Citation Nr: A25038457
Decision Date: 04/28/25	Archive Date: 04/28/25

DOCKET NO. 210820-275550
DATE: April 28, 2025

ORDER

The appeal concerning entitlement to payment of the cost of non-Department of Veterans Affairs (VA) dental care provided on September 18, 2020, is dismissed.

FINDING OF FACT

While this appeal was pending, the Agency of Original Jurisdiction (AOJ) administratively approved entitlement to payment of the cost of dental care provided to the Veteran on September 18, 2020.

CONCLUSION OF LAW

The issue of entitlement to payment of the cost of non-VA dental care provided on September 18, 2020, has been resolved in full by administrative action; the appeal is moot.  38 U.S.C. § 7105; 38 C.F.R. § 20.801.

REASONS AND BASES FOR FINDING AND CONCLUSION

The Appellant is a non-VA healthcare provider that furnished dental services to the Veteran on September 18, 2020.

In August 2021, the Board of Veterans' Appeals (Board) received a VA Form 10182, Decision Review Request: Board Appeal from the Appellant electing the Direct Review docket to review a denial of payment for this dental care.  

The claim for entitlement to payment of the cost of non-VA dental care provided to the Veteran on September 18, 2020, was administratively approved while this appeal was pending.  The record reflects that the claim was reprocessed and entitlement to payment was approved for the September 18, 2020, episodes of care.  In an explanation of payment sent to the Appellant in October 2021, the AOJ explained that the claim had been reprocessed and paid.

The Board acknowledges that the payment is less than the full amount of the charges billed by the provider for this episode of care.  If the amount paid for the September 18, 2020, episodes of care is disagreeable to the Appellant, they may file a separate appeal of that decision pursuant to the relevant regulatory or contractual procedures, as applicable.

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The administrative action approving entitlement to payment for the September 18, 2020, episode of care constitutes a reversal of the initial denial and a full grant of the benefit sought in this appeal.  No determination remains with which the Appellant disagrees and the appeal is therefore dismissed.  38 U.S.C. § 7105(d).

 

 

L. Chu

Veterans Law Judge

Board of Veterans' Appeals

Attorney for the Board	B. Whitelaw, Counsel

The Board's decision in this case is binding only with respect to the instant matter decided. This decision is not precedential and does not establish VA policies or interpretations of general applicability. 38 C.F.R. § 20.1303.