Dental code problem

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Cheryl Thompson

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Can anyone tell me how to upgrade this to what the Ins. Is saying?

Dental Procedure Code: D5211
Dental Procedure Description: MAXILLARY PARTIAL DENTURE - RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, RESTS AND TEETH)

Can upgrade to a COMFORT FLEX ACETYLE RESIN HOMOPOLYMER DENTURE HAS AN ADDITIONALCOPAYMENT OF $425.00 more.

I can't get a answer from anyone, no one knows what it means.
 
Sam-CAP

Sam-CAP

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Your partial denture is not covered by your dental insurance, I'm guessing. Lots of dental procedures are not covered by insurance and the majority of them are only partially covered. This might be the case.

If it makes you feel any better implants and crowns would be ten times the cost of the partial you are getting (Although implants are always a better permanent tooth loss solution).

If you are just wondering what the heck a partial denture is check this out:
Link1
Link2
 
CoolHandLuke

CoolHandLuke

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your dentist might have spoken with you about flexible partials. they may be comfortable but they are easily destroyed and deformed, which demands a full remake in the case that you need a new tooth in the denture, need to redo the clasp, or the partial needs a reline. this is a lot of work, and a lot of money in the long run, so does not add much stability to your mouth for the long term. flexible partials may best be suited to a patient willing to undergo implants in the near future and might not need to use dentures for an extended period of time.

the traditional partial yes is a bit less comfortable but all of its repairs and maintenance are all covered by the same payment code, and are quick to do so you won't be missing your chompers for long. most labs can repair/reline in a couple of hours. add clasps in a day.

to directly answer your question the way to upgrade would be to request a Valplast or similar partial. just be forewarned that they are not indicated or suitable for the same patients that hope to be using partials for years. they will also cost time and money to redo, for even the simplest things. they cannot be relined and you cannot add teeth to them, they need full remakes. thats a week or two. thats a while. may be too long to go without teeth or at least some form of temporary replacement.

felxible partials are also a lot more restrictive to the kinds of foods you eat; where traditional partials can at least let you chew crunchy soft foods like potato chips, flexibles wouldnt stand up to that kind of assault very long. remember they do flex.

if you do a lot of speaking however, like a salesperson or marketing person and do presentations or cold caling or newscasting, podcasting, singing, stuff like that, flexible partials let your mouth feel its most normal. no introduced lisp (or less, anyway). easily speak without hindrance, or feeling intrusive. thing is, eating again is a concern - but orators typically can afford implants or cosmetic rehabilitation so often a second partial would just be lazy.
 
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