If you've ever submitted a crown or buildup claim thinking "we did everything right"—only to receive a denial or downcode—this episode is for you.

In this episode of the Dental Billing Academy Podcast, host Jacquelyn Hurley welcomes back clinician Dr. Iris Han, DDS, to break down what insurance companies are actually looking for when reviewing crown and buildup claims. Together, they explore how clinical excellence and billing success must work hand in hand—and how clear documentation can be the difference between getting paid quickly or fighting unnecessary denials.

In this episode, you'll learn:

• Why crown and buildup claims are commonly denied or downcoded
• The three key pieces of documentation insurance companies expect
• What pre-op X-rays must show—and why both PA and bitewings matter
• Why intraoral photos are critical (and when scanners work instead)
• What reviewers look for in clinical notes—and how missing details cost you

This is a must-listen for dentists, office managers, billers, and clinical teams who want fewer denials, faster payments, and more confidence in the chair.

Ready to stop chasing insurance? Visit dentalbilling.com to see how eAssist can support your practice with clean claims and stronger reimbursement outcomes.

Are PPO contracts creating more confusion than clarity for your practice?

In this episode of the Dental Billing Academy, Jacquelyn Hurley is joined by Dr. Iris Han of eAssist and Phylip Curtis of Unitas PPO Solutions to break down one of the most misunderstood areas of dental reimbursement: PPO participation.

Many dental practices participate with PPOs without fully understanding how their network agreements affect reimbursement, patient estimates, and collections. In this conversation, the team breaks down the differences between direct contracts, leased networks, and umbrella networks - and why those details matter more than most practices realize.

You’ll learn how participation type affects reimbursement, why negotiating without the right information can backfire, and what practices can do to approach PPO optimization more strategically.

If your practice participates with PPOs and you want greater clarity around reimbursement, fee schedules, and network participation, this episode is a must-listen.

Resources Mentioned in This Episode:

Unitas PPO Solutions

Learn more about PPO optimization, negotiations, and participation strategy for dental practices.

Check My PPO

See how your current PPO participation may be impacting reimbursement and collections.

eAssist Dental Solutions

Learn more about outsourced dental billing and revenue cycle management support.

Are dental practices unintentionally losing revenue because of coding and documentation gaps?

In this episode of the Dental Billing Academy Podcast, Jacquelyn Hurley is joined by Dr. Iris Han and Dr. Greg Grobmyer of Practice Booster to discuss the most common coding and documentation issues they see when reviewing dental practices across the country.

From underutilized CDT codes to missing clinical documentation and important 2026 CDT updates, this conversation explains why many practices are not capturing the reimbursement they deserve.

You’ll learn how stronger documentation, accurate coding, and staying current with CDT changes can help your practice reduce denials, improve collections, and get paid properly for the dentistry you’re already providing.

If you want to strengthen your revenue cycle without adding more patients, this episode is a must-listen.

Resources Mentioned in This Episode:

Learn more about Practice Booster’s resources, consulting, and coding support:

https://www.dentalcoding.com

Find Dr. Greg’s Documentation with Confidence course and additional training resources:

https://www.dentalzing.com

Learn more about outsourced dental billing and claims management support:

https://www.dentalbilling.com

SRP denials continue to challenge dental teams and can slow reimbursement when documentation is unclear. In this episode, cohosts Jacquelyn Hurley and Dr. Iris Han share practical strategies to help practices strengthen periodontal documentation, improve claim clarity, and support more predictable billing outcomes.

In this episode, you will learn

• How documentation and diagnostic detail influence SRP claim approval
• What insurers expect for procedures such as D4341, D4342, and D4346
• How clinical and administrative teams can work together to reduce denials

Visit DentalBilling.com for tools and education to help strengthen your billing processes.

Disclaimer

Insurance administration and dental billing recommendations presented here represent the opinions of the presenters and are for informational purposes only. You are responsible for your own use of CDT Codes, insurance administration, and dental billing. For the latest CDT codes and official interpretations, contact the American Dental Association or visit ADA.org.

Welcome to the Dental Billing Academy’s "What's the 411" podcast. "What's the 411" refers to the 90s phrase, meaning "What's the latest information?" In this podcast, you can expect to hear discussions on various topics related to dentistry such as frequently asked questions from our support call center, worst claim stories, and highlights on the latest dental coding and billing updates. Our aim is to provide dental professionals and enthusiasts with relevant, up-to-date information to help them stay informed and improve their knowledge in the field. So… What’s the 411?

In Episode 1, Fran demystifies this complex document, the Explanation of Benefits summary, with the basics to help minimize errors and maximize claim reimbursement.

To learn more about eAssist Dental Solutions, please visit dentalbilling.com.