Dental Blog

Uncovering if core build up procedures are covered by dental insurance can be a complex and often confusing process for many patients. While core build ups are generally considered a covered service, the reality of insurance coverage can be nuanced and sometimes unpredictable. At 208 Dental, we understand the importance of this treatment and strive to simplify the process for our patients. We actively assist in confirming coverage, navigating the intricacies of insurance policies, and addressing common reasons why such claims might be denied.

What is a Core Build Up?

A core build up is a significant dental procedure that restores and strengthens a tooth, primarily in preparation for further treatments like crowns or bridges. Dr. Goettsche will place a durable build up material to rebuild the tooth's structure.

• Definition and Insurance Code: Core build up, coded as D2950 in Common Dental Terminology, involves placing permanent filling material to replace a gross amount of lost tooth structure prior to a crown or bridge..

Typical Reasons for Core Build Up:

• Large decay affecting significant portions of the tooth.
• Missing or fractured parts of the tooth.
• Replacement of large fillings, often silver amalgam, that have compromised the tooth's integrity.
• Teeth that have undergone root canal treatment.
• Situations where a large filling is present, and a crown is advised for better protection and longevity.

Temporary Solution in Some Cases:

Sometimes, due to financial constraints or other reasons, a patient might opt for a core build up as a temporary fix, delaying the placement of a crown. However, it's important to understand this only provides an interim solution and that builds ups placed without crowns have a relatively short life span. A crown is typically recommended as soon as possible to ensure the long-term health and stability of the tooth.

Will Insurance Cover a Core Build Up Procedure?

While core build up is typically a covered dental service, the process of getting insurance approval can be intricate and sometimes unpredictable. At 208 Dental, we proactively work to confirm if your insurance plan covers this procedure before beginning treatment.

However, it's important to understand that having a service listed as a benefit does not guarantee coverage. Insurance companies can have loopholes in their policies, which might lead to a denial of coverage even after preauthorization. To combat this, we take comprehensive steps to support your claim, including:

• Taking detailed radiographs and intraoral photographs to demonstrate the necessity of the core build up.
• Writing a clear narrative that explains the rationale behind the need for the procedure.
• Providing additional documentation such as periodontal charting or an endodontic diagnosis to show the long-term viability of the tooth with the core build up and crown.
• Resubmitting claims that are initially denied, addressing any reasons provided by the insurance company.

Moreover, the timing of the core build up and crown or bridge can affect coverage. This varies by insurance company, and we carefully navigate these nuances when submitting or resubmitting your claim. It is best to perform the core build up and the crown or bridge at the same appointment, not only for insurance purposes but also for patient comfort and convenience. By performing these at the same appointment, we are able to save our patients time and avoid additional discomfort that can accompany an unnecessary appointment. Additionally,it is crucial to follow through with the recommended crown placement after a core build up, as some insurance companies may withhold payment until the crown procedure is completed. This is based on the rationale that the long-term success of the tooth is contingent on the crown placement.

How Long Does a Core Build Up Last?

The durability of a core build up is closely tied to the lifespan of the crown or bridge it supports. Typically, a well-crafted and properly maintained core build up will last as long as the crown or bridge, which often extends beyond 15 years. However, several factors influence the longevity of both the core build up and the overlying restoration:

• Initial Condition of the Tooth: The state of the tooth before the procedure, such as the presence of a large cavity, fractures, or a root canal treatment, can impact longevity.
• Patient's Oral Hygiene and Care: How well the tooth is cared for post-procedure, including diet, regular dental checkups, and dedication to prescribed recommendations like wearing a night guard, plays a crucial role.
• Quality of the Procedure: The skill and technique employed during the procedure, along with the materials used, are significant determinants of the core build up's lifespan.

Dr. Goettsche at 208 Dental carefully evaluates the health of core build ups and any associated restorations during routine cleanings and exams. He can determine when a replacement might be necessary, ensuring the ongoing health and functionality of your teeth.

Contact 208 Dental in Meridian for Core Build Up Procedure

Whether you're a new patient looking for a change in dentists, or you recently moved to the Meridian area, we're here to meet all your dental needs. Schedule your appointment online and join our family of satisfied patients. You can easily book online, call us, or even send a text at (208) 501-8860. Let us be a part of your journey to a healthier, brighter smile. Your smile deserves the best care, and we're here to provide just that!

Schedule Appointment