The provider is not in the insured's geographic area, and is not a specialist. The doctor's fees are inconsistent-for example, a quadrant of root planing and scaling is billed at an amount far less than twice the prophylaxis fee. Root planing and scaling is performed on the same day as a prophylaxis. The doctor offers the carrier an inducement to pay the claim quickly. The metal of the abutment crowns is different from the metal of the pontics.
Excessive treatment is reported for a single visit date.
Labial veneers are billed as porcelain crowns. Posted by dentalproducts.net. Originally published in the October 2000 Dental Practice Report. Copyright 1999-2001 Medec Dental Communications.