Dental rate fee schedule rates effective 5115 through 63015 procedure code description april 2014 fee rate cute 16. Total dental administrators customer service 8774534201 outside utah. Dentemax is committed to delivering the best possible service and support to its dentists, client partners and their members. This comprehensive listing of fee maximums is used to reimburse a physician andor other providers on a feeforservice basis. Code code status pa description min age max age begin date end date max units fee d0482 not covered direct immunofluorescence 0 999 01012005 12319999 1 0. This entire fee schedule is for participating avia dental general dentists only. Dentemax is an independent dental ppo network serving more than 20 million members nationally. Also note, the dentemax medicare network is solely for blue advantage customers. We can help you find a dentist and learn about oral health, good oral health is a key component of overall health, and our dentists are here to serve you. They are effective for dates of service january 1, 2019, through december 31, 2019.
Epsdt dental program fee schedule for dates of service august 1, 20 through june 30, 2014 pdf format. Medicaid dental ffs fee schedule effective 712015 cdt procedure code procedure code desc updated ffs base value eff. Caresource offers electronic funds transfer eft as a payment option. The network is leased to insurance companies, thirdparty. Locate new groups or administrators that have joined dentemax. Dentists benefits of joining dentemax dental ppo network. Washington county dental plan 2020 schedule of dental. Careington or its vendors may periodically adjust this fee schedule with 30 days notice to client. Welcome to the north carolina dental society, home of more than 3,900 member dentists and your source of oral health information in north carolina.
Our clients of insurance companies, thirdparty administrators and various groups lease the dentemax ppo network for use in their dental benefit plans in order to service their more than 20 million members nationwide. With the dentemax network of dentists, members can enjoy saving from 20% to 50% on most dental procedures with access to over 156,000 credentialed dental access points including a complete specialty network. You currently have jurisdiction allregions selected, however this page only applies to these jurisdiction s. Fee schedule fees displayed are sample, please call the. Careington maximum care network careington has owned and managed. As a dentemax dentist, reimbursement will be made according to your dentemax fee schedule. For the latest rating, visit good dental health also results in improved overall. Please note that all blue advantage member claims will be processed by united concordia dental. Preventive dental care includes care such as annual exams and accompanying xrays, cleanings and fluoride treatments to prevent cavities. Dentemax please select individual membership under network type telephone. For more information or a proposal, please contact. Employees benefit the most from using an innetwork pro.
If the general dentists normal fee for any dental procedure is less than the fee listed on this schedule, the dentist will charge 20% off of their normal fee for that dental procedure. Retirees can continue to use dentemax dentists to receive discounted. Dentemax is a network of participating dentists who have agreed to a fee schedule. Careington 500 fee schedule for dentists verify discounts. Network dentists accept the blue cross fee schedule as payment in full after any deductible and. Dentemax does not support commercial products offered by blue cross. Dental rate fee schedule rates effective 5115 through. A dsp is not dental insurance, its a discount program negotiated with a network of michigan dentists. Please note that dentemax is a leasable dental ppo network which is leased to insurance companies and other organizations. Shaded cell indicates codes are no longer covered for the enhanced benefit. Covered dental services, network benefits generally require you to pay less to the provider than nonnetwork benefits. Careington maximum care network healthy choices benefit plans. Current dental terminology including procedure codes. Access your fee schedule prior to your dental visit to view your expected savings at the dentist.
Dp atyourservice team to access fees by dentist or region. Vsp vision providers, and dentemax dental providers. With more than 30 years of industry experience, dentemax success is built upon its ppo network of dental professionals. Alliance 120under advantage program paid under assurant ppo. Dentemax is one of the most affordable and easytouse discount dental networks in the country. The fee schedules below are full replacements for the fee schedules posted originally on 112018.
Dentemax is one of the largest leasable dental ppo networks in the united states with over accesspoints dentist access points nationwide. Outofnetwork benefits may also receive applicable network discounts from providers in networks under agreement. Select the product and place of service from the drop down menus. Nov 19, 2019 a fee schedule is a complete listing of fees used by medicare to pay doctors or other providerssuppliers. In accordance with the regulations issued pursuant to the claims settlement practices and dispute mechanism act of 2000 ca ab1455 for hmo and to the expansion of the health care providers bill of rights under ca sb 634 for indemnity and ppo products, were providing you with information about how to access your fee schedule. This information will be populated after the patient lookup has been completed. Please visit our product inquiry section clients savings dentemax dental ppo network. Network benefits are determined based on the contracted fee for each covered dental service. General dentist fee schedule page 1 of 8 11178 huron st. Dentemax has been proudly delivering a quality dental. The ppo network offered to participants of the toledo. Dentemax provides peace of mind for members with predictable fee schedules that are typically 20%40% below dentists usual charges. A sample table of dentemax discount dental plan discounted fees can be found above. Please note that all blue advantage member claims will be processed by united.
Office reference manual pdf 2015 dental fee schedule update 712015 pdf. The dentemax network is leased for these programs with the same 20%40% discount fee schedule and high quality dentists as our commercial network. Enter the member zip code, date of birth, and gender. Member is responsible for all charges at the time of service. The participant is responsible for any charges above that amount. For questions regarding insurance claims, charges, deductibles, copays, etc. Dentemax eventually expanded into ohio and california, and gradually throughout the entire united states to become the nations largest leasable dental ppo network. Office managers benefit guidance dentemax dental ppo network. Here are some of the key elements you will find there. Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee medicaid coverage of the item or procedure. This is not insurance the dentemax plan allows you to save money and receive savings on dental care through a wide provider network. Visit the provider portal for additional information about the program. Ratings current as of 08052015 policy form series ndngrp 2010 and.
If you participate in more than one of these networks, the alwayscare benefits dental network or dentemax plusalwayscare fee schedule takes precedence, followed by careington, united concordia, dentemax, maverest and then connection. The reimbursement rates reflected in this fee schedule are in effect as of the date of this report. These discounted fees are up to 40% less than what a dentist would normally charge. The reimbursement rate applied to a claim depends on the claims date of service because arkansas medicaids reimbursement rates are dateofservice effective. Cms develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical. Cosmetic and any other procedures not listed are 20% off the providers normal fee.
A fee schedule is a complete listing of fees used by medicare to pay doctors or other providerssuppliers. Dentemax discount dental plan, by dentemax, is a dental savings plan dsp for michigan seniors. Dentemax please select individual membership under network type. If you use an innetwork doctor or health care provider. Fee schedulesbcbsils schedule of maximum allowancesare a key component of your contractual relationship with bcbsil, and we want to help ensure. Your practice will use only one dentemax fee schedule regardless of the patients insurance or thirdparty administrator plan. Scan code to learn more about maxxeus dbm putty scan code to learn more about maxxeus dbm putty 2015 fee schedule cortical bone dy025 0. Dentemax is fully committed to increasing your access to new patients and helping you build your practice. Truassure claims, claims processing and customer service information for questions about access, benefits and eligibility please contact truassure at or 888 5590779. Inclusive for multiple offices and dentists all dentists and offices working under the same tax id are included in the dentemax network. Dentemax fee schedule 2011 dental network of america. Unless otherwise noted in the schedule of covered dental services or section 11. Dentemax discount dental plan is an affordable alternative to dental insurance.
General dentists who participate in the dentemax discount dental plan have agreed to accept a discounted fee as payment in full for each service performed. Dentemax is one of the nations largest leasable dental ppo networks in the nation. Epsdt dental program fee schedule for dates of service july 1, 2014 through present pdf format current fee schedule for the louisiana medicaid epsdt dental program for the given dates of service. The dentemax discount dental plan dsp will save you 10% to 40% on common dental procedures. Mason fee schedule for dentemax providers revised 312011 crown and bridge cosmetic nonprecious pfm 70.
When a member visits a participating dentist, the member is charged according to the reduced dentemax fee schedule, with payment due at the time of service. We make we make frequently asked questions dentemax dental ppo network. Description min age max age begin date end date max units fee d0120 periodic oral exam established patient 0. We pride ourselves on the high quality dental care that dentists like yourself provide to our nationwide client partner. These are typical fees based on the 80th percentile of the national dental advisory service fee report for 2014. Aug 19, 20 caresource ohio 2015 dmerc fee schedule caresource just4me fee schedule caresource fee schedule for 2015 dental medicaid reimbursement fee schedule georgia humana care source fee schedule fee schedule for caresource of ohio explain dir fee florida medicaid dental fee schedule.
Univera fee schedule for all providers in and outofnetwork univera fee schedule for all inarea providers. North carolina dental society american dental association. Fee schedule for blue cross blue shield of michigan revised may 1, 2020 inclusion of a fee schedule amount for an item doesnt necessarily indicate coverage. Dental rate fee schedule rates effective 5115 through 63015. Innetwork referring to the inclusion of a dentist in a network arrangement, and with whom a plan or type of benefit has an agreement to provide care for its members. This comprehensive listing of fee maximums is used to reimburse a physician andor other providers on a fee forservice basis.
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