Solutions
Insurance verification for pediatric dental practices
A pediatric breakdown asks questions a general sheet never does: age limits on fluoride and sealants, which teeth a sealant covers, space maintainers, silver diamine fluoride, stainless steel crowns, pulpotomies, nitrous and sedation. Ardent verifies each scheduled child’s benefits with the payer and fills your own pediatric breakdown, blank by blank, before the visit.
- Your pediatric breakdown sheet, filled in your notation. A pediatric sheet is in production today.
- Age limits and frequencies taken from what the payer states; a blank no one stated stays blank.
- Medi-Cal Dental is among the 71 payers with a playbook.
- In use at Montclair Pediatric Dentistry in Oakland, on CareStack.
On the sheet
What a pediatric breakdown needs
The questions a pediatric office asks the payer before a visit go beyond the general worksheet. Ardent answers the blanks on your sheet from the payer’s portal, a requested benefits fax or a call to the provider line, and keeps the source behind each value.
- Age limits and frequencies for exams, cleanings, fluoride and sealants.
- Which teeth a sealant covers.
- Space maintainers, silver diamine fluoride, stainless steel crowns and pulpotomies.
- Nitrous, behavior management and sedation.
- The ortho block, for patients heading toward treatment.
How it works
How does Ardent verify a child’s dental benefits?
The same way it verifies any patient, against a pediatric sheet. Ardent starts days ahead of each visit, works the payer’s own channels in order, portal first, then a benefits fax or 270/271, then an AI voice call to the provider line for anything still open, and files the completed sheet in the patient’s chart.
- Measure your sheet once. Your pediatric breakdown form is measured once and filled in your shorthand from then on.
- Verify ahead of the visit. Ardent picks up new appointments and changes on its own, so last-minute bookings are covered.
- Flag what needs a person. Anything Ardent could not verify is listed, with the reason, in a 7:00 AM email to the front desk.
In use
Running in a pediatric office today
Montclair Pediatric Dentistry in Oakland uses Ardent on CareStack, with its own pediatric breakdown sheet. A blank pediatric breakdown of benefits is free to download from the worksheets page.
Answers
Questions
Yes. Ardent fills whatever sheet the office already uses, and a pediatric breakdown is in production today. A pediatric sheet asks for age limits, which teeth a sealant covers and codes a general sheet never lists, and Ardent fills those blanks from what the payer states.
Medi-Cal Dental is among the 71 payers with a playbook. Ask about another state’s Medicaid dental program on the demo call; a plan without a playbook is named as such in the morning email rather than left blank.
The blank stays blank. Ardent writes a value only when the portal, the fax or the rep states it, and a required blank still open after the call is flagged for the front desk in the 7:00 AM email.
Yes. A blank pediatric breakdown of benefits is free to download, print and use from the worksheets page.