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Dental Benefit Plans

Use our resources to navigate the requirements of provider agreements, file dental claims and better understand your appeal rights as a dentist. If you experience challenges, you can submit your dental benefit plan issues online for review.

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Resources by Topic

CDA members already have access to Practice Support’s full resource library. See dental benefits resources listed by topic below for help navigating common dental benefit plan challenges. 

These are member-only resources and you will need to log in to view or download.

Audits

Resources and information on dental plan audits; understanding the audit authority of third party payers and requirements; and best practices for patient records.

View Audit Resources

Billing

Resources and information on laws related to dental benefits; eligibility verification; proper coding; understanding how to properly bill for treating providers; and navigating the payment dispute process.

View Billing Resources

Carrier-Specific

Resources and information to help dentists navigate a rapidly-shifting marketplace and sustain systems in which dentists can most effectively provide quality oral health care to their patients.

View Carrier-Specific Resources

CDA achieves favorable Delta litigation outcome

CDA has achieved a favorable settlement on behalf of dentists in our litigation against Delta Dental. CDA took a stand on your behalf — to protect your right to fair dealings — and we succeeded.

Learn more

Claims

Resources and information on provider rights; navigating claim denials, the payment dispute process and appeals; and understanding the role of the plan regulators.

View Claims Resources

Contracting

Information and tools to help dentists evaluate dental plan provider agreements; establish fee schedules; and understand the impact to a dental practice.

View Contracting Resources

Coordination of Benefits

Information and tools for billing for patients who have coverage through more than one plan, including California's coordination of benefits law and when non-duplication of benefits is applicable.

View COB Resources

Resource Library

Log in to access an online library of downloadable articles, guides, templates, checklists and forms.

Dental Benefit Plan News

Teledentistry beyond COVID-19: Applications for private practice Teledentistry beyond COVID-19: Applications for private practice When the shelter-in-place began in March, I started to research how a dentist could use teledentistry to evaluate the needs of a patient with a dental emergency while...
The rising cost of PPE: CDA addresses member concerns on charging a PPE fee The rising cost of PPE: CDA addresses member concerns on charging a PPE fee As California dental offices are resuming preventive care amidst the COVID-19 pandemic, the obligation to implement new safety protocols and provide additional PPE to...
New teledentistry reimbursement available to Medi-Cal Dental providers during COVID-19 crisis New teledentistry reimbursement available to Medi-Cal Dental providers during COVID-19 crisis Medi-Cal Dental providers can now submit claims and be reimbursed for patient consultations by telephone or livestreaming video, DHCS announced in a special edition of its...

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