Diagnosis: Class II malocclusion
Treatment: Braces
The insurer denied: Braces
The denial is upheld

The patient is a teenage female with reported Class II malocclusion. There is moderate crowding on the upper and lower arches. The reason for the prior denial was a handicapping index scale of 14.

The proposed treatment is not medically necessary.

This is a patient with reported Class II malocclusion. There is moderate crowding on the upper and lower arches. However, the patient does not have any chewing, eating or speech difficulties related to her dentition. She also did not meet the cutoff score on the handicapping index scale for benefits.