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 Your Guide to Dental Claims Processing 2024-2025

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what was the biggest mistake that most offices made as a dentist we want to practice preventative Dentistry we want to prevent cash from a dental insurance standpoint if there's specifically cracks on a tooth around a large silver filling it doesn't necessarily mean from the insurance standpoint that medically that tooth needs a crown there has to be some symptomatology there has to be some testing there has to be some proof that that crack is actually propagating in a way that would qualify for benefits so that was one of the glass shattering moments that I had when I transitioned to being a consultant for clinical claims adjudication yes that tooth will benefit from having a crown but that's a different conversation with your patient so if that tooth is symptomatic at that time or that crack is actually running through the tooth in a way that can be documented and proven to the insurance company then those benefits will be paid

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