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So what are the procedures you do on a daily? I think you mentioned some previously so those are bolded and underlined, but I just want to make sure. Here's a list, please feel free to add the ones you do that's not there, and explain why you don't do the rest. I already know why you don't do sedation from your previous post.
1. 3rd molar extraction (full and partially bony)?
2. Crown and bridge
3. Crowns
4. Fillings
5. Cerec (onlay, inlay)?
6. Simple Extractions (D7140) How do you know when to bill for (D7210)?
7. Veneers?
8. SRP in Hygiene?
9. Molar endo
10. Invisalign or 6-month braces?
11. Peds?
Most common: Crown/bridge, endo(molar + retreat, unless the prognosis is poor or large post placed previously), fillings, Hygiene does SRP's, extractions but no full/partial bony, easy 3rd's. Surgical extraction is billed if I have to touch the alveolar bone or do major curettage of any periapical pathology.
Rarely: LANAP/Pinhole gum surgery, fillings/ssc for kids, implant restorations
I rarely do veneers and dentures, trying to transition out of them. No ortho/6MB, no cerec onlay/inlays (full coverage only)
That's pretty much it.
Edit: I realized that you wanted a reason why I don't do the rest...
1. Partial/full bony - higher liability, more time consuming, more post-op discomfort.
2. CEREC onlay/inlay - higher failure rate, I'm more conservative, if I can fill it, I think its better. If the tooth structure is far gone, I'd rather do a full coverage on it. CEREC inlays are a scam imo.
3. Veneers - unrealistic expectations of patients, usually picky. Don't want to deal with it.
4. Why would I do my own SRP? My time is worth more in ops.
5. Invisalign / 6MB - I have orthodontists referring a lot of patients to me. I wouldn't burn down my bridges just to earn some extra bucks on something I hate doing. I get a lot of cash patients from the orthodontists who don't mind paying 1k for SRP if they need it or 600 for 4bi's. Instant money right there.
6. Peds - Don't do it for the sanity. Have to deal with the parents, the patients, crying, whining, etc... I don't want to be fake and keep pretending I'm enjoying the interaction. Rarely, some adults act worse than kids, and I just have to tell them that if you don't feel comfortable proceeding, you should get sedated. I just don't do sedation here.
7. Dentures - I lose money, chair time, and unrealistic expectations. I'll do interim partials while waiting for implants to osseointegrate for restoration if they care to have a tooth there or if its the anteriors
8. Full mouth reconstruction - When I tally the amount of time and workup needed for these cases, I make a lot less than RCT/bu/crown combo on an hourly basis. Also liability and the ones that usually got to this stage are hostile towards the dentist and/or no money. I don't want to hedge case acceptance on these types of cases and the issues afterwards. People think if they are spending 30k+ on their teeth, that it should last a lifetime even if they don't brush their teeth. Their cars are worth 30k+ and they dont expect it to last a lifetime, why should any restorative work.
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