Category Archives: Dental Practice Success

Decoding Dental Benefits: Top five concerns from dentists

Dentists have many concerns when it comes to their patients’ dental plans, benefits and third-party payers. Among them are pre-authorizations, delays in processing claims, claim denials, refund requests and the lack of assignment of benefits to non-participating dentists. Staff of the ADA Center for Dental Benefits, Coding and Quality within the Practice Institute continually receive and address a… Read More »

Decoding Dental Benefits: CDT codes

Jan. 1, 2018 marked the 49th year of the Code on Dental Procedures and Nomenclature. Why a new version of the CDT? So dentists can continue to accurately report what they do when new or revised procedures become part of dentistry. “The CDT Code’s purpose is to achieve uniformity, consistency and specificity in accurately documenting dental treatment,” said… Read More »

Decoding Dental Benefits: Scaling and root planing

Periodontal scaling and root planing claims tend to have a higher frequency for denial than other procedures, prompting many calls from frustrated dentists to the ADA asking why certain claims were denied. Dental claims can be denied or delayed for myriad reasons, and procedures for periodontal scaling and root planing are often followed by requests for additional information… Read More »

Decoding Dental Benefits: Core buildup

   The existence of a CDT code does not necessarily mean that the procedure is covered or reimbursed by a dental benefits plan. That can sometimes be the case for D2950 – core buildup, including any pins, when required. Numerous dentists have lodged complaints with the ADA Center for Dental Benefits, Coding and Quality on Dental Benefit and… Read More »

Decoding Dental Benefits: Coordination of benefits

When it comes to determining benefits, C-O-B is often not as easy as 1-2-3. Coordination of benefits is when a patient has more than one dental plan and may be able to use both of them to cover dental procedures. When this occurs, the two plans work together to coordinate benefits to eliminate overbilling or duplication of benefits.… Read More »

Dental Office Design Competition: Outstanding New Dentist Practice winner

Dental Practice Success published its special issue highlighting the winners of the 2017 Dental Office Design Competition, honored as the most functional and thoughtfully designed dental offices in the annual competition brought to you by the ADA, Wells Fargo Practice Finance and ADA Member Advantage. Among the winners was Dr. Anthony Papinsick’s dental practice in Overland Park, Kansas… Read More »