submit claims to health insurers first, get a denial, and then bill dental. We'd just bill dental directly as we've always done
January 09, 2014
Practice Management & Administrative Forum
Message Board
Views: 346 | Replies: 11
than bad faith on the part of the insurance company but when you look at all types of insurance, this is typical behavior on their part.sorry about the delay... i haven't checked this for a few days. but below is the x-rays.
April 15, 2015
Claims Processing
Message Board
Views: 4296 | Replies: 138
and make it worse in my head than it actually is. Something to remember- we all have our own journey and our own trials and tribulations production and collection :-).Thanks for sharing. If your practice is/was slow why did you drop insurances? I think you should participate with all insurances
January 27, 2020
Future Planning General Discussions
Message Board
Views: 1027 | Replies: 36
inflammation - full mouth, after oral evaluation.This new code will give us new opportunities to elevate the standard of care whiles boosting our bottom lines. To place an order, just go to what reimbursement are insurance companies going to be providing for this...At best, they will get a prophy
November 28, 2016
Claims Processing
Message Board
Views: 156721 | Replies: 22628
COVID denial was on the right side of history. Even a broken clock is right twice a day. I guess in the case of COVID, ignorance beat intervention in many ways. Marshall Covid denial? do you mean denying that Covid exists? --- that seems a little extreme to me how's that going for us
June 03, 2022
Politics - DO NOT Enter if easily offended
Message Board
Views: 1753 | Replies: 38
Wisconsin dentist is charged with breaking teeth so he could crown them. Officials: Grafton dentist damaged patients' teeth on purpose so he could bill insurance. Meanwhile I'm out here losing sleep over whether I used too much bonding agent for my class II and how bad the bitewing is gonna
December 19, 2020
Legal Issues
Message Board
Views: 3615 | Replies: 47
% of scalings are done on new patients. Extremely rare for a patient of record to need it, only if they were away for 2-3 years. On existing patients, we will use 1-3 code more often, but it's not common either. Other than Arestin, insurance covers 80% very routinely. Almost never get denials. Patient
December 07, 2019
Periodontics
Message Board
Views: 360 | Replies: 9
New to office management: How often should we submit our fee schedule to the insurance companies we contract with? And do I need to submit a narrative or use any special wording so that they will consider increasing their payment? Thanks. Since there are no takers to respond to your question
September 29, 2016
Practice Management & Administrative Forum
Message Board
Views: 578 | Replies: 31
can't get seen, they wait 12 months for hospital slots, the MCO plays games of denials, on and on. At least this letter didn't use that phrase access to care. Nails on a chalkboard. Not sure if anyone involved in Illinois politics should be shaming providers or insurance plan administrators
November 24, 2023
Pediatric Dentistry
Message Board
Views: 850 | Replies: 27
packages, claim denials, and offshore call centers are over? I am not condoning Luigi's actions, but depending on his story---however stilted it is---it had an idealistic merit. What if all the money the insurance companies took was applied to the patient care that subscribers deserved? We would all
January 07, 2025
Practice Management & Administrative Forum
Message Board
Views: 1367 | Replies: 35
of the post for me. Patients always think they have sinuses in their lower jaw. *beats head against desk I will gladly handout amox and hydros.....for 1000 bucks a pop......I gotta git out this gig asap.........dagone....you guys are...Clearly, this is an (insurance) case by case scenario. In my
March 19, 2015
Just Plain Bitching and Moaning
Message Board
Views: 17741 | Replies: 1414
and insurance company have potentially done their damage to a persons life) our approval of this guys behavior and justifications means jack This will all blow over, the denials will continue to happen and dentists will continue their participation because the DDS is amazing at complaining. Wake up people
December 06, 2024
Dental Insurance for Dentists
Message Board
Views: 235 | Replies: 4
a type of internal resorption that can occur rapidly in some cases. That looks like trauma to me. At 60 years old there is very little wear. And at 60 years old they generally would mention trauma if this occurred 6 weeks ago. Unless her husband smacked her and she is in abusive denial or she has
January 08, 2014
Endodontics -- The ENDO Files
Blog
? Denial of benefits to the employee ? Intimidation by the practice owner ? Reassigning work to the employee
February 22, 2016
by dentalattorney
Message Board
Views: 4137 | Replies: 99
and the denial rate is BS, all on a code that was supposed to help fix the problem and ended up being completely useless. What needs to happen is insurance companies need to start raising their premiums to make their profits and not screwing patients out of the benefits the are told they should get.No
May 19, 2018
Periodontics
Message Board
Views: 204298 | Replies: 100237
Flocks take on it REFRESHING! Remember that.... BO and Flock say its only like, ELEVEN.... Coastal Dtards will be screaming at their TVs how unfair this is.... Spot on. Fearless and BRAVE I say.... You are completely in denial. Waiting for you to wake up. Exactly. Most of the world has moved
March 27, 2026
Politics
Message Board
Views: 8676 | Replies: 268
at capacity. Will it happen? Not likely in my opinion, don't take away muh freedoms The amount of misinformation spreading and science denial is eye opening here in the states. I cannot speak to what the right thing to do is. There is this though from Oct 20. Is this correct, is there little
November 02, 2020
All Things Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 212 | Replies: 17
and CBCT at the same time. If I submit a CBCT to insurance they will deny it and likely deny the PAN since a CBCT was taken the same day. So would you submit just the PAN or would you Submit both and Charge the patient for any denial of the CBCT. I usually discount CBCT for anything routine and just
March 06, 2025
Coding Q&A
Message Board
Views: 1449 | Replies: 41
What would you do?A patient of record of 15 yrs. wife develops pain referred to Endo gets rct than returns to my office for bu and crown. We confirmed her new insurance has a 12 month waiting period. Pt advised. She pays a portion at prep day.Yesterday we go to deliver she brings her husband. He
March 07, 2020
Claims Processing
Message Board
Views: 1026 | Replies: 43
week, I followed up with a denial back in MAY for a crown and we got in touch with insurance and they are gettin back to us. NOONE will follow up with your money...like YOU- the owner does. You might have an excellent front- but at the end of the day, YOU have to follow up as things do get missed
August 04, 2024
Front Office Discussion
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: 112 | Replies: 3
! They said we would have paid if the max hadn't been met, so it still counts toward frequency. Unbelievable. As their website says: As the nation's leading provider of dental insurance,we make it easyto protect your smile and keep it healthy, with the largest network of dentists nationwide, quick
November 21, 2019
Delta Dental
Message Board
Views: 23511 | Replies: 1506
that no one is willing to publicly say that... Perdue, one of six lawmakers present at the meeting, insisted on Sunday that Trump did not usethat word. Sen. Tom Cotton, of Arkansas, was also at the meeting and echoed Perdue's denial on CBS' Face The Nation Sunday. I didn't hearthat wordeither, Cotton
January 17, 2018
Politics - DO NOT Enter if easily offended
Message Board
Views: 5258 | Replies: 155
crown fee. Not to mention that you will likely get a lot of pissed off patients when you get denials and downgrades. You can collect whatever you want as long as you refund it once the insurance check comes in. We send refunds for overpayment all the time. If you revieve an insurance check just
March 26, 2026
Ethical Issues
Message Board
Views: 217 | Replies: 4
I would give a benefit of doubt to my dentist colleague in this case, that he/she offered Pano to this patient and they probably denied it due to out of pocket expense ( because of frequency issue ). I believe it is important to note down the denial though so that patients can't blame you down
March 28, 2021
Pediatric Dentistry
Message Board
Views: 211 | Replies: 8
is great, thank...MarkThe Power of the Question... How to Move Your Patients from Denial to Action. By Mary Osborne. In spite of our best efforts to educate patients about the need for dental care, many patients delay and avoid treatment that we know can help them. We struggle to understand what gets
November 29, 2017
CE Comments / Suggestions / Events
Message Board
Views: 225 | Replies: 5
any more denials than other plans. We have a ton of retirees who are signing up for these plans. We are also FFS, but what ones should I tell my patients to sign up for? We took one of them last year that paid 100% of everything up to 4 or 5k. But the patients were all very low income/asset retired
December 04, 2023
PPOs and HMOs
Message Board
Views: 270 | Replies: 12
( "pre-denial").... Double NO. I inherited many cantilever bridges, most of them are not around anymore I might do a canteleever on an older patient or against a partial. A patient with some perio or bruxer is asking for trouble. Make her a flipper and move on.
October 28, 2025
Restorative Dentistry
Message Board
Views: 341553 | Replies: 128046
. But not caring is what you usually end up saying. First is denial. Then comes it doesn't matter. You might be still in denial. Well, you are apt to close your eyes to a painful truth. Now, tell us again how Antifa is not a threat to anyone. I note not one single liberal here has so much
October 19, 2020
Politics - DO NOT Enter if easily offended
Message Board
Views: 204298 | Replies: 100237
for fun, my father in law fled when Israel massacred the adjacent village, etc. let's list out Israeli lies vs what you consider lies from us. I'll start: 40 beheaded babies Babies in ovens shireen Abu aklah denial shifa command center jonathan pollard denial Hind Rajab denial EMTs had no lights on and approached suspiciously Lebanon hospital bunker Israelis do not love pedophilia We have run numerous countries at various times in US history.
January 03, 2026
Politics
Message Board
Views: 2941 | Replies: 76
are seeing the growth in corporate dentistry is because of the growth of crappy insurance companies and options. The public has access to cheaper crappier dental insurance so a certain proportion of the population 20 years ago never saw a dentist and their teeth rotted away, they have access to crappy
September 17, 2018
Associates Corner
Message Board
Views: 1762 | Replies: 26
however what we see happening way too often is offices in-network with added plans that they didn't even know about all because the burden is being put on the dentist to opt out rather than opt in. As with all insurance participation, it's about being in control and understanding the impact so you
December 17, 2016
Practice Management & Administrative Forum
Message Board
Views: 1200 | Replies: 43
can only assume the savings will be piled into increasing reimbursement Players from the ADA to major insurance fraud detecting companies were there. I would love to hear from some of the dentists participating in the Health through Oral Wellness (HOW) program. Disclosure: I was comped
August 26, 2016
Delta Dental
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