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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.

Clinical Chart Documentation Guidelines

This guide demonstrates patient record best practices. Thorough and accurate patient records are one of your most important tools for telling the story of what happens during treatment.

Benefit Breakdown Form

The quickest and easiest way to verify dental benefits for your patients is through the dental plans’ convenient online portal access where you can view, download, and print a patient’s benefit breakdown. This form may be used when verifying patients' dental benefits via telephone or to supplement the information provided on the dental plan’s online portal.

Teledentistry billing codes

Remember you must accurately code for the treatment rendered. The following codes could be viable options for teledentistry coding during this crisis:

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Resource Library

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

Dental Benefit Plan News

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.

Delta Dental contractual amendment takes effect June 2022: What you need to know

Delta Dental of California is revising its Delta Dental of California Participating Provider Agreement effective June 1, 2022. Although described as an “enhancement,” the contract amendment alters reimbursement for Premier or PPO contracted dentists who treat DeltaCare® enrollees as out-of-network providers. 

Congressional spending deal nears: Medicare dental benefit unlikely to be included

The U.S. Congress is working to finalize the details of President Joe Biden’s Build Back Better Act, and the framework of a final deal is near. While the details of the negotiated agreement have not been made public or acted on by Congress, it appears unlikely that a Medicare dental benefit will be included in the final legislation.