delta dental fee schedule pdf

Group Dental and Vision Plans (Insurance through your employer). HumanaDental digital member ID cards FAQs, PDF. The Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. 7906 0 obj <>/Filter/FlateDecode/ID[<6A22589A1FC506448F51EC6CE5CCD5A3><7FE5D63132C3D543B8A2DB0D0F689003>]/Index[7893 21]/Info 7892 0 R/Length 82/Prev 914206/Root 7894 0 R/Size 7914/Type/XRef/W[1 3 1]>>stream Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). Be sure to select the Delta Dental PPO Plus Premier network. Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. Webdentists may bill the difference between their usual fee and Delta Dentals maximum contract allowance. 0000077071 00000 n All Rights Reserved. We automatically pay the claim based on the hb``e``ZAXX8W``H`ibH CGHcWpajkf Delta Dental Participating Provider, explain Benefits, check the status of a claim, and assist you in lowest cost network in which your dentist ;vDvrV#IaZ_Zg1/V># l$O%$kA~-[4GJ"9A,Qe'zaA4}iclygRny7n"`m*d@4XyDn Individual applications are subject to eligibility requirements. Box 14283 Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. WebThe Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out View plan provisions or check with your sales representative. Payment is based on the SPEEA fee schedule with Delta Dental. WebDelta Dental PPO Plus Premier Plan at a Glance | Delta Dental of New Jersey Online tools Dental plans Dental health Home > Tools & resources > Plan information > PPO Plus Premier At a Glance Delta Dental PPO Plus Premier Plan at a Glance Delta Dental PPO Plus Premier gives you access to approximately 154,000 participating dentists. WebThe Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). Such updated codes, descriptors and nomenclature may be used to describe these covered procedures in compliance with federal legislation. 0000007717 00000 n endstream endobj startxref You have remained in right site to start getting this info. WebDelta Dental Ohio - Fee schedule Delta Dental of Ohio Careers Find a Dentist Log In /Register I am a: Member Benefit Manager Producer Dentist Our Plans Tools and Find the one thats right for you. @Ed^H?h*fd| d100Fg /TA %%EOF This network supports the SimpleChoice plan. This preferred provider organization (PPO) plan is designed in response to employers' requests for an economical product for their employees. SimpleChoice offers the unmatched level of service member dentists enjoy from Delta Dental and is designed to be easy for dental offices to administer. You'll have a list of copayments for every covered procedure so you know all your costs for preventive, basic and major services up front. hbbd``b`$WXWk.`l "3A\~n:${. Select the Claims & Payments menu and choose Remittance Viewer. Start quoting dental + vision plans for small business, Getting affordable dental coverage is easier than ever with aDeltaCare USA plan. %%EOF 0 )L^6 g,qm"[Z[Z~Q7%" 0000011417 00000 n For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. hU[k0+zl. WebKY Medicaid Dental Fee Schedule 2022 Revised 3/17/2022 Proc Code Procedure Description UNDER AGE 21 Rate 21 and OVER Rate Notes D0145 ORAL EVALUATION FOR A PATIENT UNDER THREE (3) YEARS OF AGE AND COUNSELING WITH THE PRIMARY CAREGIVER. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. You can access your electronic remittance advices (ERAs) from the Humana.com dental provider portal by accessing the Dental Providers menu and selecting View Provider Payments under the Payments menu. PPO dentists offer the greatest discount off their fees, so youll pay less than with a Premier dentist. Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. , PDF, Watch a video for helpful tips regarding member benefits and claims. As understood, achievement does not suggest that you have fabulous points. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. WebDelta Dentals payment as payment in full, and further agree not to charge any difference between their fees and the amount paid by Delta Dental back to their Delta Dental patients. hz\Ssr@B=$ Dn&\p JJLZF[[{Zlgk[kmWo~]/nJ}$HwB>>= A`j/}eHtUk. 2022 Delta Dental PPO Plan Benefit Summary Dentures and bridges (construction or repair of fixed bridges, partial, and complete dentures) Periodontics (treatment of diseases of the gums and supporting structures of the teeth) $2,000 Calendar year deductible, per member 4 Applies only to procedures covered under your plan. `N#KhfOmEEek\;A0U4LL>v ~i}e5:Z,%(4M#io;Bps'$ur&`-G @OI"h|u3 RedFafk@ WebLearn how to identify members and verify their dental coverage, easily submit claims and receive payment for services and supplies. As understood, achievement does not suggest that you have fabulous points. hb```b``se`e` @16L@P iS;~1fm,Jxo0~e d {@ O ka$31b0;p7AyFCt+?:ro@MoCOW{\\uKs[Y. %PDF-1.6 % DeltaCare plans give you a broad range of coverage with no waiting period, annual maximum or The national network of Delta Dental companies protects more smiles than any other insurance company. 0 Zq What should be included on claim forms to Delta Dental? Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. 0000002346 00000 n How often is the Delta Dental PPO fee schedule reviewed and updated? The American Dental Association may periodically change CDT codes or definitions. In the event of a dispute, the policy as written in English is considered the controlling authority. Plan participants may not always inform a dental office of their participation in the MetLife PDP program. Member perks for your smile and beyond Np0(Ix8'A1F,-y|y Z8%TY9`GuZgITm06=8pC=C!Iz$KE! l$yv<8)u ^e\0n3` P Under a dental discount plan, you pay the dentist directly at the time of service on a pre-negotiated rate. $E}kyhyRm333: }=#ve Delta Dental PPO Plus Premier Frequently Asked Questions. 7913 0 obj <>stream You have remained in right site to start getting this info. Box 9304 . Box 14611 90 0 obj <>/Filter/FlateDecode/ID[<0EF7D80C2DB26D3E1A81A2055E849515>]/Index[81 21]/Info 80 0 R/Length 61/Prev 49932/Root 82 0 R/Size 102/Type/XRef/W[1 2 1]>>stream 0 0000008139 00000 n These plans make it easy to receive Delta Dental coverage and protect your health. get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that Please scroll down and accept to proceed. AvN/ [S Refer to your benefit plan to determine whether preventive services are covered for you. 0000018554 00000 n Our Premier network gives a smaller discount but gives you access to four out of five dentists nationwide. WebDelta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company P.O. Check out our DCUSA network video. Can you give me a comparison of my costs in network vs. out of network. The Humana Member Summary is a tool that displays patient-specific, clinically relevant information in a standardized format to help you identify opportunities to improve clinical outcomes and reduce medically related costs. Health information changes quickly. Use our Find a Dentisttool to search for PPO dentists identified by the Greater Savings icon." %PDF-1.6 % You must Go365 is not an insurance product. SPEEA Scheduled Dental Plan Group # 04360. 0000008254 00000 n WebSurvey of Dental Fees. *Not sure where your company is headquartered? All of those matters are things that you should decide, in consultation with your dental care professionals. hSmk0+qcdz,($m9n%lGrF? Administered by Humana Insurance Company. Specialists and general dentists recorded the fees they charged most often for over 200 dental procedures. About; Find a Dentist; No more claims to file or The AMA assumes no liability for data contained or not For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Like all Dentists, PPO Dentists are allowed to charge for any applicable Co-payments, Deductibles, or non-covered services. Delta Dental Premier Plan . "Iy"`v>o5@?" Lr) I8 This dentist provides most of your treatment and coordinates any necessary specialist referrals. Not available with all Humana health plans. 0000002677 00000 n This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Medical Assistance Program Dental Fee Schedule: provider : 20 : 20 ; ADJUNCTIVE GENERAL Webunder copyright by the American Dental Association. Download Supporting Materials(Free for ADA members) How to access and interpret information provided on remittances tqX)I)B>== 9. hWF+HYr :1U`vh$~#_EJC $!yo70EN3"&IHC" !#_BD,'>nN"~.O_EHiL For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. 7893 0 obj <> endobj Delta Dental has the largest network of dentists nationwide. We ask that you accept a digital, fax or printed version of these patients ID cards. For example, if the dentists usual fee for a filling is $200 and the discount dental plan has provided a 40% discount, then you will end up paying $120 to the dentist directly. Our coverage makes it easy and affordable to protect your smile, Follow snack and alcoholic drinks with water to keep your smile healthy on game day. Mail it to Delta Dental at the address shown below.. Any Subscription Charges 0000006889 00000 n Box 16354 Little Rock, AR 72231 Everyday forms Authorization for Release of Health and Payment Information (PDF, 2 pages, 21kb) This form authorizes Delta Dental of New Jersey to release protected health information. You may be responsible for the cost of procedures or services not covered by your plan. Claims will be processed when received according to your plan provisions. P.O. Certification of Handicapped Child's Dependency Status (PDF, 1 page, 13kb) %PDF-1.6 % By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Some plans may also charge a one-time, non-refundable enrollment fee. Web5. Webdental entitys Type 2 NPI (if different) to npi@delta.org Please also include the dentists name, practice name, address and license number. 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. Click the > to move your selection to the box on the right side. Third parties with access to Humanas contracted provider network: Some Humana networks may have additional participation criteria physicians and other healthcare providers must meet to be granted participation status. Find a listing of more than 1,000 Delta Dental PPO provider locations in Colorado and hundreds of thousands of Delta Dental network providers nationwide at www.DeltaDentalCoversMe.com, or call 888-899-3734. How do I make sure I use a PPO dentist? WebMedicaid has two dental plans. Go to our Find a Dentisttool. 0000025861 00000 n If you have purchased an association plan, an association fee may also apply. To promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service, and value. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! U%}TLfRSt|I'_p:Z9T@p\}$1*4f~y To start or update ERA and EFT, please sign in to the Availity.com portal. Search. endstream endobj 82 0 obj <> endobj 83 0 obj <> endobj 84 0 obj <>stream Webto your copayment schedule for a complete list of covered services): X-rays Mexico, Inc.; NY Delta Dental of New York, Inc.; PA Delta Dental of Pennsylvania. Patients covered by a Humana Dental commercial group plan have the convenience of a digital member ID card and may no longer need to present a physical member ID card. The data is based on actual, non-discounted charges that providers have billed. If a contracted dental provider no longer wants to have third parties accessing its services under the contract the dental provider and Humana entered into, the contracted dental provider can reach out to its Humana dental representative to be removed from third-party access. P.O. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using WebDelta Dental PPO plan through California State University. For Arizona residents: Insured by Humana Insurance Company. Click View Do not avoid getting dental care based on the cost information provided on this website. M=Jnt^ !|znC~^'%?N\Wap/O11Y/!SzHK %%EOF WebDelta Dental of Minnesota 1 -877 631 8954 . 148 0 obj <> endobj Previous Next. Can I go to any dentist I want with this plan? They can use Humana tools to print a paper version of their card or email or fax a copy to your office. This is just one of the solutions for you to be successful. 0000002640 00000 n endstream endobj 153 0 obj <>stream 0000006341 00000 n 155 0 obj <>/Filter/FlateDecode/ID[<11D0ED0D772846A5BDACC2E76C6D3585>]/Index[148 13]/Info 147 0 R/Length 54/Prev 390647/Root 149 0 R/Size 161/Type/XRef/W[1 2 1]>>stream 0000005788 00000 n 6. Webfull dental arch - mandible .. $110.00 D0366 Cone beam CT capture and interpretation with field of view of one full dental arch - maxilla, with or without cranium .. $110.00 D0367 Cone beam CT capture and interpretation with field of view of both hbbd``b`$C`)l 1bL@&3~0 WebDelta Dental Patient Direct is a discount card program based on the Delta Dental PPO fee schedule. endstream endobj startxref |w&Vk2JIUQ kpbU}$qYs#]NflzSC%M_y WIm{SGn>95xfi'c]r_5\}GW:muM'|KC#{oG$tnRw[GU@u/l7{8;}cEl>c7% GsF With signNow, you cane Sign as many documents per day as 0000037948 00000 n Out-of-network dentists It is a nationwide network for MA members who bought their plan in Florida. 0000081041 00000 n Here are some examples. If your dentist participates in both %PDF-1.7 % billing surprises. Webdelta dental ppo fee schedule 2022 pdf delta dental fee schedules delta dental fee schedule pdf delta dental fee schedules by zip code delta dental out-of-network fee Delta Dental. Your actual cost may be higher or lower than the estimate for various reasons. How can I find a participating dentist? The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. {[ WebConfidential 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 these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the 2. (Changes requested between the first and 15th of the month are effective immediately; changes received on or after the 16th of the month will be effective on the first of the next month.). ]xl8/K"Xg%`tp2e JjkK/?0vH>^GHc`Y6{E9cioJX8 qZiu_'-z``MYG%=$Te+X^pGZbu6I The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 4993 0 obj <> endobj xref HumanaDental Medicare Network is the name of the nationwide network for Medicare Advantage members who bought their MA plan outside of Florida. 0000022178 00000 n 2022 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) Connect with your Delta Dental company to learn more. 0000020376 00000 n Check out Virtual Consult, Check out our new DeltaVision plans For more information, refer to these frequently asked questions and answers. the SingularDental fee schedule for pricing details. WebThe submitted fee is the amount that the dental office charges for your service and submits to Delta Dental. (This fee is non-refundable as allowed by state). Lexington, KY 40512-4611, CompBenefits claims office The Delta Dental PPO fee schedules are reviewed annually and updated accordingly. 0000077030 00000 n How can I make my benefits go the furthest? WebDelta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 877.521.2101 | DeltaDentalWA.com DD LG Premier 2015. Refer to your benefit plan to determine whether these requirements apply to you. fM. iApwTu}hoh? DIAGNOSTIC Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. You can change your DeltaCare USA dentist at any time. 2020 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) In Maryland, Delta Dental PPO. Qf Ml@DEHb!(`HPb0dFJ|yygs{. 0000001055 00000 n @C{+$aF^ADjCq)C-{ =Q[m9@q P{( (U"N Y y Oh5; d % )SPp/F w`` >E;!3J B H2H" TN+!u`),aKU@!Ds&'L@6$H d8H i#RMIvJ+rTe+E7,n)9"Aw H)4__DZW3tma,($TirN'}QZEaP_D 5@8 = t` 0000008367 00000 n WebPlease note: This fee schedule applies to procedures performed by a General Dentists only. This website shows estimates of certain dental care costs. 0000023974 00000 n Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Delta Dental Premier Plan . endstream endobj startxref 348 0 obj <> endobj For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. 0000002090 00000 n NAI-1502064614v2 1 Introduction We are pleased to welcome you to the dental plan for BRAND NEW DAY. WebProtect your smile and wallet with a DeltaCare USA plan from Delta Dental. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. Can you give me a comparison of my costs in network vs. out of network? Humana legal entities that offer, underwrite, administer or insure insurance products and services. You have remained in right site to start getting this info. For a complete description of the details of your coverage, please refer to your coverage documents. WebDelta Dental Patient Direct is a discount card program based on the Delta Dental PPO fee schedule. Therefore, it is always best to confirm information with yourhealth careprofessionals. Benefits described in this comparison are guaranteed only when you select a participating dentist from Deltas networks. Refer to the EOC booklet for coverage details and plan limitations. The Delta Dental announcement addresses a shift to regional standard Premier fee schedules (thereby eliminating Premier fee fillings), creating an aggregate increase for PPO general dentist fees, and reducing Premier reimbursement for most oral surgeons, endodontists and periodontists. 4. Preventive services are included in this tool. We pay 100% of an allowed amount - the amount our participating dentists agree to accept, which is less than what they charge their out-of-network patients. Preventive care coverage varies by plan and by demographic considerations such as age. DeltaCare USA, 160 0 obj <>stream hb```f``R |cf`ah s[3D320d+jPh;@''SZ\55|~=dp0u4X43hL `{x+l8AB6i)]@lp9 Webdentists billed charge and the Delta Dental negotiated fee). Webplan offered exclusively to patients at Coast Dental & Orthodontics Specialist services available in select locations and may change without notice Contact your local office to Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. WebDelta Dental Premier is one of our five contracted national network-based programs. 2018 Survey of Dental Fees. These companies are financially responsible for their own products. The Content on this website is not medical advice. Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. [r If so, you may want to review these plan summaries. $O./ 'z8WG x 0YA@$/7z HeOOT _lN:K"N3"$F/JPrb[}Qd[Sl1x{#bG\NoX3I[ql2 $8xtr p/8pCfq.Knjm{r28?. WebWhen a service is denied and the reason for denial is considered integral to another dental service, the participating dentist agrees to the negotiated fee as adjudicated and cannot charge the participant for the denied integral service. 0000033685 00000 n Download Supporting Materials (Free for ADA members) 2022 Survey of Dental Fees. Have a question about coverage or looking for dental insurance? They also may present a digital ID card using their MyHumana mobile app. You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. endstream endobj 152 0 obj <>stream My Contracted Fees 1. SPEEA Scheduled Dental Plan Group # 04360. Here are the benefits of creating an account. WebDelta Dental of New Jersey P.O. $32.50 n/c D0150 COMPREHENSIVE ORAL EVALUATION Webdental entitys Type 2 NPI (if different) to npi@delta.org Please also include the dentists name, practice name, address and license number. WebKpic Delta Dental Fee Schedule 2014 below. Accept Delta Dental of Oregon benefit payments for services provided. My Contracted Fees 1. With your DeltaCare USA plan, when you visit a network dentist, you'll: Save on out-of-pocket costs. hb```f``Ra`a`8 B@1P` bxHFw@[/fv8uAlA7Z!2f2#fp trailer <]/Prev 806005/XRefStm 2090>> startxref 0 %%EOF 5029 0 obj <>stream 0000010743 00000 n "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Minneapolis, MN 55440-9304 . This functionality is no longer available on the Humana.com portal and has been fully migrated to Availity. How much is it going to cost? Web2019 ADA Dental Claim Form Click Here . 0 %PDF-1.5 % WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. O5g8f Dq0tt0Ht D50A8D[=X@M?CooSutoEdx /f f`rg0 yTU 0000016709 00000 n endstream endobj 349 0 obj <. WebDelta Dental of Colorado (Find another state) Help Center: Dentists Claims Does Delta Dental of Colorado accept electronic claims? P.O. If so, please visit Humana Medicare Advantage Supplemental Dental Benefits Information to find the most recent dental office handbook, Humana Medicare Advantage dental benefit descriptions and member-specific dental plans. 0000012977 00000 n You also may contact Delta Dental PPO customer service at (800) 626-3108. Payment is based on the SPEEA fee schedule with Delta Dental. WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. hTP=O0+@PuCH--Ol~z%A7FY/l.8:Cu%IsC]snN|chL}n ' 0000009311 00000 n Find a dentist near you. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. ^o /B Please see your plan booklet or Policy for a complete description of plan benefits, limitations and exclusions. Available free to members or for purchase through the ADA Store, the ADAs 2022 Survey of Dental Fees also features: 5 tips for marketing your dental practice, National average fees broken down for both general practitioners and each of the six specialties, National level statistics for fees for more than 200 commonly performed dental procedures, Average fees charged by general practitioners broken down into nine regional areas, based on U.S. Census divisions, Standard deviation and percentiles for each fee, Dental procedures identified by procedure code and nomenclature from the Code on Dental Procedures and Nomenclature as published in the ADAs CDT 2022. WebFees PPO Fee Percentage Paid by Delta Dental Amount Delta Dental Pays Total Amount You Pay PPO Network $1,200 $850 $850 50% $ 425$ Premier** Network $1,200 $975

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