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Billing for half mouth prophy

I have a patient that is very very sensitive to cleanings. The only way to get him in my chair and agree to a prophy is to numb one side and do only half mouth prophy at a time. We charge out for the full prophy at the initial appt but bring him back for the other side and do not bill for the other half. My Dr is concerned about getting paid for time in the chair both appts. Was wondering if anyone else has had this experience and if you charge for the second appt? This pt is very apprehensive and I feel if I can get him in the chair this way then I’m more than willing to do half of his mouth at a time with anesthetic.



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1 Answer

My doctor doesn’t charge if a patient needs to come back. My doctor figures that patient care rises above the dollar. Plus taking the extra time with the patient and keeping them happy, makes them more likely to refer other patients. If your doctor is that concerned maybe you could charge for anesthetic? I’ve never worked at any office that charged for anesthetic, but it’s just a thought. I must say, I like the fact that you are doing what you are for this apprehensive patient!

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