Navigating the Dental Insurance Landscape: Optimizing Benefits Reimbursement

Dr. Dominique Fufidio, Navigating the Dental Insurance Landscape: Optimizing Benefits Reimbursement
Speaker: Dr. Dominique Fufidio
CE Credits: 1.75
Format: MP4 Video
This one-hour course delves into the intricacies of the dental insurance claim review process. Gain insights into how benefit determinations are made, discover the common criteria that are reviewed an...more
  • 5.0 (2 Reviews)
  • Running Time: 1.5 hours
  • Released: 8/24/2023
  • Expiration Date: 8/24/2026
CE Details
Credit Details
This electronically delivered self-instructional program is designated for 1.75 hours of CE credit by Farran Media.
AGD Code: 550.

The fee to view this course is $36. This cost includes the fee to take the exam and claim your CE credits.

This course is designed to assist dental offices in comprehending the dental insurance claims review process. It provides valuable insights to improve benefits reimbursement success rates. The course emphasizes the distinctions between benefit determinations and treatment recommendations. It also covers a review of criteria for CDT code categories, supported by clinical use case examples. Additionally, participants will learn about the utilization of AI within the dental market. By integrating these concepts, the course aims to align dental professionals, patients and insurance providers to ensure accurate compensation for provided treatments.

Educational Objectives:
Upon completion of this course, you should be able to:
  • Better understand the criteria that payers consider when establishing medical necessity for benefit determinations and claim payment.
  • Differentiate between a benefit determination, a benefit recommendation and a treatment recommendation to accurately navigate the claims process.
  • Align clinical documentation and claim submission attachments with the specific requirements necessary to enhance benefit reimbursement rates for targeted CDT code categories.
  • Gain insight into the role of AI within both the payer market and dental provider's office.
  • Ensure proper reimbursement for services rendered.
Description of Speaker:
Dr. Dominique Fufidio, FAGD, is the CEO, founder and main coach at Fufidio Consulting Group, where she has pioneered a coaching experience focused on understanding the dental insurance claims review process. Dr. Fufidio has established herself as a successful, fee-for-service private practice owner, a top-performing dental claim reviewer and an artificial intelligence co-creator. She’s currently on a mission to bring clinical alignment to dental providers and the dental insurance payer market and was recently appointed director of specialty services for Apex Dental Partners.

At the time of the release of this course, the lecturer/speaker declares that in the past 12 months, she has had a financial interest, arrangement, or affiliation with Fufidio Consulting and Apex Dental Partners, and also has been previously employed by Overjet.

CE Reviews


5.0  (2 Total Reviews)
 2 people would recommend this course to a friend.
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
User: drsdj
Date: 12/26/2023
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
Good info
User: cottonport
Date: 11/9/2023
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
CE Policies
American Dental Association (ADA), Continuing Education Recognition Program (CERP) provider
Farran Media is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at For any questions, please contact Nareg Apelian, DMD, Director of Continuing Education at
American General Dentistry (AGD), Program Approval for Continuing Education (PACE) approved, FAGD / MAGD Credit Farran Media is a nationally approved PACE Program Provider by the Academy of General Dentistry. Approval does not imply acceptance by any regulatory authority or AGD endorsement. The current term of approval extends from 1/1/2023 to 12/31/2026. Provider ID# 304396
This activity meets the educational criteria required for verifiable Continuing Professional Development under the General Dental Council Lifelong Learning scheme and represents 1.75 hours of verifiable CPD.

Legal Disclaimer:
The CE provider (Farran Media) uses reasonable care in selecting and providing content that is accurate. The CE provider, however, does not independently verify the content or materials. The CE provider does not represent that the instructional materials are error-free or that the content or materials are comprehensive. Any opinions expressed in the materials are those of the author of the materials and not the CE provider. Completing one or more continuing education courses does not provide sufficient information to qualify the participant as an expert in the field related to the course topic or in any specific technique or procedure. The instructional materials are intended to supplement, but are not a substitute for, the knowledge, expertise, skill and judgment of a trained health care professional.

Continuing education credits issued for completion of online CE courses may not apply toward license renewal in all licensing jurisdictions. It is the responsibility of each registrant to verify the CE requirements of his/her licensing or regulatory agency.

State CE Requirements:
Click Here for CE requirements by state. Please note that this information is current as of the time of listing. This information is subject to change at any time from the state boards. For the most up-to-date information, please contact your state board directly.

Refund Policy
There are no refunds for Online CE courses. Please contact technical support if you run into technical difficulty.

CE Contact
For any questions, please contact Nareg Apelian, DMD, Director of Continuing Education at
To reap the full benefits of this CE course, the presenters (Howie Horrocks and Mark Dilatush) have agreed to create a marketing plan specifically tailored to your practice and your specific market area. Having your marketing plan printed and open while you view the course material, will greatly individualize your learning experience.
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