White Paper: Uncovering dental claim errors through advanced analytics

Cotiviti Blog · 2 hrs ago · 8 views

Fraud, waste, and abuse (FWA) continue to challenge dental plans as overtreatment, miscoding, and inappropriate billing practices drive unnecessary costs. With an estimated $198 billion spent on dental care in 2025, and approximately 3–10% of these payments lost annually to FWA, dental payers need more effective ways to identify suspect claims. Growing coding complexity and evolving billing practices make improper claims harder to detect through traditional editing alone.

Fraud, waste, and abuse (FWA) continue to challenge dental plans as overtreatment, miscoding, and inappropriate billing practices drive unnecessary costs. With an estimated $198 billion spent on dental care in 2025, and approximately 3–10% of these payments lost annually to FWA, dental payers need more effective ways to identify suspect claims. Growing coding complexity and evolving billing practices make improper claims harder to detect through traditional editing alone.