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Dr wants to do SRPs again because the patient’s insurance has changed

A patient in our office had SRP at our office Sept. 2015 under Medicaid. She had not returned for a hygiene appointment until March 2016 when a fill-in hygienist saw the patient as a perio maint. At that perio maint visit, it was discovered that the patient now has private insurance. Our Dr wants us to do SRP again. He diagnosed this without new xrays or new probe readings. Probings haven’t been done since before the Sept. 2015 SRP. I am not on-board with doing SRP again on the patient (it hasn’t even been a year since its been done). Just because her new insurance may pay, doesn’t mean the patient truly NEEDS it! What is your thoughts?

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1 Answer

My thought is that this is malpractice (over-treating) and could be seen as insurance fraud. We treat our patients based on need, not on insurance coverage. Diagnosis must be based on clinical findings. Until this patient is re-assessed in a comprehensive way, I just don’t see how a diagnosis could be made. Like you, I would not be on-board with this. Dentistry is a business, but our business is patients and we must do right by them, not take advantage at their expense. Diagnosing only to add to the offices bottom-line (money) is not a practice I can get behind!

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