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Dental

Dental Claims

Synthetic dental claims for modeling PPO adjustment behavior, CDT downcoding, frequency limits, tooth/surface context, bundling, and appeal or corrected-claim outcomes.

100K-500K+ records available

Denial behavior patterns

Frequency limit denial

CDT downcoding

PPO underpayment drift

Missing tooth or surface documentation

Schema highlights

{
  "claim_id": ...,
  "claim_form_type": ...,
  "primary_cpt_code": ...,
  "network_status": ...,
  "denial_reason_family": ...,
  "denial_carc_code": ...,
  "benchmark_bucket": ...,
  "specialty_context": ...
}

Full schema + data dictionary included with Starter tier and above.

Free sample available

Get a 1K-row CSV sample of this pack — schema, source manifest, and synthetic-only attestation included. No PHI. CC BY 4.0.

Request free sample

Using this for denial prevention in production? The Upstream Care Intelligence Platform monitors operational payer-friction signals before they become denial backlogs.

upstream.cx ↗
$299one-time per pack

100K rows

  • CSV + Parquet delivery
  • Source manifest and synthetic-only attestation
  • Quality and claim-realism reports
  • Signed URL fulfillment
Most popular
$799one-time per pack

500K rows

  • CSV + Parquet delivery
  • Transaction, event, and adjudication trace artifacts
  • Scenario manifests and readiness reports
  • Model training and regression-suite license
Customall packs or bespoke

Custom volume

  • Custom payer archetypes and scenarios
  • All-pack or specialty bundle licensing
  • Dedicated delivery workflow
  • Legal, security, and procurement review
Request enterprise access

Synthetic-only data, no PHI. Delivered by signed link.