A Dental Reviewer is a dental professional who evaluates dental claims, treatment plans, and medical necessity to ensure compliance with insurance policies and clinical guidelines. They review patient records, X-rays, and documentation to determine whether procedures are appropriate and covered under an insurance plan. Dental Reviewers often work for insurance companies, government agencies, or third-party administrators, helping to identify fraud, waste, and abuse in dental billing. Their role requires knowledge of dental terminology, coding, and industry standards to make informed decisions.