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Dental Coding

Relates to the CDT codes which are published and managed by the American Dental Association (ADA)

From “Denied” to “Paid”: Conquering the Dental Claim Appeal

Even the most meticulously managed dental practices face frustrating insurance claim denials. This blog post explains how to shift from standard resubmissions to strategic appeals to recover your revenue. Learn to differentiate between simple rejections and true denials, discover how involving HR departments can help, and utilize a proven checklist for submitting undeniable appeals to payors.

Plan Stipulations vs. Patient Needs: Buccal Restorations

Can you bill a buccal restoration as multiple surfaces if decay slightly extends past the line angle? Clinical judgment guides your treatment, but insurance reimbursement rules follow separate, strict criteria. Learn the compliance risks of upcoding single-surface preps and discover three essential steps for meticulous documentation to protect your dental practice from intense payor scrutiny and insurance audits.

Cracking the Code: Medical vs. Dental Necessity

Navigating medical claims in a dental practice can be incredibly frustrating. To ensure accurate reimbursement and protect your office from audits, you must understand the vital differences between medical and dental necessity. Discover how the ADA and AMA define care, how the cause of damage dictates coverage, and get actionable tips for flawless clinical documentation and coding.

Plan Stipulations vs. Patient Needs: Don’t “Wing” Maryland Bridges

Don’t let Maryland bridge claims “wing” your revenue cycle. While conservative and aesthetic, these restorations often lead to coding puzzles and even denials. Learn how to accurately report pontics and retainers, match materials correctly, and handle incurred liability dates. Ensure your practice gets paid and your documentation stays precise with these essential CDT billing strategies for resin-bonded fixed partial dentures.

Sales & Use Tax: Don’t Let This Be a Pain in the Tooth

With over 13,000 tax jurisdictions, compliance with sales and use tax is a financial necessity for dental practices. This blog post breaks all of this down, explains vital CDT codes needed for reporting, and offers tips for a clean audit. Keep your practice’s financial health as bright as your patients’ smiles, and don’t let sales and use tax become a pain in the tooth.