“Dental Team vs. Dental Insurance: The Real Battle of the Century” (Spoiler: The good guys are still waiting on hold.)

“Dental Team vs. Dental Insurance: The Real Battle of the Century” (Spoiler: The good guys are still waiting on hold.)

October 08, 20254 min read

Picture this: it’s 2:47 PM on a Tuesday. The front desk hero—let’s call her Maria the Magnificent—is on her third call of the day to a dental insurance company. She’s been on hold so long she’s gone through the entire hold music symphony: smooth jazz, awkward silence, and that one cheerful voice that keeps saying, “Your call is very important to us.”

If “important” means “please grow old while waiting,” then yes—mission accomplished.

Scene 1: The Great Dental Double Standard
Dental insurance companies love to remind dental offices about “policy compliance.”
They’ll scold you for missing a claim attachment, a single narrative detail, or a misplaced code modifier—because, apparently, perfection is mandatory when you’re a dentist.

Yet… when insurance forgets to process your claim for 60 days?
Or misplaces your X-rays?
Or denies a scaling and root planing because “the patient doesn’t meet our definition of bone loss”?

Silence.

If the insurance rep held themselves to the same standards they hold dentists to, the entire claims department would be on probation.

Scene 2: The Hold Line Hunger Games
There should be Olympic medals for “Longest Time on Hold Without Losing Sanity.”
Dental team members would sweep the podium every year.

You finally get a live human—after 47 minutes of muzak—and just as you say,
“Hi! I have a question about claim #12345…”
Click.

Gone.
No explanation.
No goodbye.
Just the cold, soul-crushing dial tone of defeat.

At this point, many offices have mastered the art of multitasking: entering EOBs, confirming patients, and emotionally preparing themselves for disappointment—all while on hold with Provider Relations.

Scene 3: The “Throw-Your-Dentist-Under-the-Bus” Department
Here’s a classic.
A patient calls their insurance because their crown wasn’t covered the way they expected.
Insurance says:

“Oh, your dentist must have charged too much.”

Translation: “We underpaid, but let’s make them mad at the dentist instead.”

Never mind that the dentist followed every rule, submitted every code correctly, and could probably teach a masterclass on documentation.
Insurance representatives often act like customer service illusionists—turning their own mistakes into “Your dentist’s fault!” faster than David Copperfield can make the Statue of Liberty disappear.

Scene 4: The Trust Paradox
According to Gallup polls, dentists and hygienists are consistently ranked among the most trusted professionals in America, right up there with firefighters and nurses.
Meanwhile, insurance companies usually rank somewhere between “used car salesman” and “mosquito.”

And yet—when a claim goes sideways—patients often aim their frustration not at the faceless insurance giant, but at the smiling doctor who fixed their tooth.

It’s a bizarre paradox:
The people who dedicate their lives to helping others are blamed for the mistakes of the people who exist to deny help.

Scene 5: The Daily Circus
Every dental team knows the routine:

Morning huddle: Let’s save smiles!

Mid-morning reality check: “Insurance said the patient isn’t eligible… but they paid yesterday’s claim?”

Afternoon plot twist: “Insurance says they need a new narrative… about the same narrative we already sent… twice.”

End of day: “Who wants wine?”

By 5:00 PM, the office has collectively aged three years, but at least Mrs. Thompson’s claim for her crown is still pending review.

Scene 6: The Hidden Strength of the Dental Team
Here’s what makes dental teams legendary:
They keep smiling.
They keep educating patients.
They keep advocating for fair reimbursements, accurate claims, and ethical care.

Because deep down, every dental professional knows this simple truth:
Insurance doesn’t define dentistry—dentists do.

And for every rude rep, every endless hold tune, and every misinformed patient call, there’s a moment when a dental team makes a patient smile again—literally and figuratively.

That’s something no insurance company can deny.

Final Thought: The Real Heroes of the Front Desk
So, here’s to every front office coordinator who’s mastered the art of diplomacy.
To every dental assistant who calls insurance “just to check on something” and comes back with a full-blown investigative report.
To every hygienist who explains benefits for the 900th time with the patience of a saint.
And to every dentist who keeps doing what’s right—even when the insurance world plays by the wrong rules.

You’re the reason patients still trust this profession.
You’re the reason smiles stay bright.
And you’re the reason we’ll always believe…

That someday—just maybe—insurance companies will put dentists on their “important” list.

(Until then, press 1 for Provider Relations… and grab another cup of coffee.)

Want to make dealing with insurance less painful?
Veritas Dental Resources helps dental teams negotiate higher PPO fees, decode plan chaos, and reclaim sanity—one claim at a time.
👉 www.veritasdentalresources.com

Benjamin Tuinei
Founder – Veritas Dental Resources, LLC
📞 888-808-4513
Services: PPO Fee Negotiators, PPO Fee Negotiating, Insurance Fee Negotiating, Insurance Credentialing, Insurance Verifications
Websites: www.VeritasDentalResources.com, www.VerusDental.com

Benjamin Tuinei is a leading expert in PPO strategies and fee negotiations, recognized by multiple state dental associations and continuing education institutions. Since beginning his dental career in 2007, he has helped over 9,000 dentists improve insurance reimbursements, influencing more than $5 billion in negotiated revenue. His expertise in restructuring billing departments increased collections from 65% to 98%, and his negotiation skills with third-party payors boosted insurance revenue by nearly $1 million, earning widespread recognition from dental practices across several states.

Benjamin Tuinei

Benjamin Tuinei is a leading expert in PPO strategies and fee negotiations, recognized by multiple state dental associations and continuing education institutions. Since beginning his dental career in 2007, he has helped over 9,000 dentists improve insurance reimbursements, influencing more than $5 billion in negotiated revenue. His expertise in restructuring billing departments increased collections from 65% to 98%, and his negotiation skills with third-party payors boosted insurance revenue by nearly $1 million, earning widespread recognition from dental practices across several states.

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