MEDICAL BILLING IN DENTISTRY


Even though medical billing for dentistry has been around for over 20 years, there are still only about 10% of dental practices trained and executing medical billing for their patients. Our office has a concrete background with medical billing, and we are confident to provide this service for our patients. There are very few offices in the valley (Mesa, Gilbert, Chandler, Scottsdale, Tempe, etc.) who know and utilize this service for their patients.

About 80% of your dental procedures can be cross-coded into medical codes. This gives Revive Dental's patients another resource to maintain their overall oral health. Realize there's clearly a “medical” part to some dental procedures, as your teeth could severely affect other parts of your body and vice versa. For example, many medications that solve other conditions (e.g. high blood pressure) also lead to dry mouth (xerostomia). Dry mouth quickly leads to higher rates of decay and tooth loss. Tooth loss prevents proper diet, thus leading to other health concerns.

And...this will help to reduce out of pocket costs.


 

READY TO FIND OUT IF YOUR HEALTH INSURANCE COVERS DENTAL IMPLANTS?


 
 
 
 

 
 

Frequently Asked Questions (and Facts)


Question] What makes our office unique?

Answer] We offer a Medical Billing services for your Dental and Medical needs.

Fact] When you go to your typical dental office, they will only utilize your dental insurance for dental treatment. If you don't try to bill medical, you are guaranteed to not see benefits.


Q] Will Medical Insurance really cover "Dental" procedures?

A] The short answer is "Yes"!

F] There's a misconception that medical benefits are only available to "medical" procedures, those done in hospitals or with your primary care physician. This misconception just isn't true. Medical insurance carriers state their coverage is determined by the procedures performed, not title or capacity of the doctor. In reality, many "dental" procedures are considered to be medical--procedures such as exams, some radiographs, implants, bone grafting, and extractions.


Q] What are the perks of utilizing your medical benefits?

A] This allows you to meet ALL your dental and medical needs.

F] On an average, dental benefits only range from $1000-$2000. If you are limiting your care to "what insurance covers", you will not likely choose the treatment that is best for you.


Q] Does my medical benefits help me with my out of pocket costs?

A] YES! Medical insurance can reduce your out of pocket costs up to 80% depending on your medical plan.


Q] What type of medical plans does Revive Dental Implant Center accept?

A] PPO Plans

F] At this time we do not accept Medicare, Medicaid, or HMO plans.


Q] What type of Medical Billing services do we offer?

A] Claims, Pre-Certifications, Appeals, and Medical Records.


Q] How long does it take for a Pre-Certification or Claim to be paid?

A] On an average, 7-14 business days.

F] Each medical carrier can vary with processing your pre-certifications and claims. But rest assured we will take care of all of this for you.


Q] What procedures are billable to my medical plan?

A] About 85% of treatment can be billed to your medical carrier.

F] Each medical plan has their own procedure criteria, so let us be your advocate and find out what coverage you deserve.


Q] How does medical billing benefit me?

A] This will provide you with less limitations on your treatment, so you can focus on improving and maintaining your oral health.

F] This is another resource to utilize (USE IT, DON'T LOSE IT!)


Q] What qualifies me to use my medical coverage for my treatment?

A] Medical conditions, medical history, medications, trauma, syndromes that affected tooth development, etc.

F] Each case can vary depending on each individual's scenario. As we mentioned earlier, systemic conditions can affect oral health and oral health can affect systemic conditions. When these correlations exist, there is opportunity to bill your medical insurance.



 

 
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