Inflated Salary Estimates

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KSDental

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I always hear about dentists earning more than primary care physicians, but there are no statistics to back up that point. According to the Bureau of Labor Statistics website, dentists earn an annual median salary of about 150k, while primary care docs earn a median of 220k. Are the stories of 300k and 400k salaries for general dentists just a myth? Do these high earning dentists have lots of associates, which makes them more a business owner than dentist?
 
My understanding was that general dentists make more per hour than primary care physicians. I don't think they generally make more overall.
I'm also fairly confident that dentists that make significantly more than $200K are the exception, not the rule. Maybe this would've been a bit different pre-2008. I don't know. I do know that the average income for dentists dropped significantly since then, while physicians stayed more-or-less flat.

If you were planning on making $400K+, and you already picked dentistry over medicine, I'd say oral surgery is probably your best bet. That is, if you like surgery of course.
 
I have two annual reports from the two
I always hear about dentists earning more than primary care physicians, but there are no statistics to back up that point. According to the Bureau of Labor Statistics website, dentists earn an annual median salary of about 150k, while primary care docs earn a median of 220k. Are the stories of 300k and 400k salaries for general dentists just a myth? Do these high earning dentists have lots of associates, which makes them more a business owner than dentist?

I eat out every week with my bro- in-law and his wife, who are both private primary care physicians. They said no way in hell the average salary for primary care physician is $220K.

As a one man private dental practice with many friends in similar situation, I can say it's pretty hard to NET less than $300K a year once your practice is stable and on cruise control.
 

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I have two annual reports from the two


I eat out every week with my bro- in-law and his wife, who are both private primary care physicians. They said no way in hell the average salary for primary care physician is $220K.

As a one man private dental practice with many friends in similar situation, I can say it's pretty hard to NET less than $300K a year once your practice is stable and on cruise control.

Why do they say that? (No way in hell the average for primary care is $220 K)... I'm genuinely curious. The reason I ask is because I personally know (as you do) a few primary care docs that make greater than $220. And just had a family member who completed residency last year take a job fresh out with a starting salary of $250K. I understand that certainly not all primary care docs make $220 or $250 etc...But no way in hell?
 
They said if you include the specialists salary in the average, but not primary care physician. I was pretty sure when I asked them last night the $220K is only for primary care but I'll ask them again tonight to confirm. They told me their salary with a couple years experience is $180K. Where is your family member at? Maybe they're in the wrong place.
 
They said if you include the specialists salary in the average, but not primary care physician. I was pretty sure when I asked them last night the $220K is only for primary care but I'll ask them again tonight to confirm. They told me their salary with a couple years experience is $180K. Where is your family member at? Maybe they're in the wrong place.

Hey Daurang. I appreciate the reply. My family member took a job in Chicago (not quite sure what area). What part of the country does your family practice in?..

I've been struggling to decide between medicine/dentistry. Would you choose dentistry again if you had the opportunity to go back?
 
I have two annual reports from the two


I eat out every week with my bro- in-law and his wife, who are both private primary care physicians. They said no way in hell the average salary for primary care physician is $220K.

As a one man private dental practice with many friends in similar situation, I can say it's pretty hard to NET less than $300K a year once your practice is stable and on cruise control.

Agreed, I did some simple math calculations in this other post. I'd say 300k is even for a laid-back, slow-pace office.
 
I've been struggling to decide between medicine/dentistry. Would you choose dentistry again if you had the opportunity to go back?

If I were to do it today, NO.

I'll definitely be a policeman like my friends in San Jose, CA raking in $200k+ in salary plus incredible benefits and retirement. Second option I'll be a dental therapist or hygienist; in New Hampshire they will soon be able to extract teeth too! I feel really bad for you all!!!
 
If I were to do it today, NO.

I'll definitely be a policeman like my friends in San Jose, CA raking in $200k+ in salary plus incredible benefits and retirement. Second option I'll be a dental therapist or hygienist; in New Hampshire they will soon be able to extract teeth too! I feel really bad for you all!!!
Lol, I knew you'd say policeman.
 
If I were to do it today, NO.

I'll definitely be a policeman like my friends in San Jose, CA raking in $200k+ in salary plus incredible benefits and retirement. Second option I'll be a dental therapist or hygienist; in New Hampshire they will soon be able to extract teeth too! I feel really bad for you all!!!

Daurang are you originally from the Bay Area? there are definitely cops making that much but the cost of living in SJ is insane, SJ is not even that fun to begin with, i'd rather take a bigger hit and go to SF. I heard the SJPD is having a couple of layoffs and now my neighborhood is all of sudden filled with robbers and other criminals.
 
LOL but true! I agree that policemen and firemen do better long term. I have spoken with the fire commissioner in NYC. He says that firemen make $100,000 within 5 years and no college degree is required. The benefits are great. They can make money and start saving for retirement right out of high school. Dentists often don't get a chance to start saving until their late twenties. If they have massive debt, make that their thirties. If you want a college education the department will pay for it. Plus, it's political suicide (though it does happen occasionally) to try to cut their pay. Meanwhile there are efforts on many fronts to limit the pay of dentists. How many times do you hear on the news that we need to cut healthcare costs?

Anyway, you shouldn't expect more than $120K as an associate general dentist. Surveys that say higher are often filled out mostly by private practice owners. While there are exceptions, I think it is rare for a primary care physician to break $200,000 per year.

The stories of general dentists making over $300,000 are not the norm and primarily pertain to owners, not associates. Given that the Pew Charitable Trust has convinced those in power that America needs 10,000 more dentists, things aren't going to get better. It's not that a dentist can't make that much money. It's just that with so many dentists (the highest dentist to population ratio in the history of the US), it is very difficult to fill the schedule with paying patients 4 to 5 days per week.
 
I checked with my inlaw. They said they were offered $300k as primary care physicians, so I was wrong. However these are places in Maine, Wyoming, Alaska, 2hrs outside on Atlanta or Boston. The major cities dont pay much in relative to lifestyle and cost of living.

My niece graduated from USC Dental 2 years ago and had to move to Chicago because she could only get $450 per day in Bay Area. She moved back with a year experience but then moved to Kansas City. I'm in San Jose right now and noticed huge dental billboards on every block and wrapped around whole buses. Man its brutal here.
 
LOL but true! I agree that policemen and firemen do better long term. I have spoken with the fire commissioner in NYC. He says that firemen make $100,000 within 5 years and no college degree is required. The benefits are great. They can make money and start saving for retirement right out of high school. Dentists often don't get a chance to start saving until their late twenties. If they have massive debt, make that their thirties. If you want a college education the department will pay for it. Plus, it's political suicide (though it does happen occasionally) to try to cut their pay. Meanwhile there are efforts on many fronts to limit the pay of dentists. How many times do you hear on the news that we need to cut healthcare costs?

Anyway, you shouldn't expect more than $120K as an associate general dentist. Surveys that say higher are often filled out mostly by private practice owners. While there are exceptions, I think it is rare for a primary care physician to break $200,000 per year.

The stories of general dentists making over $300,000 are not the norm and primarily pertain to owners, not associates. Given that the Pew Charitable Trust has convinced those in power that America needs 10,000 more dentists, things aren't going to get better. It's not that a dentist can't make that much money. It's just that with so many dentists (the highest dentist to population ratio in the history of the US), it is very difficult to fill the schedule with paying patients 4 to 5 days per week.

Definitely not rare for a primary care physician to break $200,000 K. I have over a handful of friends & a few relatives who all make over $200,000 K. One makes $325,000 and doesn't even own the office. Just an employee working ~ 45 hrs/week. Not too bad IMO. I could think of worse things lol.
 
I know an ER doc couple who had to take 30% pay cut this year.. and they each made $300K plus p.a. The figures from BLS salary date are not really accurate. General dentists who own their practices will write off as much as they could to bring their adjusted gross income down and net salary as low as possible to pay less tax.

If you own your own business, you don't have to worry about your own salary, just enough to pay reasonable amount of tax and the rest you can pay yourself a dividend.
 
I'll definitely be a policeman like my friends in San Jose, CA raking in $200k+ in salary plus incredible benefits and retirement...

I can confirm this. It's such BS. There should be a revolt. We could pay cops and firefighters 40k/year with a 2% 401k match program + health benefits and get THOUSANDS of qualified applicants for just a handful of jobs. I don't think this is true of police; however, many fire departments only require a HS diploma and EMT-basic certification and provide all training through an in-house fire academy. Even better solution would be to private sector the FD like many ambulance services are...
 
I can confirm this. It's such BS. There should be a revolt. We could pay cops and firefighters 40k/year with a 2% 401k match program + health benefits and get THOUSANDS of qualified applicants for just a handful of jobs. I don't think this is true of police; however, many fire departments only require a HS diploma and EMT-basic certification and provide all training through an in-house fire academy. Even better solution would be to private sector the FD like many ambulance services are...
Agreed. I would add that this glut of professionals is fed by student loan subsidization. Take away the funding and the balance will be restored. People will flow into other areas like the trades. Of course, I understand it's not a popular sentiment especially if you are trying to get a student loan.
 
I know an ER doc couple who had to take 30% pay cut this year.. and they each made $300K plus p.a. The figures from BLS salary date are not really accurate. General dentists who own their practices will write off as much as they could to bring their adjusted gross income down and net salary as low as possible to pay less tax.

If you own your own business, you don't have to worry about your own salary, just enough to pay reasonable amount of tax and the rest you can pay yourself a dividend.
Why the hell did they take such a pay cut?
 
An average is just that.

1st year grads,1 day a week mothers and retiring dentists who dont work much are dragging down that average.

Heres an example of what its like to buy a practice and make money as an owner.

1,000,000 Yearly grossing practice
600,000 sale price
50% overhead

500,000 goes to the owner to do with as he wishes. If he wants to keep it he has to pay the practice loan.
500,000 - 105,181(8765.13 a month) = Salary.

These practices are fairly easy to find and buy but like buying any business tons of factors play in. Can you keep that 50% overhead? Can you produce the same amount of dentistry as the current owner? Did he cook the books?

You can buy a satellite or small practice that does 200k yearly for 100k,start small scale and grow too. Startups just don't make sense these days.

A dentist cannot produce enough dentistry to make 300k as an associate.

I will say that I don't know one dentist who makes under 150k while actually working a 40hr workweek. I also know more dentist who make over 300k during that workweek than 150k. Single mother who makes 140k with a practice open 2 days as well.
 
Dentistry is far better than medicine right now. One major hospital in town here just gave all MD's an approx. 20% pay cut, blaming the ACA as they made record profits last year. It was the best paying hospital to work for before this.

A good friend of mine is a rural general dentist and had his worst year in the last few at $440k. He's a great dentist and very busy, but still works a 4 day week. The average here in Indiana is $225k, but of course lots of people can't imagine themselves in Indiana.
 
SDN will always be the epicenter of people doom and glooming. The average numbers around here for private practices are mid-200's.
 
SDN will always be the epicenter of people doom and glooming. The average numbers around here for private practices are mid-200's.

I'm guessing you are in Seattle?
 
Negative. But according to the famous BLS report Seattle/WA is comparable to numbers in my state.

Spokane is good for dentists. One of the top-paying in the country.
 
I am a general dentist working as an associate for 3 years so far. Last year. I made about 300k in 2012; and about 400k in 2013...🙂
 
Why do they say that? (No way in hell the average for primary care is $220 K)... I'm genuinely curious. The reason I ask is because I personally know (as you do) a few primary care docs that make greater than $220. And just had a family member who completed residency last year take a job fresh out with a starting salary of $250K. I understand that certainly not all primary care docs make $220 or $250 etc...But no way in hell?
The PCPs that I know make over 200k and a few of them make 300k+, but the one that make over 300k take on medical directorship of nursing home and work sometimes on weekend as hospitalists.
 
His post history suggests that he did it as an associate at a chain. He's been met with quite a bit of skepticism from other posters.
Come on, man! I was working for a dental chain just after graduation for 1 year and 4months only. I did not make a lot (only 200k/year) at that time. ( I believe all dentists in the chain can make that much.)
I quit my job in the chain and have been working for the private practice as an associate 2 years so far... I would post my 1099 forms to show how much I made if you are doubt it.🙂. I am not saying all associate could make that much, but just let you guys know that 400k/year is definitely possible for dental associate.....
 
His post history suggests that he did it as an associate at a chain. He's been met with quite a bit of skepticism from other posters.

Count me as one of the skeptics. He says that making 200k/yr as an associate is "not much" as a chain, but I on the contrary think that is a lot as a corp associate. I can't really even fathom making 400k as an associate in a private office unless many specific conditions are met making it the perfect opportunity, i.e. high-end cosmetic procedures, schedules always full, owner pays a high percentage, etc. Not very likely in my opinion.
 
Come on, man! I was working for a dental chain just after graduation for 1 year and 4months only. I did not make a lot (only 200k/year) at that time. ( I believe all dentists in the chain can make that much.)
I quit my job in the chain and have been working for the private practice as an associate 2 years so far... I would post my 1099 forms to show how much I made if you are doubt it.🙂. I am not saying all associate could make that much, but just let you guys know that 400k/year is definitely possible for dental associate.....


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Count me as one of the skeptics. He says that making 200k/yr as an associate is "not much" as a chain, but I on the contrary think that is a lot as a corp associate. I can't really even fathom making 400k as an associate in a private office unless many specific conditions are met making it the perfect opportunity, i.e. high-end cosmetic procedures, schedules always full, owner pays a high percentage, etc. Not very likely in my opinion.
My first job out of school was an associate in the dental chain. As the commercial ads says, earning potential was 200k/year. I was just doing so-so that year at the chain (we had 3 dentists working in the same office). I knew a lot of associates were doing better than me. I just worked there for one year and I don't know the other chains...
As private practice, I am working by MYSELF with 8 staff members(front desk, assistants, EFDA, manager, Hygenist...) . My commission is 38% of MY collection. The office gross is over 1.2 million/year total but my production is not including hygene pts....
make sense???
 
My first job out of school was an associate in the dental chain. As the commercial ads says, earning potential was 200k/year. I was just doing so-so that year at the chain (we had 3 dentists working in the same office). I knew a lot of associates were doing better than me. I just worked there for one year and I don't know the other chains...
As private practice, I am working by MYSELF with 8 staff members(front desk, assistants, EFDA, manager, Hygenist...) . My commission is 38% of MY collection. The office gross is over 1.2 million/year total but my production is not including hygene pts....
make sense???

Sure, that makes sense. That means you are in the top 1% of practices. Congratulations, lol.
 
Worked with a corporate dentist in midwest today who told me earns ~130k for two full days of clinical dentistry. Not bad.
 
The money is there if you want it.

If you don't want it or do everything wrong you won't get it.

I think that's all there is to be said for this thread.
 
I always hear about dentists earning more than primary care physicians, but there are no statistics to back up that point. According to the Bureau of Labor Statistics website, dentists earn an annual median salary of about 150k, while primary care docs earn a median of 220k. Are the stories of 300k and 400k salaries for general dentists just a myth? Do these high earning dentists have lots of associates, which makes them more a business owner than dentist?


I have owned my own dental practice going on 4 years now
I always hear about dentists earning more than primary care physicians, but there are no statistics to back up that point. According to the Bureau of Labor Statistics website, dentists earn an annual median salary of about 150k, while primary care docs earn a median of 220k. Are the stories of 300k and 400k salaries for general dentists just a myth? Do these high earning dentists have lots of associates, which makes them more a business owner than dentist?


I have owned my dental practice for 4 years. Before that, I worked as an associate/employee, so I know how both worlds work. All these figures must be dealing with gross revenue, because from my experience the expenses bring the figure down a whole lot. For example, lets say my practice produced $800,000 dollars last year according to my fee schedule---which equates to about $500,000 collections after insurance is considered. I have 5 employees so annual payroll expenses (including applicable payroll taxes) totaled about $160,000. Annual dental supply expenses totaled about $30,000, lab expenses $40,000 (fixed and removable), small business loan about $60,000, rent about $36000, phone and internet about $6000, insurance about $3000, property tax about $8000, business license renewal about $3000. and about $90,000 depreciation deduction.

Quarterly tax payments are about $15,000 per quarter.

In the beginning (first 3 years), you have a lot of deductions, and the biggy is accumulated equipment depreciation and payroll. With all the deductions aforementioned you can see how a practice making good money may not be well represented if they have a good accountant. On the other hand, when depreciation runs out you can see how the overhead in dentistry is so high that it is very hard to stay ahead. Please take everything you read with a grain of salt because the data may be from net or gross data, and may not take into account everything I mentioned. Are they talking about business owners, independent contractors, or associate employees. A dental practice is VERY expensive to run, and the dentist will always be stuck living off the leftovers.
 
I have owned my own dental practice going on 4 years now



I have owned my dental practice for 4 years. Before that, I worked as an associate/employee, so I know how both worlds work. All these figures must be dealing with gross revenue, because from my experience the expenses bring the figure down a whole lot. For example, lets say my practice produced $800,000 dollars last year according to my fee schedule---which equates to about $500,000 collections after insurance is considered. I have 5 employees so annual payroll expenses (including applicable payroll taxes) totaled about $160,000. Annual dental supply expenses totaled about $30,000, lab expenses $40,000 (fixed and removable), small business loan about $60,000, rent about $36000, phone and internet about $6000, insurance about $3000, property tax about $8000, business license renewal about $3000. and about $90,000 depreciation deduction.

Quarterly tax payments are about $15,000 per quarter.

In the beginning (first 3 years), you have a lot of deductions, and the biggy is accumulated equipment depreciation and payroll. With all the deductions aforementioned you can see how a practice making good money may not be well represented if they have a good accountant. On the other hand, when depreciation runs out you can see how the overhead in dentistry is so high that it is very hard to stay ahead. Please take everything you read with a grain of salt because the data may be from net or gross data, and may not take into account everything I mentioned. Are they talking about business owners, independent contractors, or associate employees. A dental practice is VERY expensive to run, and the dentist will always be stuck living off the leftovers.

Great post Sweeney. This is where having good business sense as a dentist can really make a difference. Some dentists chase after too many unnecessary gadgets, hire too much staff, and cutting into their margins. In the worst cases there have been definitely dentists running their businesses into the ground. However, given that dentistry has a higher margin than most other industries, a little business smart can still turn a nice profit.
 
I have owned my own dental practice going on 4 years now



I have owned my dental practice for 4 years. Before that, I worked as an associate/employee, so I know how both worlds work. All these figures must be dealing with gross revenue, because from my experience the expenses bring the figure down a whole lot. For example, lets say my practice produced $800,000 dollars last year according to my fee schedule---which equates to about $500,000 collections after insurance is considered. I have 5 employees so annual payroll expenses (including applicable payroll taxes) totaled about $160,000. Annual dental supply expenses totaled about $30,000, lab expenses $40,000 (fixed and removable), small business loan about $60,000, rent about $36000, phone and internet about $6000, insurance about $3000, property tax about $8000, business license renewal about $3000. and about $90,000 depreciation deduction.

Quarterly tax payments are about $15,000 per quarter.

In the beginning (first 3 years), you have a lot of deductions, and the biggy is accumulated equipment depreciation and payroll. With all the deductions aforementioned you can see how a practice making good money may not be well represented if they have a good accountant. On the other hand, when depreciation runs out you can see how the overhead in dentistry is so high that it is very hard to stay ahead. Please take everything you read with a grain of salt because the data may be from net or gross data, and may not take into account everything I mentioned. Are they talking about business owners, independent contractors, or associate employees. A dental practice is VERY expensive to run, and the dentist will always be stuck living off the leftovers.

Curious, when you say produced 800k and collected 500k, are you saying that 300k worth of procedures just went out the window? Additionally, it seems that the consensus for overhead is that it lies around 55-65% (at least from what I've read here and DT). Even at 65% the figure is significantly higher than the picture you've painted above.
 
Curious, when you say produced 800k and collected 500k, are you saying that 300k worth of procedures just went out the window? Additionally, it seems that the consensus for overhead is that it lies around 55-65% (at least from what I've read here and DT). Even at 65% the figure is significantly higher than the picture you've painted above.

Let's assume your fee for a crown is $1500. PPO contract will pay you $1000 a crown. You did a crown and you get paid $1000; you produced $1500 but only get paid $1000. But that's not the right way to calculate it. One can price $5000 a crown but get paid $1000 for only 20% collection. One can price $800 a crown and get paid $1000 for 120% collection!!!
 
Assuming one does a reasonable job at keeping overhead not too high, what amount do you need to collect in order to make $200-$250k, before taxes?


Great post Sweeney. This is where having good business sense as a dentist can really make a difference. Some dentists chase after too many unnecessary gadgets, hire too much staff, and cutting into their margins. In the worst cases there have been definitely dentists running their businesses into the ground. However, given that dentistry has a higher margin than most other industries, a little business smart can still turn a nice profit.
Shunwei, what procedures do you think dentists go after that aren't really worth the time and money necessary to get the equipment? Which procedures should a dentist focus on that would allow them to not waste too much money on equipment, keep more in house, and make more money? I've heard getting good at endo procedures is the best??
 
Assuming one does a reasonable job at keeping overhead not too high, what amount do you need to collect in order to make $200-$250k, before taxes?



Shunwei, what procedures do you think dentists go after that aren't really worth the time and money necessary to get the equipment? Which procedures should a dentist focus on that would allow them to not waste too much money on equipment, keep more in house, and make more money? I've heard getting good at endo procedures is the best??

Well, my experience since working has been that molar endos and surgical extraction are the key at doing well. Many emergency walk-in patients come with broken or bombed out teeth. Some are interested in saving them, some are not. Either way, these skills would be critical. If you can't do these and need to refer out, you would lose a lot of revenue since its known that 80% of referrals do not return (since in their perception, you can't help them). With many patients who elect root canals they'd also be very receptive at the final crown restoration too.

Personally, the only things I don't do are FBI 3rds and endo retreats, because in my perception these are higher-risk procedures and therefore higher liability. That's what specialists are for. It's just basic risk and time assessment.

Many dentists are 'techies,' and they chase after hot gadgets like cerec, waterlase, etc., without a real need for them. It doesn't help that these gadgets are often very expensive as well.
 
Personally, the only things I don't do are FBI 3rds and endo retreats, because in my perception these are higher-risk procedures and therefore higher liability. That's what specialists are for. It's just basic risk and time assessment.

When a general dentist begins removing impacted teeth: does he/she need change his/her malpractice contract to include that procedure? I was told by a malpractice agent that high risk procedures increase your malpractice premiums.
 
When a general dentist begins removing impacted teeth: does he/she need change his/her malpractice contract to include that procedure? I was told by a malpractice agent that high risk procedures increase your malpractice premiums.

Absolutely, the premium will go up. Malpractice premiums are directly in correlation with what you do, although in dentistry the amount really is quite low. However, my main beef with doing 3rd molars in general (and I extract a lot of them) is the post-op sequelae. A lot of patients don't seem to understand transient swelling or temporary soreness, and many return for post-ops with no real value. When you factor in this added wastage of your chair time and the potential headaches for worrying about the sequelae, it also makes it unworthwhile to do them as a GP, especially under vastly reduced fee schedules of some insurance programs.
 
Absolutely, the premium will go up. Malpractice premiums are directly in correlation with what you do, although in dentistry the amount really is quite low. However, my main beef with doing 3rd molars in general (and I extract a lot of them) is the post-op sequelae. A lot of patients don't seem to understand transient swelling or temporary soreness, and many return for post-ops with no real value. When you factor in this added wastage of your chair time and the potential headaches for worrying about the sequelae, it also makes it unworthwhile to do them as a GP, especially under vastly reduced fee schedules of some insurance programs.

So a general dentist can't simply dabble in impacted teeth? Like do 1 or 2 here or there to try it out. They must inform their insurance company a priori to doing such a procedure (if they want to be covered)? Or is this all done retroactively: based on what procedures you bill for that month?

How much are insurance programs paying for impacted (CBI/PBI) 3rds nows? Do they pay differently for specialists vs generalists?
 
So a general dentist can't simply dabble in impacted teeth? Like do 1 or 2 here or there to try it out. They must inform their insurance company a priori to doing such a procedure (if they want to be covered)? Or is this all done retroactively: based on what procedures you bill for that month?

How much are insurance programs paying for impacted (CBI/PBI) 3rds nows? Do they pay differently for specialists vs generalists?

Once you get very good at extracting 3rds, you can make an entire career of it as a generalist, like this guy:

http://drwisdomteeth.com/
 
So a general dentist can't simply dabble in impacted teeth? Like do 1 or 2 here or there to try it out. They must inform their insurance company a priori to doing such a procedure (if they want to be covered)? Or is this all done retroactively: based on what procedures you bill for that month?

How much are insurance programs paying for impacted (CBI/PBI) 3rds nows? Do they pay differently for specialists vs generalists?

Sure you can 'dabble,' but how would you know if the ones you try wouldn't end up being a lawsuit. If that happens, your insurance won't cover you because you didn't list impacted 3rds as your list of activities. If you feel lucky you can try, but it's Russian roulette. As for insurance fees, you'll see.

Your questions will be very clear once you start getting into the real working world.
 
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