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$1,200+
March 12, 2025 · 7 min read
Dental Insurance Appeal Letter: Simple Template + Steps
A practical guide to appealing a dental claim denial, including what to gather and how to write a clear, short appeal letter.
Why dental appeals work
Many dental claims are denied for missing documentation or unclear medical necessity. A focused appeal with the right details often gets a second look.
Step 1: Gather the right documents
Ask the office for a complete itemized estimate and any supporting notes or X-ray documentation used to justify the procedure.
- Itemized CDT code list with fees.
- Treatment plan and clinical notes.
- X-rays or photos if required by the plan.
- The denial or EOB with remark codes.
Step 2: Write a clear appeal letter
Keep it short and professional. State the claim number, the procedures, and why the plan should cover them.
- Reference the CDT codes and dates of service.
- Address the denial reason directly.
- Request written confirmation and a timeline.
Step 3: Follow up with dates and names
Log every call, the agent name, and the promised timeline. Follow up if the response window expires.
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