IMAGING MODALITIES SUPPORTED
Panoramic
Periapical
Intraoral photos
Intraoral scans
CBCT
Cephalometric
THE PROBLEM
Medicare Advantage plans submit risk intensity based on diagnoses in medical records. There is no external clinical validation layer. Dental imaging — standard of care for millions of MA members — captures evidence of systemic disease burden that goes completely unused.
WHAT NEXTTIDE DOES
Overcoding signal
Submitted risk not reflected in independently observed disease patterns. Prioritize for audit.
Documentation integrity signal
Coding intensity rising without corresponding clinical change. Trigger longitudinal review.
Under-documentation signal
Severe observable disease with low submitted risk. Potential care gap and future cost exposure.
Complication risk signal
Untreated disease burden with no treatment continuity. Avoidable utilization growth ahead.
Built on the evidence
40+
peer-reviewed studies
−0.43%
HbA1c from perio treatment
(Cochrane 2022)
$42.3B
finding categories, clinically organized