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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.

Considerations When Billing for an Associate

Overview of the payment arrangements to consider once an Associate begins providing treatment in a dental practice.

Dental Benefit Plan Handbook – Chapter 06: Completing and Filing the Claim Form

Common reasons for claim delays and denials; correct use of procedure codes, Tax Identification (TIN) and National Provider Identification (NPI); practice’s fee schedule and radiographic image attachments; electronic claim (E-Claim) filing.

CDA Member FAQ re: Delta Dental 2023 Contractual Changes

Answers to members' questions about Delta Dental’s announced contractual changes announced for Jan 1. 2023.

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Resource Library

Access an online library of downloadable articles, guides, templates, checklists and forms.

Dental Benefit Plan News

CDA supports proposed federal rule to expand Medicare coverage of dental services tied to medically necessary conditions

A proposed rule from the Center for Medicare & Medicaid Services would cover medically necessary dental services as part of the existing medical services benefit in Medicare. CDA last week submitted specific recommendations on coverage of services.
 

Delta Dental’s notice of upcoming contract changes raises concerns for dentists, CDA

Reports from CDA members during the last week on contract change notification letters sent by Delta Dental of California raise additional concerns for CDA about the proposed changes. 

CDA Journal discusses dental benefit plan challenges faced by the dental profession

The July 2022 issue of the Journal of the California Dental Association explores the challenges dentists encounter with dental benefit plans and reimbursement.