Frequently Asked Questions

All studies are personally interpreted by Dr. Anna Liakh, DMD, an oral and maxillofacial radiologist with advanced specialty training and active clinical experience.

The Screening Report is appropriate when:

• imaging was obtained for a specific purpose, but a review of the entire scan is needed to assess for additional clinically significant findings;
• the case is straightforward, or the primary goal is to rule out significant pathology.

It is a concise, text-only radiology report focused on clinically significant findings.

The Advanced Comprehensive Report is recommended when:

• treatment is being planned, or the case is complex;
• the patient is being referred;
• visual documentation would support communication with colleagues or patients.

It is a comprehensive radiology report with detailed interpretation, measurements, annotated images, a concise impression and practical clinical recommendations.

A Screening CBCT Report is $80, an Advanced CBCT Report is $85 for a limited field of view and $95 for a medium or large field of view, a TMJ study is $130, and a Panoramic & 2D Report is $50. Standard turnaround is 1-3 business days, and a 12-hour rush service is available for an additional $20. Completed cases are combined into one invoice, sent by email on the first business day of each month and paid securely through the portal. Full pricing is on our Services & Pricing page.

Yes. We provide independent overreads of existing CBCT and dental imaging studies for dentists seeking additional clinical insight, clarification of findings, or a specialist second opinion. An overread is priced the same as a new interpretation, depending on the report type requested. For example, a brief review without annotated images is billed as a Screening Report.

Please note: Our services are provided exclusively to licensed dental professionals. We do not offer radiology consultations directly to patients. If you would like a study reviewed, please ask your dentist or treating clinician to submit the case through our secure portal on your behalf.

Yes. Please use the portal for any information containing protected health information (PHI). Email should be reserved for general questions only and should not contain patient information. Learn more on our Security & Privacy page.

Yes. Established clients have direct access to the radiologist through the portal or by phone. During business hours (9 AM to 4 PM Eastern, Monday to Friday), Dr. Liakh typically replies within an hour; questions received through the portal after hours are answered the next business day.

We provide interpretation services for CBCT, panoramic radiographs, and other 2D dental imaging studies.

We do not interpret MRI, ultrasound, or hospital-based medical imaging studies, allowing us to maintain a dedicated focus on dental and maxillofacial imaging.

You will receive a consolidated invoice by email on the first business day of each month for interpretation services completed during the previous month. Payments can be made securely through the portal.

Yes. A 12-hour rush service is available for an additional fee. Simply select Rush when submitting your case through the portal.

A Screening Report may be upgraded to an Advanced Report at the radiologist’s discretion. If findings requiring detailed analysis are identified, the provider will be contacted before the report is converted.

Standard turnaround time is 1–3 business days, and most reports are completed within 1–2 days. Rush service is available for urgent cases.

Yes. Two implant measurement sites are included with every Advanced Report. Additional sites can be requested during case submission for an additional fee of $15 per site.

Yes. Volume discounts apply to Advanced Reports: 5% for 19 to 39 scans per month and 10% for 40 or more scans per month.

Our services are available to licensed U.S.-based dental professionals, including general dentists, specialists, and group practices or DSOs.

Patients seeking a second opinion are encouraged to ask their dentist to submit the case or contact us for guidance.

All studies are submitted through our secure portal, where you can upload cases, download reports, pay invoices, and communicate directly with the radiologist.

• CBCT Studies

Upload CBCT scans in DICOM format. Each study typically consists of several hundred DICOM files (.dcm) and should be compressed into a single ZIP folder before upload. Please do not anonymize the images before exporting or saving the study.

• Panoramic and 2D Images

Upload the original DICOM file whenever possible, as it allows image adjustment and enhanced evaluation. If a DICOM file is unavailable, JPG or PNG files may be submitted provided they include the patient’s name and the date of image acquisition.

If you experience any issues uploading files, please contact us.

CBCT studies contain hundreds of individual DICOM files. Compressing the folder into a ZIP file reduces upload errors and improves upload efficiency.

To ZIP the folder:

1. Locate the patient’s DICOM folder.
2. Use your computer’s built-in compression feature (e.g., Compress on Mac or Send to → Compressed (zipped) folder on Windows) to create a ZIP archive.
3. Upload the resulting .zip file through the portal.

Please include relevant medical and dental history, including prior trauma, cancer, radiation therapy, symptoms, and clinical findings when applicable.

Providing a clear clinical question and identifying specific areas of concern helps focus the interpretation and allows for more clinically relevant recommendations. Vitality status of the teeth in question and a description of any soft tissue findings also help translate findings into recommendations.

Prior images of the same area, such as an earlier CBCT or a periapical radiograph, should be included whenever available. Prior images serve as supporting evidence: they show how the area has changed over time and help determine whether follow-up imaging, monitoring, or treatment should be recommended. There is no additional charge for reviewing prior images. The comparison study fee applies only when an evaluation of interval change between two studies is requested.

If you experience any difficulties exporting images, creating a ZIP file, or uploading a study, please give us a call. Dr. Anna is happy to assist with the submission process and answer any questions you may have.

Generally, the entire acquired CBCT volume should be reviewed, not just the region of interest. This includes incidental findings elsewhere within the field of view. At Insight Dental Radiology, I review the entire volume and document relevant findings in a written report.

Dentists may interpret their own CBCT scans when they have the appropriate training and experience to evaluate the entire acquired volume. As the field of view increases, however, more complex anatomy may be included beyond the dentoalveolar region. In these cases, a specialist interpretation can provide a comprehensive evaluation and written report.

Not necessarily. A limited-FOV scan acquired for a localized clinical question, such as evaluation of a single implant site or an endodontic concern, may be within the treating dentist’s training and experience to interpret.

Medium- and large-FOV scans often include anatomy beyond the dentoalveolar region, such as the paranasal sinuses, nasal cavity, nasopharynx, cervical spine, and skull base. These studies may benefit from interpretation by an oral and maxillofacial radiologist.

Yes. University-based oral and maxillofacial radiology services are one option for obtaining specialist interpretation. Insight Dental Radiology offers an alternative designed specifically for referring dental practices, with secure DICOM upload, direct access to the interpreting radiologist, and a typical turnaround time of 1–3 business days.

Practices may choose to incorporate the cost of specialist CBCT interpretation into the patient’s imaging fee or bill separately, depending on practice policies, payer requirements, and applicable regulations.

CDT code D0391 applies to the interpretation of a diagnostic image by a practitioner who was not associated with capturing the image, including the written report. Coverage and reimbursement vary by payer and plan, so practices should verify applicable requirements with the patient’s dental benefit plan before billing.