Dentists are encouraged to review and analyze their procedure fees annually to ensure their usual, customary and reasonable fees will keep pace with several factors, including the state of the economy. The material, laboratory, technology and labor costs for the provision of some dental procedures can change over time and should be factored into consideration.
Keep in mind, patients are more sensitive to some fee increases than others, including for preventive services. Tools you can use to update your fees include: ADA Survey of Dental Fees, Fair Health Consumer and National Dental Advisory Service Report.
Begin by submitting your full practice fee or UCR (usual, customary and reasonable) on the dental claim form. Submitting the full practice fee is extremely important for several reasons. First, if a plan allows a higher fee for a procedure than you are submitting on the claim form, the plan will pay at the lower rate. Second, by submitting the full practice fee, you are reporting to the dental plans the actual cost of doing that procedure. Finally, it gives you the ability to determine the true cost of contracting with that plan by comparing the full practice fee with the reduced contracted rate and analyzing the write-offs for each plan.
For more information on submitting claim forms or evaluating dental benefit plans, refer to the following CDA resources:
Already a CDA Member?
to keep exploring our resource library.
Learn more about CDA Member Benefits.
Go back to the previous page.