Author: Jaycee Brown

People must undergo root canal therapy “when the innermost layer of [their] tooth becomes inflamed or infected (or even in the case of dead tooth). This layer, called the pulp, contains [their] tooth’s nerves and blood vessels” (Nowak 2019). While people could just extract this...

Dental insurance policies may have an alternate benefit clause, which is “a provision that helps determine how payment will be made when there are several ‘clinically accepted’ dental services that can satisfactorily correct the dental dentition” (Summerford 2013). This clause was also called the Least...

Dental insurance companies generally do not cover cosmetic procedures, which “[improves] the appearance of the teeth and mouth,” because they “prefer focusing on oral health and preventive services rather than elective procedures” (Susan 2011; “Cosmetic Dental Insurance”). For example, patients undergo teeth whitening/bleaching in order...

Sometimes, insurance companies would ask for refunds from dentists (“Top 10 Claim Concerns: ADA, NADP Share Views on Dentists’ Concerns” 2008). Unfortunately, for insurance companies, “events and state laws often conspire to further delay when the carrier can legally request the refund – a circumstance...

A survey by Anthem “show that a lack of transparency about the cost may be what’s holding Americans back from getting preventive dental treatments, with seven in 10 people feeling that the bill at the end of the dentist appointment is more painful than the...

Dental insurance covers many procedures for patients. It benefits dentists since they could attract patients in their insurance networks. Though, patients and dentists must be aware of premiums, deductibles, copayments, and coinsurance.Patients must pay premiums and deductibles to utilize their benefits. Premium “is the...

The Usual Customary and Reasonable (UCR) charge determines “the amount both [the patient] and [his or her] plan will contribute” within an out-of-network clinic (Ellis 2017). Dental insurance companies can determine the UCR within an area by “[recording] the fee numbers submitted by the practitioners...