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Page 23 of 817
Message Board
Views: 1839 | Replies: 40
to Dentist: no upfront fees or buy-in, no spending time justifying my hard work to the insurance company to get paid, no having to send x-rays, no answering to all the not a benefit denials, no time for my staff to be on hold with them all week long, no appeal letters. Bentohandles all the claims
August 21, 2022
Alternatives to Dental Insurance
Message Board
Views: 1753 | Replies: 62
they can do it. Patient is fully aware that it's not a permanent fix and that she needs the rest of her teeth out in that arch and a full denture. She's one of those in denial patients. As far as dropping UC, they are the major insurance company in Southwest PA. Dropping them would have a major
November 08, 2015
Dental Insurance for Dentists
Message Board
Views: 826 | Replies: 29
Just had an assistant tell me about a needlestick yesterday. I contacted our Workers Comp insurance and set up a claim, and sent the employee to a local urgent care (that's on the list from the Workers Comp company) for testing. How can I get the patient tested? Can I ask her to use her medical
August 15, 2019
Legal Issues
Message Board
Views: 6202 | Replies: 111
Lighthouse 360, having Dentrix verify insurance, etc etc. Computer programs don't bitch about doing their job.Oh yeah..... we've all had times like this. Put at least a winged rubber dam clamp on whatever tooth you'r working on. You will have a MUCH easier time than you think and 2 cotton rolls
March 22, 2012
Just Plain Bitching and Moaning
Message Board
Views: 1140 | Replies: 33
, checks will have for the most part gone the way of the CD for music. Brian, I'm in John's camp - there is really nothing to this EFT stuff. However, as for reconciling, I believe the real skill is to make sure the insurance payment is posted specifically as an electronic check. His office and ours
September 18, 2017
Claims Processing
Dentaltown Magazine
by Dr. Olya Zahrebelny There has been an upsurge in interest in medical billing by dentists and many have eagerly jumped on the bandwagon, only to find it's nothing like they imagined and they're receiving only denials and rejections, with maybe a bone thrown to them once in a while
January 2018
by Dr. Olya Zahrebelny
Message Board
Views: 945 | Replies: 19
- and as a result will hurt the access to care to existing underserved communities. 3M people in Ohio are on medicaid, and rising due to covid19 high unemployment. Thats almost 1 in 3 people in Ohio who have medicaid insurance. I know few dentists who are in the process of suing Dentaquest this year
November 12, 2020
Legal Issues
Message Board
Views: 11883 | Replies: 3664
and thoughtful national and international discussions leading to careful long-term planning and sustained policy actions. Climate change denial From Wikipedia, the free encyclopedia For the book about the same topic, see . Climate change denial, or global warming denial, involves , the extent
December 03, 2015
Politics - DO NOT Enter if easily offended
Message Board
Views: 2840 | Replies: 74
best recollection and your clinical notes. Then bill them for it. How many of you have ever taken any denials to the end of the road to be investigated by the insurance commisions?My friend fought with an insurance company over non payment of an examination fee. He ended up losing .. spending over
November 09, 2018
Delta Dental
Message Board
Views: 667 | Replies: 25
on it cause they knew our fees. A ton more were thrilled with it cause now they had free cleanings just like the folks with insurance. We also play up the no waiting period, no denials, etc in our marketing materials for it (we market it pretty heavy now due to #1 below) We have had no negative
April 29, 2024
Going Out of Network
Message Board
Views: 960 | Replies: 37
This family has been with us for over 10 years now. Last few years they have a new insurance and we don't have assignment of benefit. Since they have been with us for a long time, and can not pre pay for their services, we allowed them to get the work done and bring the check in when insurance
September 02, 2025
Billing
Message Board
Views: 5127 | Replies: 218
despite good faith payment of premiums. Due to the egregious nature of this claim decision and the pattern of denials for medically necessary treatment, a report will also be filed with the Texas Department of Insurance. This is the 3rd time I have written this type of letter to an insurance
October 29, 2015
Politics - DO NOT Enter if easily offended
Message Board
Views: 341553 | Replies: 128046
. Major corporations are shutting down. And, it's still May. We've got 6 more months before the election. A lot of people are still in denial about what has happened to them. My business will not be back to normal. A big chunk of our patients view us as a threat, and are putting off coming
May 15, 2020
Politics - DO NOT Enter if easily offended
Message Board
Views: 713 | Replies: 31
this is the last one that slipped through the cracks. Most people just left. A few left some bad reviews. Every single one I was happy to see leave. No amount of money is worth it for myself or my team. So she wants to be seen at an office that cannot provide the services she desires? If there was no denial
April 02, 2024
Pediatric Dentistry
Message Board
Views: 59 | Replies: 2
and wait until I could start again! Like I said, not a PITA pt. at all, but MY GOD, sleep apnea is SCARY when you see it first hand Yes, it is, Shervin, and these patients rarely know they have a problem. Most are in denial, so it's our duty to educate and...I was working on a patient a few years
July 27, 2016
Sleep Apnea / Snoring
Message Board
Views: 266 | Replies: 4
, as opposed to the somewhat random onesies that we see semi regularly. I came across a patient who had been in denial of a resorptive on a lower anterior that was accelerating. We were keen to update routine films to check on advancement - and he had another newly arisen in an upper posterior that had
November 13, 2025
Endodontics
Message Board
Views: 155 | Replies: 4
that the denial of coverage was fair. The case stirred debate about the scope of federally-funded dental benefits for First Nations and Inuit children, the criteria for medical necessity in orthodontics, and the wisdom of spending six-figure legal defence funds to oppose a comparatively modest treatment cost
November 16, 2025
Canada
Message Board
Views: 23 | Replies: 0
for it in denials. D0351 - deleted January 2023 and replaced with the current surface scan codes. Worth checking whether your claim templates still reference it. I wrote up the full walkthrough for DrBicuspid this week if you want the longer version, including the Phase 3 fabrication codes (D0396, D6190, D5982
May 15, 2026
General Cad-Cam Topics
Message Board
Views: 622 | Replies: 23
Hi I was hoping to get an opinion about a situation with a pt I dismissed. The background is this pt was upset about an insurance issue--it was something to do with her copay. She was upset and started calling my office manager names and belittling her. My office manager was upset and told me about
August 25, 2023
Ask a Dental Consultant
Message Board
Views: 1393 | Replies: 36
Surely I'm not the only one with this fantasy: Caller: Do you take my insurance? Me: No I'm so sorry, we no longer accept new patients with dental insurance. We're protesting an industry that is siphoning off gazillions (is it really 1/3???) from our national spending on health care
December 10, 2015
Ask a Dental Consultant
Message Board
Views: 391 | Replies: 10
makes me uneasy maxing her insurance on one tooth, especially with a collapsed bite and the need to create restorative room. I have a lot of patients like this because I purchased a patch and fill practice. It sounds like you already have a relationship with this person, I had the advantage
March 19, 2019
Ethical Issues
Message Board
Views: 422 | Replies: 17
in taking care of herself. EdThe chips on her lower incisors and the stain on her upper incisors may be telltale of using a pipe. EdA bowl? IMO - Mom is in denial and her daughter rules the roost. Most parents don't let their 16yo girls get those kinds of studs in their lips. Anywhoo... I will bet
August 09, 2014
Cosmetic Dentistry
Message Board
Views: 138 | Replies: 12
for a while working from here. Most of the day it's customers bitchin about an internet that is under major Denial of service attacks, yet they blame their software. I was seeing up to 230-240 MBPS prior to all the attacks. Now it is more like 50 with all the bad guy traffic. Lorne, what sort of speed
May 20, 2020
Computer Hardware
Message Board
Views: 224 | Replies: 12
tell the kids about the movies I've watched recently and that helps to distract them. Amen on that. Happens a lot, and probably a combination of either denial or lack of awareness/diagnosis. I can say that as time goes by.....yes I'm old....I tend to see/notice more kids with ASD tendencies. Hell
September 07, 2018
Pediatric Dentistry
Message Board
Views: 317 | Replies: 10
attorneys and super bright. avoidance and denial are great coping mechanisms. I remember this awkward conversation with a mom that brought her child into our residency clinic. The child was 4 years old, non verbal and had a thick unibrow. She was wearing a pull up diaper that was sticking out from the top
September 05, 2020
Pediatric Dentistry
Message Board
Views: 1352 | Replies: 35
with mine. Since i started doing that a few years ago, i have had ZERO denial. I bet most dentists just send a PA and then bitch and complain about the horrible insurance company when their crown gets denied.My guess is for a job. Plain and simple. For whatever reason, private practice was not for them
August 27, 2015
Claims Processing
Message Board
Views: 43861 | Replies: 1154
...anonymous social media negative review BS, insurance company influence on dentistry, corporate dentistry making inroads and determining treatment ( they say they don't but we all know that's BS ), staff demands/salaries/mat leaves, labor law BS, expensive CE, high high high office overheads...it all just
April 06, 2018
Mental Health, Well-Being, and Stress Management
Message Board
Views: 769 | Replies: 31
for a denial of a claim and a return of your premium when you need it most. It is always the best advice to be totally upfront when completing an insurance application and/or examination and let the chips fall where they may. Many of our dentist clients have policies that are approved with exclusions
July 31, 2017
Disability Insurance
Message Board
Views: 862 | Replies: 30
received EOB's from Delta saying that that insurance will pay for two quads and the patient is responsible for the other two if done on the same day. However Delta of Washington is saying that they will pay for two quads and I have to write off the other two. I called Delta of WA and they said that even
February 25, 2016
Delta Dental
Message Board
Views: 12816 | Replies: 1922
in the world are they going to debate the denial? Likely they could not and the patient would suffer. The insurance company would profit. Elastic ethetics? From whom?In your recent effort you approved coverage for 17 units of crown and bridge and denied 21 units. Who made you have the all powerful vision
February 12, 2008
Ethical Issues
Message Board
Views: 7532 | Replies: 346
No worries. The CEO of Sallie Mae receives close to 6 million in annual compensation. Those poor schmucks that have to borrow for college, etc. would be better off going to a loanshark. Oh wait, that is Sallie Mae and its ilk. We no longer have any health insurance plans in our rural county. Zero
December 15, 2018
Politics - DO NOT Enter if easily offended
Message Board
Views: 291 | Replies: 6
Oral surgeon places implants in sites 4 and 5 and submits codes 6010 for each site. The insurance company changes this - downgrades this to a fixed partial denture from 3-6 with 4 and 5 as pontics. The patient actually needs a crown on #3 and #6 is fine now but an old crown. They won't pay
March 24, 2016
Claims Processing
Message Board
Views: 386 | Replies: 6
I am interested in getting your perspective re: the concept of Insurance Driven vs. Insurance Savy. I feel that as a dental office, it is important that we understand insurance and help our patients maximize their insurance, but I feel that a lot of offices and dental teams have gone beyond
June 02, 2016
PPOs and HMOs
Message Board
Views: 74 | Replies: 3
insurance handle their insurance? They may have less BS to deal with than you would. Good to know though! Good thought. That may be the right road to take. The last time I had a similar situation my car was totaled, the guy was insured, and it was a battle of epic proportions. Talking to their claims
March 23, 2026
Automobiles
Message Board
Views: 783 | Replies: 26
So I had a new patient several months back and we did a full set of xrays on her. Her insurance company told us that a full set would be covered. Pt came back a couple weeks later furious because she got a bill from her insurance asking for the payment for the xrays. My front desk told her
February 17, 2016
Claims Processing
Message Board
Views: 15349 | Replies: 160
a Cerec. 3. Placing implants, getting CBCT. 4. Dropping all insurances (except Delta, Wellmark, yet). 5. Personally, moving back to my hometown was a great move. Decision to own sooner rather than later. For me, it was preparing for and taking the appropriate risks early and often. More
March 13, 2017
Future Planning General Discussions
Message Board
Views: 17741 | Replies: 1414
one, not one set up by the insurance industry Apparently Luigis attorney looks like a solid guy.Some interesting questions reporters asked the attorney today:Reporter: what did he plead?Attorney: I told him absolutely not guilty.Reporter: why bail was denied?Attorney: In Pennsylvania, only capital
December 11, 2024
Dental Insurance for Dentists
Message Board
Views: 480 | Replies: 14
services, another 'game-changing' software, but the same old chaos keeps coming back. Large DSOs are finally breaking that cycle. They're not hiring more people or buying another half-baked dashboard. They're turning to artificial intelligence that can actually read, understand, and post insurance
January 29, 2026
Artificial Intelligence
Message Board
Views: 6364 | Replies: 9
... Navigating the Dental Insurance Landscape: Optimizing Benefits Reimbursementby Dr. Dominique Fufidio course: discussion: Creating a Remarkable Dental Practice: Your Digital Presence Using Social Mediaby Fred Joyal. course:https://www.dentaltown.com/onlinece/details/986/creating-a-remarkable-dental
July 12, 2017
Practice Management & Administrative Forum
Message Board
Views: 2424 | Replies: 53
the MB margin down low because that is what the patient can see. Its great that you are using this platform to critique and learn .Few rules of thumb for my sanity that I stick to in my office1. Always place new restorations under permanent restorations2. Always take X-rays , bunch of denials these days
September 21, 2022
Restorative Dentistry
Message Board
Views: 579 | Replies: 14
of these last year, caught it in time on my patient. Took about a pound of bone graft to fill it up! Crazy, and TOTALLY asymptomatic until the Pan was taken. he was acting very weired, the whole time he felt so uneasy, and very...Sometimes fear makes people prefer denial rather then taking action, even
July 16, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 307 | Replies: 6
treat this case? I dont think her budget is going to support comprehensive care. This is a multidisciplinary case, or just a patch and hold case in my opinion. Sounds like shes in denial. could be the most expensive 6-7k you ever accept For 6K? Metal palate denture with some composites to improve her
January 15, 2021
Fixed Prosthodontics
Message Board
Views: 323 | Replies: 2
, but I smell a denial coming if not worded correctly. thanks I'll try and post x-ray when im at office Monday I recently had a crown rejected from United Health after a dentist review. The premolartooth had a large Amalgam filling and a fractured cusp.They said they would only pay after the patients
January 28, 2018
PPOs and HMOs
Message Board
Views: 1595 | Replies: 46
don't take the first denial for an answer. Every single EOB is re-evaluated in my office. Some get escalated to third or fourth or to whatever level the insurance company permits. The partial denture code is not applicable here at all because patient does not have any abutment teeth left. Full
December 16, 2014
Claims Processing
Message Board
Views: 3836 | Replies: 95
noble.....I was very surprised that this worked out.....and glad. How do you guys get paid for inlays/onlays??? I did a few last year and the insurance company downgraded to fillings..patient was pissed..ended up writing off....sucked so I went back to full coverage crowns...what's the secret
September 15, 2015
Restorative Dentistry
Message Board
Views: 2116 | Replies: 39
some efficiencies. Insurance is a game. Learn to play it and you can thrive. If you give them what they want, you should get extremely few denials (under 1%). If you don't want to play the game, just go OON. For me, I see the high expectation patients that colleagues see that are willing to pay
April 05, 2022
Practice Management & Administrative Forum
Message Board
Views: 3151 | Replies: 91
unlikely Marshall will receive such a sentence..... if he pleads guilty, maybe he gets a reduced sentence of 23 years ?? dentist must now prove innocence. I fail to see how filing a claim for a pa and a limited eval are fraud. If you did those things you bill for them. If insurance deny's them
January 05, 2014
Legal Issues
Message Board
Views: 4815 | Replies: 368
joined...and allowed the carriers to define you and parse patients, even defining to the consumer the issue of quality and fairness. Proof...read the complaints about treatment denials. Those are the fruits of joining. Dentistry existed before insurance and exists without it. Dental carriers would
November 09, 2012
Marketing
Message Board
Views: 339 | Replies: 13
with what I submitted. I submitted exactly what they asked for and, when they denied it first time, I submitted more than what they asked for and they still sent me another denial email. So here goes with 941,940, W-3, W-2s, tax returns, P/L, records of health ins and retirement plan, etc, again. For my
February 08, 2021
All Things Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 1187 | Replies: 30
that Dentaquest is stopping sealants, nobody is going to be able to keep up with the requests at their admin level. Rubber stamp denial is in process here. Plus no busy office is going to take photos and then sit at a desk and submit hundreds of photos and claims. What is their end game? Pay for one
December 05, 2015
Pediatric Dentistry
Displaying 1101-1150 of 40839
Page 23 of 817
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