Case Summary:Sleep and TMD Appliances

Amount Billed: $10,000

Amount Paid: $5430.13

Insurance Carrier: Empire Blue Cross

This patient presented to her dentist with bilateral jaw pain and difficulty sleeping. After completing an assessment and exam, the dentist suspected that in addition to her TMD, she may also have a sleep disorder.

After getting tested and diagnosed with sleep apnea, by a Board-Certified Sleep Specialist, a prescription was written to treat her apnea with an oral appliance.

With this documentation medical insurance paid $5430 towards the appliances. This treatment was covered at 100% of the payer allowance. As an out-of-network provider, the patient was responsible for the unpaid portion, and the dentist collected their full fee of $10,000.

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