Customers can upgrade any fee analysis to a complete Henry Schein Practice Analysis for an additional $99 per zip code. First, select the patient. On claims, the Type 2 NPI identifies the payee, and may be submitted in conjunction with a Type 1 NPI to identify the dentist who provided the treatment. The patient should refer to his/her Maximum contract allowances will differ by 5-digit ZIP code. Dual coverage information, including the amount payable by the prime carrier. D3310-D3330, D3921. Estimated fees for Zip Code The procedure fee displayed can differ if your dental service providers office is located outside the zip code indicated. Understand the difference between what is covered and what is needed. Repair requiring lab work, Procedure codes: Box 6059 DeltaCare USA's payer identification number for encounter forms is DDCA3. Alabama, Florida, Georgia, Louisiana, Mississippi, Montana, Nevada, Texas, Utah and U.S. Virgin Islands: E-mail:ProfessionalServices@ddic.delta.org Be sure to enter the treating dentists license number or National Provider Identifier (NPI). Copayment waivers are a form of overbilling the dental carrier. Dental Equipment Sales & Services | Look Up a ZIP Code. The patient is responsible for their coinsurance/copayment portion only. The procedure fee displayed can differ if your dental service providers office is The Content on this website is not medical advice. Use new claim forms that accommodate the NPI by providing a specific space for it. The sample table is a small selection of common procedures discounted by these discount dental plans and programs. Preventive Products: GC MI Paste Plus, Colgate PreviDent, PreviDent | Delta Dental has the largest network of dentists nationwide. DentalPlans detailed profile of Roshanak Rastegar , DDS - Dentist in 20152. Dental Equipment Parts - Dental Repair Parts | Next, in the Type of Transaction menu, choose Pre-Treatment Estimate. Once you submit your claim adjustment request, it can take up to 21 calendar days for it to process. Virtual Consult Confidential Filed Fee Schedule Click on the specialty link for the location you want to view. Estimates should not be construed as financial or medical advice. Prosthodontic Instruments & Supplies | Example:If you provide treatment for erosion, theres a good chance the claim cannot be paid because erosion is a common exclusion under most dental plans. Dental Lab Coats | Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Your actual cost may be higher or lower than the estimate for various reasons. who participate in MetLife's Preferred Dentist Program will charge, but may vary If you do not see the email in a few minutes, check your spam folder. Dental Infection Control Supplies & Products | This is important because some services may be included in the patients basic coverage, even if the patient does not have specific orthodontic coverage. Miscellaneous services. Is there a charge to join any of your networks? Mailing addresses for your Delta Dental Premier and Delta Dental PPO claims. Dental consultants are licensed dentists, who share your depth of knowledge about dental treatment and disease. Reasonable efforts include: Maximum contract allowances are the total reimbursement amounts, under the member's benefit plan, on which Delta Dental calculates its payment and the patients financial obligation. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. To avoid overbilling, always make reasonable efforts to collect patient coinsurance/copayments. No data found. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using Also, this will help ensure that Delta Dentals calculation of the patients portion takes into account all available benefit information. Need to make an adjustment on a claim? 3. First, log in to Provider Tools. A nationwide analysis of consumer opinions and behaviors relating to oral health. 2018 MetLife Services and Solutions, LLC. Receiving reports of all successfully transmitted encounter forms, reducing follow-up on unpaid submissions. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. Enter city and state to see all the ZIP Codes for that city. Include all required x-rays, documentation and/or written narratives. Type in the zip code of your choice and balance your fees right from the start! E-mail:customerservice@npienumerator.com, Telephone:800-465-3203 / 800-692-2326 (NPI TTY), Mail:NPI Enumerator To check that your provider participates, visit our website or call us. We do not return radiographic images or other documentation submitted with paper claims; however, we will make an exception when we receive a stamped, self-addressed envelope with the claim. Discounted fees listed under "Routine Dental Fees", "Fillings & Crowns" and Root Canals, Perio & Dentures tabs are for participating General Dentists. PO Box 1809 To be sure, please refer to your dentist handbook. Stray marks in spaces that should be left blank. Dental Alloy: Dental Amalgam & Dental Refining | Alpharetta, GA 30023. Have a question about coverage or looking for dental insurance? Contact your company's human resources department. All Rights Reserved. Mail to: or Fax to Actuarial: Delta Dental of Minnesota 1 -877 631 8954 . The SFC program is managed by Dentaquest. Periodontics (including scaling and root planing) Bitewing radiographs. Chart notes including periodontal case type and diagnosis. Copyright 2023 Delta Dental Plans Association. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Affordable Care Act. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. How much is it going to cost? The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Latex Exam Gloves | the latest UCR update for all ADA codes July 1. Daniel Ribeiro , Dentist has not yet specified details about his education and training. Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. By submitting your information, you are agreeing to receive communications from DentalPlans.com. We encourage you to check with your participating provider prior We update them regularly, usually every 6 to 24 months. This website shows estimates of certain dental care costs. If you answer yes to any one of the following questions, you are considered a covered entity under the NPI standard and are required by federal law to obtain an NPI. Dental Patient Financing | Dental Financing | All Rights Reserved. endstream endobj startxref Oral surgery (surgical incision/excision), Description of service: 142 0 obj <>/Filter/FlateDecode/ID[<50BF235CB0813E4C89D853A2B2492B60><1D4202BFC1803A4BB7FE6E056AB3B3AE>]/Index[118 40]/Info 117 0 R/Length 115/Prev 160342/Root 119 0 R/Size 158/Type/XRef/W[1 3 1]>>stream Look at you smiling. We make every effort to ensure that these emails are delivered. If you are not submitting claims electronically, talk with your practice management system vendor about activating your systems electronic claims component. Dental Office Supplies & Essentials | Send the information to your inbox and check at your convenience. See Related Links below for information about each specific fee schedule. This will lead you to the claim adjustment form, where you can indicate the issue(s) that needs to be addressed with your claim, provide necessary details and upload supporting documentation. Help the dental consultant review your claim. 0 Better yet, send the documentation on a separate attachment (8.5 x 11 inch paper) or transmit it digitally(submit digitized attachments free with Provider Tools; use the Submit Claim or My Patients tool). If you dont conduct any electronic transactions governed by HIPAA, you arent required to obtain an NPI. You may be responsible for the cost of procedures or services not covered by your plan. Please call or write to our Contact Center (and be sure to include all relevant information). Doctor.com powers the first vertical network that connects patients and healthcare providers across the web. only. For more detailed information on your dental care costs, please consult your dentist or your Delta Dental. to claim your profile. Specialists and general dentists recorded the fees they charged most often for over 200 dental procedures. Equipment & Technology Financing & Leasing, Henry Schein Thrive Rewards Terms & Conditions, Articulating Paper for Occlusal Contacts & Forces, Cosmetic Dentistry: Teeth Whitening & Alignment, Dental Adhesives: Dental Cements & Dental Liners, Dental Alloy: Dental Amalgam & Dental Refining, Dental Cements - Temporary & Permanent - Dental Liners, Dental CAD/CAM: Dental CAD/CAM Milling Machine, Dental Continuing Education Seminars & Resources, Dental Digital Radiography & Digital X-Ray Equipment, Dental Equipment Parts - Dental Repair Parts, Dental Handpieces & Dental Handpiece Repair, Dental Infection Control Supplies & Products, Dental Tools & Instruments - Hand & Surgical Instruments, Dental Materials: Dental Equipment & Technology, Dental Office Dcor Reception Room Furniture, Dental Office Forms - Perio Charting Forms, Dental Patient Education | Dental Patient Communications, Dental Patient Financing | Dental Financing, Dental Polishing: Finishing Strips, Polish & Brushes, Dental & Porcelain Veneers: Dental Laminates, Dental Practice Marketing & Office Supplies, Dental Reminder Postcards and Filing Office Supplies, Dental Restoration: Dental Bridges, Crowns & Posts, Dental Scalers, Power Scaler & Dental Curettes, Dental Sleep Medicine - Sleep Apnea Prevention, Dental Scrubs & Uniforms - Fashion Seal Scrubs, Disposable Dental Supplies - Single Use Products, National Dental Supply and Dental Products Manufacturers, Online Dental Supply Company | Dental Supply Store | Dental Companies, Oral Cancer Screening Light Tool | Identafi, Oral Surgery Instruments, Anesthetic & Supplies, Preventive Products: GC MI Paste Plus, Colgate PreviDent, PreviDent, Sharps Disposal Containers - Small & Large Sizes, TechCentral - Advanced Technology Solutions and Dental IT Support, Vinyl Polysiloxane (VPS) Dental Impression Material. Be sure to include the following information on dual coverage claims: For adults, the member's plan through his or her employment is primary. located outside the zip code indicated. Have a question about coverage or looking for dental insurance? If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Confidential Filed Fee Schedule (Updated to include CDT 2015 code terminology) Statement of Intent: I agree that each fee submitted to Delta Dental on a claim for dental services I provide to any Delta Dental patient will be . Be sure to submit dual coverage information on claims for orthodontic procedures, even if the other insurance does not cover orthodontics. Learn more about how you can use Smiles for Children insurance. Implant supported prosthetics, Description of service: Delta Dental recommends that the NPI be used on all claims. Send it to your local Delta Dental by e-mail, fax or U.S. mail: E-mail:dentist_services@delta.org
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