Diagnosis: Impacted canine.
Treatment: C8080 Braces And D8670 Monthly Visit x 12.
The insurer denied the C8080 Braces And D8670 Monthly Visit x 12.
The denial is overturned.

The patient is a female. The request is for orthodontic benefits.

Yes, the braces and monthly visits are medically necessary.

The patient has an impacted lower right canine. When extraction is not indicated, this is an "automatic qualifier," according to the handicapping index scale. It is very important to have the patient's canines in their proper position to allow the rest of the teeth to occlude properly during the chewing cycle. The lower right canine needs orthodontic treatment to position it properly. This case has medical necessity.