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Reimbursement challenges for dental core build up

Claim denials can have a significant impact on patients and dentists. Here are the reimbursement challenges for Dental Core Build-up

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Reimbursement challenges for dental core build up

  1. 1. Core buildup is a restorative procedure where the missing portion of the tooth is restored with a dental filling material in order to support the crown restoration. The code used for core buildup -- D2950 -- is often misused by many dental practices.
  2. 2. for retention of intracoronal restorations as a filler to correct irregularities in preparation as a definitive composite or amalgam restoration
  3. 3. Code D2950 usually applies to teeth that do not have enough tooth structure to support a crown. Payers may not provide coverage for a buildup unless there is a crown being placed and often times will not pay for the buildup without the seat date of the crown provided. Insurers may deny payment for these reasons Claims for cracked tooth syndrome often get denied because radiographs do not show the cracks or make it clearly visible. Some dental plans cover crowns when the teeth are broken down and have extensive structural damage. If the third-party payer doesn’t see evidence of that, the claim may be denied. Claims may also be denied if the dental plan's consultant indicates that the tooth has a poor prognosis.
  4. 4. Applicable CDT Codes D2949 - Restorative foundation for an indirect restoration D2950 - Core buildup, including any pins when required D2951 - Pin retention – per tooth, in addition to restoration D2952 - Post and core in addition to crown, indirectly fabricated D2953 - Each additional indirectly fabricated post - same tooth D2954 - Prefabricated post and core in addition to crown D2955 - Post removal D2957 - Each additional prefabricated post – same tooth D2999 - Unspecified restorative procedure, by report
  5. 5. Claim denials can have a significant impact on patients and dentists. Dental practices can rely on outsourced dental billing services to overcome these challenges.
  6. 6. Our Location 8596 E. 101st Street, Suite H Tulsa, OK 74133 Business hours Business hours are from 9:00:00 to 17:00:00, Monday to Friday. E-mail: sales@managedoutsource.com URL: https://www.outsourcestrategies.com Call us: (800) 670 2809 Contact US

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