Dental Coding Tips: Getting Crowns, Perio & Aligners Paid | Dr. Greg Grobmyer

Why does insurance deny a crown on a cracked tooth, or a perio claim with deep pockets? Dr. Greg Grobmyer of Dr. Charles Blair & Associates explains how dental benefit plans really decide what to pay, which codes most offices miss, how insurers now use AI to read your x-rays, and the biggest 2026 CDT code changes.

In this episode:

- Dental insurance isn't insurance: what a defined benefit plan means

- Cracked tooth syndrome, and the documentation that gets a crown paid

- D0180, the comprehensive perio evaluation most offices underuse

- Caries risk codes that unlock extra prophys and adult fluoride

- What you can code for on clear aligner cases

- How insurers use AI on claims and radiographs, and why angled bitewings get perio denied

- Fee balancing: why a 3% increase isn't 3%

- 2026 changes: chairside saliva testing, no more PRR, cracked tooth testing, duplicate dentures, peri-implantitis scaling and new sedation codes

Plus dental news: SmileCon and the ADA's new president, the merger of the dental licensing exam boards into ADEX, and highlights of the 2026 CDT codes.

Dr. Greg Grobmyer practiced dentistry for 10 years before a health issue ended his clinical career. He now writes Dental Coding with Confidence with Dr. Charles Blair & Associates, and consults and speaks nationally on coding, documentation and fees. Find his resources at dentalcoding.com.

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