Dental Medical Billing Blog

People in PPO plans can receive more coverage and benefits at in-network dentists. Though, some people may go out-of-network in order to visit their preferred dentists. Others may visit out-of-network dentists because they may live “in rural areas or in areas where providers seldom participate...

Many appointments seem to indicate the profitability of the practice (Jameson 2001). However, too many appointments can stress out dentists and hygienists and the practice cannot schedule new patients or have enough time to address dental emergencies (Jameson 2001; Tekavec). Dentists may even spend less...

Many dental offices, when they begun billing medical carriers, struggle with the difference between preauthorization and predetermination. In the dental field we are very familiar with predeterminations. We send them to patient’s plans to determine a more accurate cost of treatment on expensive dental procedures...

Patients undergo cosmetic treatments in order “to improve the color and shape of teeth,” but these treatments can be costly (Efrati 2004). For instance, people may pay between “$500-$1,300 per tooth” for veneers and between $500-$900 per crown (“What is Cosmetic Dentistry? Costs and Types”)....