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Old 06-23-2009, 08:59 PM   #2
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Join Date: Apr 2004
Location: Rockland County, NY
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Thelma-Louise HB UserThelma-Louise HB UserThelma-Louise HB User
Re: DDS vs DMD? Insurance? Oxford? Newbie needs help.

I don't have all the answers you are looking for but in response to whether a regular dentist can submit claims to a medical insurance provider - yes they can - some tmj dentists have the necessary billing softward to print and submit claims - some will just give you a statement and have you submit it on your own - most want payment upfront either way so any reimbursement would go directly to you and not the dr - so make sure your ins provider knows the bill has already been paid by you - this is done by completeing the claim form correctly and showing no balance is due to the dr on the lower right hand side of the claim form. They may not accept all the charges by your dr - but orthotics (splints), tens unit, trigger point injectsions, drugs, and most alternative forms of therapy - PT, chiro, cranial sacral, acupuncture, osteopath - this can be covered as well as tmograms, MRIs, CTscans, etc. If they don't cover tmj per se ask about cranial mandibular cervical disorder or myofacial pain syndrome or cranio facial pain syndrome.

Last edited by Thelma-Louise; 06-23-2009 at 09:01 PM.