The reimbursement game

By Rob Veis, DDS

After completing periodontal therapy on a patient, you decide to make a splint to stabilize the dentition and control the excess mobility. Would you know how to accurately report your treatment to obtain reimbursement for this splint from a third-party payer?

One of your patients is complaining that he seems to be grinding away his lower teeth. Upon examination you notice that the patient’s maxillary anterior porcelain bridge is causing abnormal wear of the lower anteriors. In an effort to protect these teeth, you decide to make the patient an occlusal guard. Although this appliance looks exactly like the splint used in the previous example, its usage is different. Would you use the same insurance code to try to gain payment or choose another?

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