Charges are bundled incorrectly
In dental billing, bundling occurs when a third-party payer (like an insurance company) combines different dental procedures so the patient gets paid less. This happens often with X-rays. You submit a series of X-rays for charges, but sometimes the insurer combines (bundles) them, recodes them as a full mouth series, and then subjects them to dental benefit plan frequency limitations. But to you, the submitting dentist, this series of X-rays doesn’t constitute a full mouth series, and as a result of this improper bundling, the patient won’t be reimbursed properly. Your dental practice will lose money too if the insurer incorrectly bundles procedures that you’ve billed separately on the claim.
