“Dental Insurance Denied Crown”—Why Is This Still a Thing?!
If you had a dollar for every time you saw “dental insurance denied crown” stamped on an EOB, you could probably retire early—or at least pay for a much-needed vacation.
Here’s the deal:
Insurance companies are absolute pros at saying “NO”—especially when it comes to crowns. Their favorite excuses? “Not medically necessary,” “frequency limitation,” or “upgrade not covered.” Meanwhile, you’re left looking like the villain for trying to give your patient the actual care they need.
But what if you could stop letting insurance companies dictate your treatment plans and build a practice where crowns get approved—by your patients, not their insurance?
Let’s unpack the data, the pitfalls, and the profit-boosting solution that’s making denied crowns a thing of the past.
Dr. Tim’s Never-Ending Crown Denial Nightmare
Dr. Tim runs a successful suburban practice. He’s great with patients, his team is tight, and his lab work is top notch.
But… every month, the same old song:
“Crown not covered.”
“Wait for tooth to get worse.”
“Upgrade denied.”
The numbers?
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32% of submitted crown claims were denied.
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Patients left frustrated—or worse, didn’t get the treatment they needed.
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Dr. Tim’s AR (accounts receivable) ballooned.
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The office morale? Down.
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Cash flow? Even worse.
One day, after three denials in a row, Dr. Tim decided to fight back. Not with more appeals or phone calls—but with a membership program powered by BoomCloud™.
From “Denied” to “Approved” (Every Time)
Tim’s Aha! moment:
“If insurance companies get paid every month—why can’t I? And why am I letting them decide if my patient gets a crown?”
With BoomCloud™, Tim launched an in-house dental membership plan.
The results?
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Patients paid a low monthly fee for preventive and discounted care—including crowns.
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Patients said “yes” to treatment (including crowns) 3X more often.
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AR shrank, and his MRR (Monthly Recurring Revenue) started rolling in—automatically.
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His team was suddenly excited to help patients, not just fight insurance.
Data & Stats: How Insurance Denials Hurt Your Practice—and How Memberships Crush the Problem
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Crowns are one of the top 3 most denied dental claims (ADA, 2024).
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29% of crown claims are denied on first submission.
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Each denied crown claim costs $65–$110 in admin time and lost productivity.
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BoomCloud™ practices see case acceptance for crowns double or triple within the first year.
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Membership patients spend 2X–4X more than non-members, and accept 60–70% more recommended treatment (BoomCloud™ Data, 2024).
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Practices using membership models reduce AR by 38–61% and increase revenue per patient by 30%+.
Bullet List Bonanza: How to Stop Seeing “Dental Insurance Denied Crown” on Your EOBs
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Launch a Membership Plan:
Give patients a way to say “yes” without insurance gatekeepers. -
Automate Payments (MRR/ARR):
Enjoy recurring revenue every month, no matter what insurance says. -
Train Your Team to Promote Memberships:
Teach them to present value, not just price. -
Use Visuals & Stories:
Share before/after cases and patient testimonials about crowns and memberships. -
Track Key Metrics:
Revenue per patient, case acceptance rate, and monthly/annual recurring revenue. -
Highlight the Benefits:
Members enjoy no denials, predictable costs, and VIP perks.
Case Study: Tim’s BoomCloud™ Turnaround—From Denials to Profit
| Metric | Before BoomCloud™ | 8 Months After |
|---|---|---|
| Crown Claim Denials | 32% | 7% |
| Monthly Recurring Revenue | $0 | $10,800 |
| Annual Recurring Revenue | $0 | $129,600 |
| Revenue Per Membership Pt. | $370 | $990 |
| Case Acceptance (Crowns) | 29% | 82% |
| Accounts Receivable (AR) | $48,000 | $13,500 |
Source: BoomCloud™ Practice Data, 2024
Tim’s practice is now thriving—no more awkward insurance convos, just happy patients and healthy profits.
Ditch Denied Crowns—Build Your Own Yes Machine
You can keep hoping insurance will start saying “yes.”
Or, you can own the “yes” with a smart membership program. Here’s how:
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Create a BoomCloud™ membership plan
Make crowns affordable for patients (and profitable for your practice). -
Train your team to promote it
Use real stories and easy scripts. -
Automate recurring billing
Let the money roll in, every single month. -
Watch case acceptance, revenue, and patient loyalty soar
Fewer denials, more smiles, better business.
The Big Takeaway: Say Goodbye to “Dental Insurance Denied Crown” Forever
Dental insurance denied crown? That’s the old way.
Membership plans make you the hero:
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No more begging for approvals
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Predictable profits (MRR/ARR)
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Higher revenue per patient
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Loyal, happy patients who actually get the care they need
Ready to make dental insurance denials a distant memory? Start your plan, train your team, and watch your numbers climb.
Take Action Now
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Download the million-dollar membership plan ebook
https://boomcloud.myclickfunnels.com/million-dollar-book -
Take The Six-Figure Patient Membership Plan Course
https://www.boomcloudapp.com/six-figure-membership-course -
Schedule a Demo of BoomCloud™ & Learn how to manage & grow your membership plan
https://boomcloudapps.com/demo-schedule/ -
Create Your BoomCloud™ Account For FREE
https://www.boomcloudapp.com/main-online-demo-and-sign-up-page
