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Dental Insurance Coverages and ADA codes

Thursday, Aug. 26th 2010 10:05 AM

I have a dental PPO plan though Anthem Blue Cross from my employer.  Even though I have had it for a few years this was the first time I really used it for anything more then my free cleaning.

About a month ago I had some dental work that was rather costly.  Now I get an additional billing from my dentist stated that the insurance did not pay out much for the full porcelain crown that I got.  However my dental plan says they will pay out half the cost for crowns.

Calling up the dental insurance company right away I was told that they do not cover out that ADA code but will cover up to the UCR rate for a different crown….   It really seemed like double talk to me.  A crown is a crown!  What do they mean ADA code?  Please help me understand.

Posted on Thursday, Aug. 26th 2010 10:05 AM | by admin | in ADA Codes | No Comments »

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