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OSA Device Modifier Corrections Success Story

Amount Billed:  $4,000 Amount Paid: $1,825.23 Insurance Carrier: Empire Though this case for an OSA device required modifier corrections, the claim was processed within 5 days of the corrected claim and paid the provider $1,825.23 out of the $4,000 billed. This left the patient with just a coinsurance of $206.94 after the total allowed amount of $2,032.17! Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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Oral Cyst Excision Success Story

Amount Billed: $2,138.23 Amount Paid: $850.40 Insurance Carrier: Aetna This patient was seen for the excision of a benign cyst. After a medical review, the claim was processed within two months. The dentist billed $2,138.23 to medical insurance and was paid $850.40, leaving the patient with just $364.46 out of pocket toward their deductible.  Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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OSA Billed to Medical Insurance Saving Patient’s Dental Benefits!

Amount Billed: $7,500 Amount Paid: $142.66 Insurance Carrier: Aetna This provider billed medical insurance for the patient’s OSA device. The claim was processed within 1 month of submission and paid $142.66 on the allowed amount of $1,590.22, leaving the patient with just their deductible of $1,400 and $47.56 in coinsurance! Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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$0 Out of Pocket Custom Fabricated Orthotic Device Success Story!

Amount Billed: $7,600 Amount Paid:$4,940 Insurance Carrier:Empire HealthChoice Assurance This patient was suffering with headaches and jaw pain. Their dentist custom fabricated two orthotic devices to help resolve the patient’s symptoms and billed medical insurance.  Medical insurance was billed $7,600 and the claim was processed within 3 weeks of submission, allowing $4,940 which was paid in full to the provider! Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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Custom Airvata Device Success Story

Amount Billed: $3,800 Amount Paid: $2,470 Insurance Carrier: Empire HealthChoice Assurance This patient suffered with headaches and TMJ issues, their dentist custom fabricated an Airvata device to help relieve the symptoms. Medical insurance was billed $3,800 and the claim was processed within a week of submission, paying $2,470 to the member! Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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Why Dental Treatment is Important to Full Body Health

By: Danielle Duncan The American Dental Association recommends that every adult and child be seen by their dentist every six to twelve months to keep their oral health in top-notch condition. However, a study completed in 2022 has shown that upwards of one in three Americans have not been to see their dentist since the start of 2020. Some may have not been seen for 10 years or more! But, did you know that skipping the trip to an annual dental exam can have consequences for your whole body health too?  Why do people skip the trip to their dentist?  There are two main reasons that patients may be jumping ship when it comes to attending their regular dental checkups

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Pneumonia and Oral Health

By: Danielle Duncan Pneumonia, a severe infection that causes inflammation in the air sacs in one or both lungs. As these air sacs fill with fluid or pus it can cause fever, chills, cough with phlegm or pus, and difficulty breathing. There are numerous different types of viruses, fungi, and bacteria that can cause pneumonia and the severity can range from a mild case to a life-threatening case.  Over 1 million Americans of every age have dealt with a pneumonia infection every year, but did you know that studies have shown that there may be a link between the risk of getting pneumonia and oral health?  People who avoid attending their annual dental checkups have an 86% higher risk of

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Sleep Apnea Patient Treatment Success Story

Amount Billed: $2400.00 Amount Paid: $1,062.65 Insurance Carrier: Regence Bluecross Blueshield This OSA patient was seen by their dentist and treated with a custom fitted OSA sleep appliance.  Their dentist billed medical insurance for their new sleep appliance and was able to get paid $1,062.65 out of the $2,400 billed! Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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OSA Sleep Screening and TMJ Success Story! 

Amount Billed: $3,800 Amount Paid: $1,392.28 Insurance Carrier: Empire This patient suffered with TMJ pain and restless sleep that included choking and gasping that would wake them frequently. Their dental provider performed a sleep screening to confirm if the patient suffered with OSA.  They were able to bill medical insurance for the at home sleep test to help relieve the financial burden from the patient.  Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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TMJ Jaw Claim Success Story

Amount Billed: $3,500 Amount Paid: $1,365 Insurance Carrier: Empire This patient arrived with a chief complaint of left jaw clicking while chewing, jaw fatigue during the day, gasping, and choking at night. They suffered with this frustrating condition for 1 year prior to being seen. Their dentist was able to have a sleep screening completed and found that this patient suffered with OSA which contributed to their jaw pain and sleep disturbances.  Contact us at (855)-534-1433 or take our assessment to see how we can help you get more success in billing medical insurance for Dental procedures! 

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