Insurance Management FAQs

As a general dentist, one or more insurance carriers request that I submit radiographs in order to be reimbursed for periodontal scaling and root planing. However, periodontists are not required to do so. Isn’t this discriminatory?

 Probably. Unfortunately, insurance carriers are within their rights to establish such policies. Recognize that the Pennsylvania Dental Association does not agree with such policies and constantly works with legislators and insurance carriers to mitigate and minimize these actions.

Answer is informational only and not intended as legal advice. Answer may contain excerpts from The ADA Practical Guide to Frequently Asked Legal Questions.