Most dental-medical billing today is code-hunting — one CPT pulled off a bone graft, one modifier added to an extraction. This registry documents what happens when a case is billed the way a medical practice actually bills: full diagnosis pathway, medical necessity established under CMS's inextricably-linked doctrine, every legitimate component captured. Each entry below is a real, de-identified audit — read them the way you'd read case reports in a journal, not marketing copy.
Cases are drawn from five CMS-codified categories where dental treatment is inextricably linked to a covered medical condition: organ/stem-cell transplant, cardiac valve replacement or repair, chemotherapy or CAR-T therapy, dialysis for end-stage renal disease, and head & neck cancer treatment (including radiation). Patient identifiers, practice names, and dates of service are removed. Dollar figures reflect corrected allowable billing under Medicare guidance, not amounts guaranteed to be paid.
How a case enters the docket. A practice or billing manager submits an existing, already-adjudicated case (see form below). Our credentialed medical billing team re-runs the case against full CMS medical-necessity documentation requirements for the applicable category, independent of what was originally billed.
What "corrected capture" means. The corrected figure is the allowable total across every code the case's own clinical documentation supports — additional E&M, imaging, anesthesia, and procedural codes tied to the underlying medical diagnosis, not new or upcoded services.
What this registry is not. This is not a guarantee of payment for any future case, and it is not a referral-payment arrangement of any kind — no provider is compensated for submitting a case or for the audit result. The only output of submission is the audit itself.
Citations. Category eligibility is grounded in CMS's inextricably-linked-services doctrine (42 CFR § 411, related NCDs/LCDs by category). Full citation detail is provided case-by-case on request during a live case-capture review.
If you run a practice, an OMFS group, or an in-house billing department and you treat any of the five qualifying categories, send us one already-closed case. We'll run it through the same audit that produced every entry above and send back the same three numbers — initial capture, corrected capture, and delta — whether or not you ever engage us further.
We'll email your audit result within 5–7 business days. If your case is added to the public docket, all identifiers will be removed first — you'll see the entry before it's ever published.