Dental Medical Billing Blog

Dentists can commit fraud in order to get more money by “[billing] for services not rendered,” intentionally sending wrong codes to insurance companies, upcoding, etc. (Lewis Jr. and Farragher 2013). When they get caught, dentists pay fines, serve prison time, and live with damaged reputations....

Some people cannot get dental care because they cannot afford it or do not have coverage (Melko 2017). Other people, such as students and the elderly, may have no time for it or lack transportation (Melko 2017; Reese III 2009). Instead of them going to...

Some people can utilize dental insurance to cover their costs. Others can pay full price for their treatments. However, some people, including those with dental insurance, cannot even afford them, causing them to delay treatment, leading to future problems for their oral health and overall...

Many dental insurance companies do audits in dental practices in order to detect fraud (“Understanding dental plan audit authority” 2017). Dental practices under insurance companies must comply with their audits (“Understanding dental plan audit authority” 2017). Clinics should never engage in illegal activities, but organized...

Some dentists would commit fraud by charging patients and Medicaid for unperformed treatments in order to get “unauthorized benefits” (Lewis Jr. and Farragher 2013). Patients may not be aware about being overbilled since “[many of them] are sedated when the work is performed. Even if...

Many dental practices set the prices of their treatments and services differently. Patients need dental care, “but they avoid treatment due to cost or fear of cost” (Monahan 2017). While patients consider the prices of the dental practices, they also consider the quality of dental...