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Medical Billing Survey
Supported by:
Medical Billing Practice Survey
If you are human, leave this field blank.
First Name
*
Last Name
*
Practice Name
*
Email
*
Which of the following do you do in your practice?
*
Oral Surgery
Place Implants
Complicated Extractions
Bone Grafting
3rd Molar Extractions
Sinus Lifts
Night Guards
TMJ Appliances
IV Sedation
Perio Surgery
Sleep Apnea
Orthodontics (Braces or Invisalign)
Other
Other
Which of the following equipment do you use?
Digital X-Rays
CBCT (3D) Machines
Other
Other
How many Hygienists do you have?
Do you collect medical insurance for your patients?
YES
NO
Do you do paperless charting?
YES
NO
AKA writing your progress notes in the computer
Do you take patient's blood pressure
YES
NO
What Percentage of your patients are you in network with their insurance?
50
As Opposed to Fee for Service
Who is in charge of managing insurance at your practice?
(i.e. creating, filling claims)
What practice management software do you use?
How many team members at your office (not including doctors)?
Do you have any specialists (if so, which ones)?
Comment(s):
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