Alert: California Wildfires
Find resources and support for impacted practices.
Coordination of benefits, fees/discounts/refunds, appeals, billing and contracts.
Coverage through dental benefit plans is the primary way patient care is funded. The ability to navigate carriers and plans is key to managing a successful practice. Use these resources to help you navigate provider agreement requirements, manage dental claims, improve your understanding of appeal rights and more.
Dental Benefits Analyst
In February 2020, CDA was notified by Delta Dental of California that it will reduce fees for periodontists, endodontists and oral surgeons in its Premier provider network effective July 1, 2020. Read the FAQs below to understand potential effects of this
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.
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.
This sample letter is for use to respond to a dental plan you are not contracted with claims related to the fee discount of a plan with which you are contracted.
Understand the CA law that regulates what dentists can charge patients for procedures that the policy does not cover AB 2275.
Understand the risks involved in billing improperly during practice transitions.
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.
Overview of the payment arrangements to consider once an Associate begins providing treatment in a dental practice.
As a contracted provider in a dental plan, under what circumstances can a dentist waive patient/employee responsibility for co-pays, deductibles and non-covered services?