Diagnosis: Malocclusion
Treatment: D8080 Braces, D8670 Monthly Visit x 4, Pre-service
The insurer denied the D8080 Braces, D8670 Monthly Visit x 4, Pre-service
The denial is upheld.

The patient is a female with Class I malocclusion. The request is for braces and monthly visits.

No, the braces and monthly visits are not medically necessary.
The patient has slight crowding in her upper and lower dental arches, not enough to cause a "handicapping malocclusion." She does not reach the threshold of 26 for treatment as required by the handicapping index scale.

Therefore, given the above, the braces and monthly visits are not medically necessary.

The patient does not have a handicapping malocclusion.