Dental Claims & Dental Billing Developments & Insights Blog

Before you blame the payers for denied claims check your offices processing systems for errors and omissions.Rejected claims are different from denied claims.  Rejected claims were never adjudicated by the insurance company because they were rejected before they were received. They were rejected because something...

Often, when the tooth isn’t broken down enough to warrant the coverage under a dental insurance policy the search goes for the magic wand of words to get the procedure covered. Indirect restorations such as inlays and onlays are often not covered because the alternate...

For additional information, visit the ADA's website: http://www.ada.org/en/publications//cdtNew CDT Codes and Descriptions for 2016 D0251 EXTRA-ORAL POSTERIOR RADIOGRAPHIC IMAGE D0422 COL & PREP GENETIC MATERIAL-LAB & REPORT D0423 GENETIC TEST-SUSCEPTIBILITY TO DISEASE D1354 INTERIM CARIES ARRESTING MEDICAMENT APPL D4283 AUTO CONNECTIVE TISSUE GRAFT/EACH ADD TH D4285 NON-AUTO CONNECTIVE TISSUE GRAFT/ADD TH D5221...

NPI or National Provider Identifier numbers are important for claim payment.NPI or National Provider Identifier numbers must be properly reported on your claims or there will be denials and possibly hold-ups on the processing of many claims submitted by your practice.  Basically there are two...

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