Diagnosis: Existing crowns.
Treatment: All White Glass Crowns on Teeth #8 and #9 (D2740).

The insurer denied the All White Glass Crowns on Teeth #8 and #9 (D2740). The denial is upheld.

The patient is a male requesting dental benefits to replace existing crowns on teeth #'s 8 and 9.

No, the proposed all white glass crowns on teeth #s 8 and 9 are not medically necessary.

There is no recurrent decay seen on the x-ray under or around the existing crowns on teeth #s 8 and 9. There is no fracturing of either tooth or either crown. There is no need to replace these crowns. No medical necessity is seen.