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

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

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

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

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

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