Need narrative facts on bone graft to convince Insurance company..

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Athena - 04 Dec 2006 21:32 GMT

Can anyone kindly tell me, in a nutshell the proper verbage and medical
reasons for having a bone graft on a bottom (last) back molar? I pay
so much for dental insurance and they have refused me. I am having the
tooth extracted today and want to do the bone graft as soon as
possible.

I guess they consider it "Cosmetic"...or something..they said that I
have an exclusion on bridge work, and dentures...dont know how that
falls in that category!!! THANKS!!!

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Mark & Steven Bornfeld - 04 Dec 2006 21:38 GMT

> Can anyone kindly tell me, in a nutshell the proper verbage and medical
> reasons for having a bone graft on a bottom (last) back molar? I pay
[quoted text clipped - 5 lines]
> have an exclusion on bridge work, and dentures...dont know how that
> falls in that category!!! THANKS!!!

There are a variety of legitimate reasons a bone graft might be done.
If there is a specific exclusion you may be out of luck; OTOH the
surgeon KNOWS why he/she placed a graft and is best equipped to help
you. Furthermore, they should be more than willing to do this, or
explain why it would not help. It's no good your writing a letter of
medical necessity--the doctor has to make the judgement that is is
necessary.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

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