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Message Board
Views: 858 | Replies: 17
with magnification. I think Costa's statement about how adamant he is about them being used says a lot because his skills are better than most and he uses a scope. I think those who do not use them are either in denial that no contact is made on the adjacent tooth or have determined that the harm
June 30, 2014
Restorative Dentistry
Message Board
Views: 233 | Replies: 5
. Resolving denial of this government programs failure is an essential first step. Michael W Davis, DDS Santa Fe, NM I'm sure it will get better when Medicare for All is in place. As I'm certain you've already guessed- There are some in the leadership of the ADA, who WANT dental Medicare. I just
July 25, 2020
Ethical Issues
Message Board
Views: 335 | Replies: 13
Today I got the dreaded denial for a credit card. First off, I will preface this by saying I am a D4 with a score around 780. Perfect history. No negative remarks. Apparently Chase is pretty stingy with credit card applications and I was denied due to a high obligation to income ratio. Well
February 21, 2018
Personal Finance
Message Board
Views: 231 | Replies: 14
way up in the last year. Government spending is unprecedented. We are somehow in denial of runaway inflation. That is why physical metal is in such demand these days. Big banks continue to place options against metals, to strengthen the dollar. This strategy has held the metals prices down so far, but this strategy may not always hold. I think they are straight up lying to us about the inflation estimates and consumer cost index numbers.
March 29, 2021
Personal Finance
Message Board
Views: 615 | Replies: 20
not work eazilly. You might find a lot of mush on the external walls making it difficult to get beyond. It is certainly not impossible to do, but better be prepared for plan B just in case:) Crown:root ratio=terrible, even with extrusion. Implants are way too predictable to even consider saving that puppy. Immediate placement. Your brother is in denial I'm afraid. I would hate to be in his boat too, but listen to everyone here.
January 30, 2015
Periodontics
Message Board
Views: 400 | Replies: 7
need to pass on this because the purchase price will not be warranted. Thanks guys. I don't think the practice does any special advertising or is a hidden crown referral source. My only guess for the 50% C&B is that they are aggressive (which is harder to do with PPO's since the denials keep
May 30, 2016
Practice Acquisitions
Message Board
Views: 570 | Replies: 17
2020 The Associated Press. All rights reserved. 2 guns? Brass knuckles? 150 pills (amphetamines -- who knows)? Maybe he was going to one of those P&R peer claim denial reviews... That's just a Friday night around here. at least the pills were prescribed to him. My dad gets 300 oxcontin at a time
August 19, 2020
Dentistry In The News
Message Board
Views: 842 | Replies: 27
when removing the veneer. As a result I'm thinking maybe to wait it out since regardless additional tooth structure is going to be removed with or without recurrent decay. Am I just in denial that this veneer needs to be redone because I am scared it might need a root canal if she goes back
July 31, 2024
Restorative Dentistry
Message Board
Views: 543 | Replies: 25
I'm debating adding PPOs to my office and I'm not really sure what to do or which ones to add? Are there some guidelines that I can use to help in making the decisions for which insurances to add to the office? Currently the office only accepts Delta Premiere (60%) and the remaining patients
April 03, 2017
Ask a Dental Consultant
Message Board
Views: 2454 | Replies: 87
, when you're hiring you work extra, going over resume, interviewing, training, trying multiple people to get the right fit.....it takes over personal life because you work on your personal time. If you don't have it under control, your personal life suffers for sure. . . Lately its been denial due
January 31, 2024
Practice Sales
Message Board
Views: 8703 | Replies: 371
providers to keep them with the same fees at a location but overall, don't assume corps are getting a better deal. I think offices focus on the end issues with insurance companies - they see the reimbursements on the EOBs and they know who they have hassles with in regards to denials and claims getting
December 12, 2014
Retirement Planning
Message Board
Views: 6050 | Replies: 223
, has done for the Cigna brand? Why are we seeing more commercials for medical insurance companies now? Thanks, I have to change it: THIS RIGHT HERE! Start with this and you will eventually save this profession from devolving into a sickening ghost of what it once was AND more importantly, you
June 12, 2023
Practice Management & Administrative Forum
Message Board
Views: 2818 | Replies: 189
I was trained by a Medicare auditor. Where were you... I don't know about Bruce, but let me tell ya' something……I was trained in Vegas by Vivid. That's right, a top notch porn filmmaker. Sure, I don't know jack about insurance, but I can do it like a champ. Seriously Danielle, when
November 10, 2013
Medical / Health Insurance
Message Board
Views: 2623 | Replies: 51
://www.prnewswire.com/news-releases/all-in-one-teledentistry-by-mouthwatch-introduced-to-dental-hygienists-at-under-one-roof-2016-300303858.html Not saying that you could ever get total denial by the dental providers, but in an ideal world an insurance company could not offer a product if it had no place
April 07, 2018
Delta Dental
Message Board
Views: 44 | Replies: 2
. The danger is that it will define the problem before the clinician has independently thought through the case. Over time that shifts judgment, confidence, and authority. Insurers will love that. Standardized AI-generated reports make audits easier, denials easier, and preauthorization more automatable
March 16, 2026
Artificial Intelligence
Message Board
Views: 299 | Replies: 6
disputes may be resolved through compromise solutions, not involving attorneys and malpractice insurance companies. Patients and doctors may be positioned to avoid the mental and emotional trauma of civil litigation. Mediation concluded in a month or two contrasts sharply with typical lawsuit settlements
February 08, 2026
Legal Issues
Message Board
Views: 1824 | Replies: 68
. That is an interesting suggestion. Patient has 'garden variety denial path She is going from the anger to argument stage. doug Do NOT change the note. My guess is that the regional manager is not a dentist and does not understand what he/she is asking of you. Call thee malpractice lawyer
May 21, 2014
Legal Issues
Message Board
Views: 17741 | Replies: 1414
will towards them.But there are tons of people that just hate anyone they deem rich. They have obviously screwed others over to get their wealth. At least that is how they view them. It is simple envy.It is just assumed that all insurance CEOs are horrible people. Are they? I dunno. But I have seen
December 07, 2024
Dental Insurance for Dentists
Message Board
Views: 4364 | Replies: 284
it works. I have placed 20 patients per month into practices, they have made over $50k per month, the average treatment plan was $5280. Is it better than insurance? The answer is yes for the patients and the dentists I send them to. We probably still need to tweak the numbers to produce the most profit
February 26, 2016
Claims Processing
Message Board
Views: 11442 | Replies: 489
because they are cheaper and more easy to mold into their aggressive philosphy. We haven't even hit the peak. Will get much much worse. Dsos over time will be the dominant form of delivery of dentistry. Patients now see dentistry as commodity. Number 1 decision maker for many is which insurance plan you
March 09, 2020
Dental "Pearls"
Message Board
Views: 34080 | Replies: 2116
isn't the only thing that matters in life and cities are where it is better to make connections, meet your spouse, grow as an individual, etc. Especially if you are a young single person nice! Being a dentist is California, you will be paid less by insurance face more competition, staff wages thru
October 23, 2025
Personal Finance
Message Board
Views: 1676 | Replies: 59
such as age appropriate treatment planning or the adequacy of informed consent. Instead you espouse a simplistic, give 'em what they want philosophy, or more accurately, give 'em what the insurance company will pay for. You sidestep the real elephant in the room dilemma; that being is it ethical
April 01, 2014
March 2014
Message Board
Views: 298 | Replies: 9
and for whom disbelief, disavowal and denial are instinctive responses creates an environment where levels of denial are so great that those involved are oblivious of the foolishness and self-evident absurdity of their denials when presented with the facts, with the result that non-involved observers
August 14, 2019
Staff Management Issues
Message Board
Views: 720 | Replies: 34
with beyond the superficial culture of modern denial. The clinical truth is nobody remembers what happened to them either by choice or by neurophysiological compensation because the brain instinctively normalizes everything that chronically happens to you. This is a survival mechanism. It is also a biological
May 08, 2019
Stress Management
Message Board
Views: 2051 | Replies: 48
in revenue I'm facing, but I think it's gonna hurt. If you're a buyer looking at a CA practice that sees Delta PPO patients out of network(i.e., not signed up for the PPO), do your homework carefully. I believe there is another thread on this topic in the insurance forum. Thanks for listening
December 08, 2016
Practice Acquisitions
Message Board
Views: 296 | Replies: 6
Right now I have an insurance company that is denying paying for a crown or build on #30, they paid for a RCT. Stating that the BU and the crown were not necessary. The tooth was RCT'd due to an old failing pulpotomy. The same insurance company is stating they do not have a clear PA of a pre
September 08, 2015
Claims Processing
Message Board
Views: 320 | Replies: 3
I started a group health insurance benefit through a broker last year for the office. After a year, the premiums were going to go up, but the coverage was decreasing, so I looked at other options. i signed up with Insperity solely because they offered group health very inexpensively because
August 16, 2019
Medical / Health Insurance
Message Board
Views: 114 | Replies: 2
I'm sure many of you are getting letters from insurance companies asking for certification for in network providers detailing if you charged for PPE to their pts, how many you refunded, etc. What a rediculous headache!!!! Are you doing this for every insurance you participate with? New York state
October 23, 2020
All Things Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 356 | Replies: 27
to commit insurance fraud, and all he found was another PC went down overnight.Anyway, without permission, he walked into an op with an RN in the chair. (Yeah I know)He went into every room multiple times, often with patients in them and moved the mouse to see if the PCs were working. Well, the RN
July 24, 2020
Malpractice Insurance
Message Board
Views: 118 | Replies: 1
I am wondering if anyone knows the true answer to this: If a patient is on a plan (let's just say Delta) and you are a provider for the plan, when you are entering an insurance payment do you do the fee adjustment even if they have a secondary insurance? Thanks for your help. Yes, however, I wait until secondary comes back to do the adjustment so patient doesn't get a...
January 26, 2016
Front Office Discussion
Message Board
Views: 154 | Replies: 3
way to run a report in dentrix G5 to find out how many patients are on each insurance plan…………...delta dental premier vs ppo? Frankly it would be nice to know how many patients are on each and every insurance plan. Any other easy way to obtain this data other than
June 26, 2014
Dentrix
Message Board
Views: 268 | Replies: 11
I am interested in accepting medical insurance at my office when possible for the follow services: sleep apnea, 3 D scans, comprehensive exams Can anyone offer me any guidance? Should I consider a third party to help me with billing or should I learn how to file on my own? Any other miscellaneous
January 18, 2017
Medical / Health Insurance
Message Board
Views: 204 | Replies: 5
If peoples mindset with Dental Insurance can be translated to Food Insurance, obesity would be brought to an end. Customer: I'm hungry. Food Provider:Here is a sandwich. Your part is fifty percent. Customer: Thanks for the sandwich. I'm still hungry Food Provider: You've reached your maximum
May 07, 2015
Leisure
Blog
Dental insurance is a highly complex area that creates confusion for many dental patients. The complexities of dental insurance and the lack of sufficient information provided by some insurance companies make it almost impossible for some patients to properly understand their benefits. Even more
November 30, 2015
by Kevin Tighe
Message Board
Views: 124 | Replies: 2
I am about to start tip edge in my practice. I have an insurance question regarding filing. Most plans I accept have a 1000-1500 max for ortho and a 1000-1500 max for restorative procedures. I use dentrix software and I am concerned that I will not be able to.... or if I need to seperate
January 03, 2014
Tip Edge
Message Board
Views: 463 | Replies: 16
it in gold and I know she wouldn't want that, etc...). I get this email complaining about the fees she has to incur and specifically, she types I DON'T HAVE INSURANCE. This patient is crazy. She cried in my office -- like wailing -- patient's had no idea what was happening. I left the room to get
May 22, 2018
Patient Communication / Education
Message Board
Views: 203 | Replies: 0
this and I imagine I'll bring paying this company for years to come. Just trying to do some due dilligence as my only contact this far has been the insurance salesman, who has been helpful but I never totally trust salespeople. Thanks DT, always appreciate the endless knowledge of the masses
November 20, 2018
Disability Insurance
Message Board
Views: 150 | Replies: 4
Has anyone had any experience with the Elli insurance verification? Looks to be like trojan. How it works and what it's like? Thanks! Would love to answer any questions you may have about Trojan.does the site still exist?Mark
February 23, 2019
Alternatives to Dental Insurance
Message Board
Views: 227 | Replies: 3
I heard about this office that offers same day crowns but will ask for the full office fee. The way it was explained to me was that any in-network PPO patient who wants a same day cerec crown, will sign an agreement that states he/she will forfeit the right to submit a claim to insurance company
December 06, 2015
Claims Processing
Message Board
Views: 225 | Replies: 5
I know very, very little about health insurance. My wife and I have had coverage our whole lives and neither of us have had to use it much, thankfully. We're about to lose our coverage starting in July when we take on new associateshipsas 1099 contractors. We're both in our 30s, very healthy
May 16, 2018
Medical / Health Insurance
Message Board
Views: 164 | Replies: 0
Can someone please tell me if its mandatory to submit to secondary insurance? We are in network with PPO plans. We currently have the patient submit to their secondary, but i have had 2 patients call their secondary insurance and they said we have to submit to their secondary since we are in network with it. Do we only have to submit if we are in network with their secondary?...
November 25, 2014
Claims Processing
Message Board
Views: 100 | Replies: 0
I was recently looking at my fees and they were quite low, so I ordered the NDAS for a fee schedule and started submitting higher fees per my NDAS location for exam, prophy and BWX only. The higher fees were submitted to just one OON insurance . This was done to see the coverage/reimbursement
August 08, 2019
Claims Processing
Message Board
Views: 1887 | Replies: 37
.........looks like another troll...well as long as he is not torturing them and has a nice staff lounge should be OK Seriously with regular insurance they would catch any potential irregularities quick like a bunny and send off some inquiring inspectorsHow is the staff lounge? Does it have table tennis
November 07, 2015
Medicaid and Welfare Issues
Message Board
Views: 121 | Replies: 1
Ive been listening to some podcasts, Howard and others, and I've just come to realize something. I've heard a lot of talk about insurances looking for ways to reduce spending by increasing prevention. On the surface it makes sense that insurance companies would want to pay more for prevention so
October 01, 2016
Medical / Health Insurance
Message Board
Views: 30 | Replies: 0
We looking for some insurance Plans which offer good reimbursement does anyone have any ideas? Thank you. Dr Marc Singer St Louis...
October 06, 2016
Dental Insurance for Dentists
Message Board
Views: 200 | Replies: 3
Hello. When I graduated, I had an Occurence policy premium of only $50 for the first year. At the start of the policy, I worked at practice A for a couple months as my first job before I quit and worked at Practice B. However, I never changed the address with the insurance company to the address
October 26, 2019
Associates Corner
Message Board
Views: 330 | Replies: 11
I am furious right now...... Already discounting fees due to being in Network.. While glancing at one of the EOB it came to our attention that insurance paid their portion and patient owes zero. But the attached check was so small compared to the pay. Well...the notes in asterix mentions that tye
January 08, 2019
Claims Processing
Message Board
Views: 106 | Replies: 3
Does anyone have an insurance agent that they have enjoyed working with? I'm expanding my practice and want to review my insurance portfolio and get recommendations for changes as needed. I've worked with the same insurance agent since graduating residency and he's fine, but I'd like to get a 2nd
December 07, 2017
Pediatric Dentistry
Message Board
Views: 531 | Replies: 14
Coding with Confidence. It has saved me from worrying about which codes should be used when and if we're billing correctly. I have his book but found it very confusing when it came to an RPE, his book doesnt differentiate between an RPE whether to go with 8020 or 8060, some insurances dont cover 8060
February 04, 2016
Pediatric Dentistry
Message Board
Views: 203 | Replies: 3
without impacting the level of service I offer. I have been entirely insurance free must be embrace FFS from day one and have practiced on my own terms for my entire career. My goal for my future is to help other dentists, who may desire to practice insurance free do so. Yes I am the same guy some
August 26, 2019
Alternatives to Dental Insurance
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