Approximately 160 million people in the United States use dental insurance benefits to facilitate the payment for oral health care services. Are those benefit dollars spent on the most cost effective, clinically appropriate treatments? P&R Dental is a dental informatics company that combines clinical expertise, industry knowledge and the largest cross payer claims database in the country to help dental benefit payers:

  • 1. Clinically review dental claims for medically necessity (by licensed dentists)
  • 2. Identify dentists that are upcoding, unbundling and or over utilizing
  • 3. Detect potential fraudulent activity
  • 4. Classify claims that have a high probability of generating savings due to clinically inappropriate treatment; prior to payment
  • 5. Target dentists that are appropriate for a payers network
  • 6. Quantify dental utilization trends for accurate pricing models

P&R deploys these solutions in a customer focused environment designed to support and advance each client’s business objectives.

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