Failed Root Canal, Crown, & Insurance
I had a dental crown less than 2 yrs old fall out. I went to a new dentist who said the area looked sound enough for a new crown after a re-treatment. They got approval from insurance for the re-treatment and did it, but when they submitted the X-rays of the work they had done for the crown approval, the crown approval was denied. The dentist could have appealed it by defending his prep work to the insurance company, but apparently couldn't be bothered and didn't return calls after the denial.
Now I have switched to a new insurance carrier in the hopes of getting either a crown approval /or a re-treatment if needed and crown approval (since the new insurance didn't pay for the first re-treatment. The denial said that it was because the root was not filled all the way to the very end; the dentist doing the re-treatment mumbled something about it being too small at the end to go all the way.)
So now with the new insurance I want to be very careful in choice of dentist as this is probably my last shot at getting the crown. How do I figure out if a new dentist is willing to follow up with an appeal to my insurance by explaining/defending their work or arranging a "peer to peer" as my new insurance offers, if the crown authorization is initially denied? How do I predict who will be willing to do that before choosing a dentist? I know I could just ask, but what dentist is going to admit in advance that they are lazy or a quitter? I kind of assume that locating a dentist who will do both procedures is better.