Dentists IN the Know

Send us Fan MailIs dental insurance watching you? Insurers now use AI to track every claim you send, and if your numbers stand out from other dentists near you, you may get a letter in the mail. Dr. Greg Grobmyer explains what triggers those audit letters, why insurers quietly give every office a grade, and the CDT change coming January 1 that affects almost every office that restores implants, even though it isn't on the official list of changes.In this episode:- AI audits: why being a statistical "outlier" gets you a letter- In network or out, they're still watching your claims- Insurers grade your office, and what lowers your grade- The implant crown change on January 1: abutment-supported vs. implant-supported- Coding overdentures and hybrids, and when to use D5875 instead of a new denture- 40 implant crown codes, not one- Common coding errors: closing an endo access through a crown, and what really counts as a surgical extraction- Why every evaluation needs a documented oral cancer screening- Non-covered services laws, and why about half your plans (self-funded ERISA plans) don't follow them- Why perio claims get denied, and codes you may be missing like D0160📰 Plus dental news: Align names a new CEO, the 3Shape antitrust case against Align is revived, and a new False Claims Act self-disclosure window for offices that bill Medicaid, CHIP or Medicare (Oct 22, 2026 to Apr 22, 2027). Check your team against the OIG exclusion list: https://oig.hhs.gov/exclusions/Dr. Greg Grobmyer is a dentist who left clinical practice after a cancer battle in his 30s and now teaches dental coding full time. He worked side by side with the late Dr. Charles Blair for many years, co-writes the Dental Coding with Confidence manual, attends the ADA's Code Maintenance Committee meetings, and consults and speaks nationally. Find his resources at https://dentalcoding.comThis is general information, not legal advice. Talk to a dental attorney about your own situation.Chapters:0:00 Intro3:51 Mercury in retrograde and your patients7:32 "Removing the patient from the tooth"9:49 Why "easy" fillings and extractions aren't easy12:33 News: Align's new CEO and the 3Shape antitrust case14:49 News: the False Claims Act self-disclosure window20:20 Check the OIG exclusion list22:14 Greg's acting and stand-up past23:17 Meet Dr. Greg Grobmyer25:54 The CDT change nobody's talking about26:24 CDT codes are for documentation, not billing28:48 Abutment-supported vs. implant-supported crowns30:08 What about screwmentable crowns?31:25 What changes January 133:50 Who writes the rules in the CDT book36:38 Coding overdentures and hybrids39:46 Why Greg hates "deep cleaning"40:15 40 implant crown codes, not one42:14 Why audit letters are on the rise43:10 AI tracks every claim: are you an outlier?45:30 In network or out, they're watching46:56 Insurance companies give you a grade47:43 Where to learn CDT coding51:19 Common errors: endo access and surgical extractions53:50 CDT is the legal language of dentistry56:02 Document every oral cancer evaluation58:19 Non-covered services laws1:00:02 Self-funded vs. fully insured plans1:01:18 Your insurance brand may just be the administrator1:03:44 Thank your insurance coordinator1:04:42 Why perio claims get denied1:05:43 Narratives for anterior PAs1:07:03 Closing🎥 Watch the full episode on YouTube:https://www.youtube.com/@dentistsintheknow📺 Join us live every Wednesday at 8pm ET!🌐 Check out our brand new website:https://dentistsintheknow.com🌟 Stay up to date on all the latest dental trends when you follow the DINKs:https://fanflet.com/dinks/social

Send us Fan MailThis week on the news, JB welcomes special guest Dr. Greg Grobmyer to discuss rising dental insurance audits, AI-powered claim reviews, and a new federal self-disclosure program that could impact dentists billing Medicaid, Medicare, and other government healthcare plans. Plus, JB covers Align Technology’s new CEO and the latest developments in its antitrust case.🎥 Watch the full episode on YouTube:https://www.youtube.com/@dentistsintheknow📺 Join us live every Wednesday at 8pm ET!🌐 Check out our brand new website:https://dentistsintheknow.com🌟 Stay up to date on all the latest dental trends when you follow the DINKs:https://fanflet.com/dinks/social

Send us Fan MailThinking about switching your dental practice management software to the cloud? Tyler McComas, VP of Sales at Curve Dental, talks with hundreds of practices every month. He shares the biggest pain points he hears and how practices are beating "the great dental squeeze" of staffing shortages, rising costs and insurance pressure.In this episode:Why cloud access and peace of mind still top the listConsolidating systems into one patient record (one practice saved $48K a year)Why your team won't use "one more" AI toolInsurance companies use AI to deny claims, so practices need AI tooDr. Jeff Horowitz: 15 software switches, and the only one his team thanked him forWhy software conversions are easier than you think"We're too busy": the real cost of putting off change📰 Plus dental news: the Dyson toothbrush disappears, the FDA says clear aligners need an exam by a dentist, and a new study on ultrasound instead of perio probing.We close the show remembering our friend and past guest Dr. David Yang, a true innovator in dentistry.💙 If you or someone you know is struggling, call or text 988 in the US for free, confidential support.🙌 Special shout out to Curve Dental, our educational partner, for making this episode possible!Learn more about Curve: https://fanflet.com/dinks/curvedinksChapters:0:00 Intro2:56 A week of face-plant trauma5:55 Why TMJ cases are exploding9:10 Are patients more tightly wound?13:45 News13:52 News: the Dyson toothbrush disappears15:45 News: FDA guidance on direct-to-consumer aligners17:05 News: ultrasound instead of perio probing20:19 Do we still need to probe?25:09 Meet Tyler McComas of Curve Dental27:40 Why Curve builds its own tools31:50 The pain points practices bring to Curve35:12 Cloud access and peace of mind36:15 Consolidating systems and the AI tool nobody used38:10 15 software switches, one the team loved40:23 Software conversions are easier than you think41:55 Why dentists fear change42:51 "We're too busy"46:00 Who should lead a software evaluation?48:03 From CDs in the mail to cloud updates50:58 Heat map: who near you is on the cloud51:56 Insurance AI vs. practice AI52:52 Curve's $200 million investment53:54 Too much innovation for one slide56:23 Closing57:15 Remembering Dr. David Yang🎧 Listen to the podcast:Apple Podcasts: https://podcasts.apple.com/us/podcast...Spotify: https://open.spotify.com/show/2Elfj6L...🎥 Watch the full episode on YouTube:https://www.youtube.com/@dentistsintheknow📺 Join us live every Wednesday at 8pm ET!🌐 Check out our brand new website: https://dentistsintheknow.com🌟 Stay up to date on all the latest dental trends when you follow the DINKs: https://fanflet.com/dinks/social-2

Send us Fan MailThis week on DINKs News, JB breaks down the mysterious disappearance of Dyson’s new toothbrush, the FDA’s guidance on direct-to-consumer clear aligners, and exciting research exploring ultrasound technology as an alternative to traditional periodontal probing. Could ultrasound change the future of perio exams? 🦷Catch the news live every Wednesday at 8PM EST!Stay IN the know: https://fanflet.com/dinks/social#DINKsNews #DentalNews #Dentistry #DentalTechnology #ClearAligners #Periodontics

Send us Fan MailWhat does it take to grow a multi-location dental group while staying true to your values?This week on Humpday Happy Hour™, we’re joined by Dr. Sara Mahmood, DDS, MS, MAGD—dentist, entrepreneur, international speaker, and founder and CEO of brush365, a growing dental group in the Dallas-Fort Worth area built on the promise of Dentistry with Integrity®.As the owner of six dental practices, with a seventh on the horizon, Dr. Mahmood has built her business independently, without private equity or silent investors. She’s passionate about clinical excellence, leadership, technology, and creating a dental experience centered on integrity.In this conversation, we’ll talk about:🦷 Growing a multi-location dental group independently🚀 Building a practice around Dentistry with Integrity®💡 Leadership, practice growth, and entrepreneurship🤖 Embracing technology and digital dentistry😁 Clear aligner therapy and her work with SureSmile🩺 Creating a specialized dental injury company⚖️ Balancing business ownership, clinical excellence, and patient careDr. Mahmood is a Master of the Academy of General Dentistry, a Global Clinical Partner and Key Opinion Leader for Dentsply Sirona, a member of the Philips Oral Healthcare North American Advisory Board, and a Key Opinion Leader for Mango Voice.She’s also a mom of three, a fellow healthcare entrepreneur alongside her husband, and currently training for her first marathon!Join us for a conversation about building a business, leading with purpose, and finding your own path in dentistry.📅 Wednesday, October 14, 2026⏰ 8:00 p.m. ET📍 Humpday Happy Hour™Special thanks to Mango Voice for partnering with us on this episode of Humpday Happy Hour™.🎥 Watch the full episode on YouTube: https://www.youtube.com/@dentistsintheknow📺 Join us live every Wednesday at 8pm ET! 🌐 Check out our brand new website: https://dentistsintheknow.com🌟 Stay up to date on all the latest dental trends when you follow the DINKs: https://fanflet.com/dinks/social-2

Send us Fan MailThis week on DINKs News, JB covers a dentist who helped save a pilot’s life, insurance companies using AI to flag dentists for potential audits, and the surprising dental history of Paul Revere.Catch the news live every Wednesday at 8PM EST!#DINKsNews #DentalNews #Dentistry

Send us Fan MailIs your dental team ready for AI, or are you about to buy tools nobody will use? Laura Nelson, VP of AI Training and Development at Mango Voice and founder of Front Office Rocks, explains where practices should start, why AI only works as well as your written systems, and how to keep a human in the loop.In this episode:- Why "using AI" means very different things from office to office- AI call notes, AI receptionists, and practicing phone skills with AI patients- De-escalation training for tough front desk calls- Why AI will fail without written SOPs, and how AI makes writing them easier- Call transcripts, HIPAA and the lawsuit a transcript stopped- Your team is already using AI: set rules before patient data ends up in ChatGPT- Why soft skills matter more once AI takes over the busy work- AI-run practices vs. human-first practices: where dentistry is headed📰 Plus dental news: HR 1521 and fair fees for non-covered services, remembering Idaho oral surgeon Dr. Mark Baker, and Weave's $650 million acquisition.Laura Nelson has spent more than 20 years in dentistry. She is VP of AI Training and Development at Mango Voice, founder of Front Office Rocks, a national speaker, and author of Brush Up on AI: Step Away from the Drill and Hiring Without Hesitation.🙌 Special shout out to Mango Voice, our educational partner, for making this episode possible!Learn more about Mango: https://fanflet.com/dinks/mangodinks🎥 Watch the full episode on YouTube:https://www.youtube.com/@dentistsintheknow📺 Join us live every Wednesday at 8pm ET!🌐 Check out our brand new website:https://dentistsintheknow.com🌟 Stay up to date on all the latest dental trends when you follow the DINKs:https://fanflet.com/dinks/social-2

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Send us Fan MailWhat does the future of organized dentistry look like and what will it take to make membership truly valuable to dentists?This week on Humpday Happy Hour™, the DINKs welcome Dr. Jonathan Vogel, a Dallas-based dentist, practice owner, and passionate advocate for the future of organized dentistry.A 2018 graduate of UT Houston School of Dentistry, Dr. Vogel has been deeply involved in organized dentistry at the local, state, and national levels, including serving as an American Dental Association delegate and participating in ADA councils, committees, and task forces focused on advocacy, access to care, the new dentist experience, and the future of the profession.In this conversation, we'll dive into some of the biggest issues facing dentistry today, including:🦷 ADA policy, legislation, and regulation🦷 Student debt and the new dentist experience🦷 Access to care and the dental workforce shortage🦷 Insurance reform and major challenges facing the profession🦷 The value of organized dentistry and membership🦷 Advocacy and the role of organized dentistry in major litigation🦷 Practice ownership and marketingDr. Vogel also brings a unique perspective on organizational governance and financial stewardship through his role as Treasurer and Chair of the Finance Committee for Resource Center, a major Dallas nonprofit.If you've ever wondered where organized dentistry is headed, or what dentists can do to help shape its future, this is a conversation you won't want to miss.📅 Wednesday, September 9, 2026⏰ 8:00 p.m. ET📍 Humpday Happy Hour™

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