Experience

BeneCare Dental Plans

• United States
• Insurance
• 1 - 100 Employee

• Dental Consultant

  • Apr 2010 - Present

  Responsibilities include reviewing dental claims for approval and denial, assess appeals and investigation of fraud. This is done using P&R Dental Strategies software. I personally have recommended new codes for better communication with practitioners and have identified outliers. I also am the dental consultant for hearings when benefits get denied. These hearings are orthodontic, fixed and removable in nature. The Salzmann Index is the scoring method for the orthodontic cases and I… Show more Responsibilities include reviewing dental claims for approval and denial, assess appeals and investigation of fraud. This is done using P&R Dental Strategies software. I personally have recommended new codes for better communication with practitioners and have identified outliers. I also am the dental consultant for hearings when benefits get denied. These hearings are orthodontic, fixed and removable in nature. The Salzmann Index is the scoring method for the orthodontic cases and I translate the scoring and other dental definitions to layman’s terms for the clients and answer other orthodontic and dental questions. Show less Responsibilities include reviewing dental claims for approval and denial, assess appeals and investigation of fraud. This is done using P&R Dental Strategies software. I personally have recommended new codes for better communication with practitioners and have identified outliers. I also am the dental consultant for hearings when benefits get denied. These hearings are orthodontic, fixed and removable in nature. The Salzmann Index is the scoring method for the orthodontic cases and I… Show more Responsibilities include reviewing dental claims for approval and denial, assess appeals and investigation of fraud. This is done using P&R Dental Strategies software. I personally have recommended new codes for better communication with practitioners and have identified outliers. I also am the dental consultant for hearings when benefits get denied. These hearings are orthodontic, fixed and removable in nature. The Salzmann Index is the scoring method for the orthodontic cases and I translate the scoring and other dental definitions to layman’s terms for the clients and answer other orthodontic and dental questions. Show less



Chase Parkway Dental

• United States
• Medical Practices

• General Dentist

  • Sep 1998 - Aug 2017

  Private Practice First as an associate and then for the last 11 years owner of the practice. Responsibilities included patient education, prophylactic cleaning, placing sealants, placement of amalgam, composite, stainless steel crowns, crown and bridge, full dentures and partial dentures, and limited amount of oral surgery. Through aggressive patient education and a focus on preventative dentistry 70% of all revenue was from either diagnostic or preventative procedures. Private Practice First as an associate and then for the last 11 years owner of the practice. Responsibilities included patient education, prophylactic cleaning, placing sealants, placement of amalgam, composite, stainless steel crowns, crown and bridge, full dentures and partial dentures, and limited amount of oral surgery. Through aggressive patient education and a focus on preventative dentistry 70% of all revenue was from either diagnostic or preventative procedures.