Why Dentists Are Going Out of Network with Dental Insurance

Key Points

SRP Denials Are Rising::. Many dentists face claim denials even when clear bone loss is visible, causing frustration and delays in patient care.

Contract Rules Often Ignore Medical Need::. Insurance companies frequently deny procedures based on contract language — not on what’s clinically best for the patient.

Underreporting Hurts Dentistry::. Doctors often hold back on diagnoses out of fear of denials, leading to inaccurate data and lower reported rates of gum disease.

Assignment of Benefits Creates Hidden Problems::. When employers don’t see the impact of poor plan design, they can’t push for change, leaving doctors stuck with bad contracts.