u/Decent-Principle3235

▲ 3 r/DentalInsurance+1 crossposts

Dental office using incorrect billing code?

Dental office plans to do some gum removal, no stitches involved and done same day, prior to my crown procedure. And yet they are billing the procedure as a D4249 "crown lengthening of hard tissue," so the insurance is denying any payment, because per their dental consultant "there is sufficient bone to support the crown." Dentist told me the same, and that he is only removing some gum. I have inquired into this, but they tell me that is just the code they use. They want to charge $1400 for this out of pocket, as my insurance won't cover any of it. Am I missing something here? It feels like fraudulent billing.

reddit.com
u/Decent-Principle3235 — 9 hours ago