Our dentist credentialing, cost management policies and fee reduction agreements with dentists help our members receive the best dental outcomes. Oral exams (including evaluations by a specialist) are payable twice per calendar year. Once the deductible has been met, the plan participant has a maximum annual dental benefit of $2,500 for all dental services. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. Get started here. 2021 Client Relations Billing Schedule: Billing Month: Friday - Cutoff Date: December 2020: November 13, 2020: January 2021: December 11, 2020: February 2021 Delta Dental of Kentucky . Enter the state where you are located, or if you are looking for information for a client, enter the state where their company’s insurance-buying decisions are made. Customer service representatives will be available by phone from 8am – 6pm EST, Monday through Friday and automated services will continue to be available 24/7. For a complete description of the details of your coverage, please refer to your coverage documents. Want to know before you set foot in the dentist’s office? With Premier network dentists, there will never be balance billing. Learn More VSP Network. Schedule of Benefits. Whether you regularly receive your 2 cleanings or have an unexpected dental emergency, investing in a plan with Delta Dental will always save you money. Benefit Year: January 1 through December 31 . Delta Dental has the largest network of dentists nationwide. General information regarding your health care. For DeltaCare® USA, maximum contract allowances are not applicable. Claims will be processed when received according to your plan provisions. Delta Dental's Online Services ; Protect Your Practice from Fraud; Electronic transactions; Running a paperless office; Update your information; Your Tax Identification Number (TIN, EIN or SSN) Medicare Fraud Waste and Abuse Attestation; Webinars and Events; Resources, Tips, Suggestions. PPO Provider . For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 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. For more detailed information on your dental care costs, please consult your dentist or your Delta Dental. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Consult your dentist or physician for information or treatment specific to you and your health. Contact your company's human resources department. Listing of a service in an administrative regulation is not a guarantee of payment. The data is based on actual, non-discounted charges that providers have billed. Find the one that’s right for you. Delta Dental of Kentucky now offers affordable vision plans that will save you money. Estimates should not be construed as financial or medical advice. As part of that commitment, Delta Dental of Virginia Foundation has made a statewide contribution of $1M to support Virginians impacted by COVID-19. For information on becoming a network dentist, enter the state where you practice. The national network of Delta Dental companies protects more smiles than any other insurance company. Group Number: 148230-2001, 2299 . 10100 Linn Station Road, Louisville, KY 40223 | (800) 955-2030. Sample Schedule of Fees. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. Here are the benefits of creating an account. delta dental fee schedule – this topic people are often interested in, because there are important reasons for this. Learn how we are committed to the safety of our members and dentists. © Copyright 2020 Delta Dental Plans Association. Through our charitable giving programs, Delta Dental of Kentucky is committed to improving the quality of life for of all Kentuckians. You may be responsible for the cost of procedures or services not covered by your plan. Any services performed must fall within the scope of practice for the provider. Copyright © 2011–2019 Delta Dental of Kentucky. Plans are specially designed for individuals or families looking for coverage outside of their employers. Delta Dental PPO (Standard) Summary of Dental Plan Benefits . None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Health information changes quickly. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. If you're a Non-profit located in Kentucky, you may apply for a grant from the Delta Dental of Kentucky Foundation. MHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course 2020; Fraud, Waste and Abuse Attestation; Fraud, Waste and Abuse Training Log . AvMed has teamed up with Delta Dental to offer your dental health plan, a plan with extensive coverage and set costs for continued happiness and big smiles. Delta Dental Premier Provider *Non-Participating Provider : Covered Services . All Rights Reserved. This amount may be less than what the Dentist charges or Delta Dental approves and you are responsible for that difference. Group Name: ST CLAIRE HEALTHCARE . Home / Members / Delta Dental Patient Direct / Sample Schedule of Fees. See Delta Dental Premier. The Content on this website is not medical advice. 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 these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the rules and regulations of Delta Dental. Delta Dental Premier in-network or out-of-network dentists are paid at a higher negotiated fee schedule. Delta Dental Patient Direct is a discount dental plan designed to help New Mexicans without dental benefits obtain more-affordable dental care services. Have a question about coverage or looking for dental insurance? Code Code Status PA Description Min Age Max Age Begin Date End Date Max Units Fee D0350 Fee on File 2D … DELTA DENTAL PATIENT DIRECT® MEMBER FEE SCHEDULE MEMBER PAYS DENTAL SERVICE (Maximum Charge) Delta Dental of Illinois DDIL.PD.FS.080ıı2 Diagnostic Services D 0120 Periodic oral evaluation $23 D 0140 Limited oral evaluation-problem focused $34 D 0145 Oral evaluation for a patient under three years $20 D 0150 Comprehensive oral evaluation NO CHARGE (1 TIME ONLY) D 0160 … It offers online invoice fee facility to all its users and provides several other how one can pay bills. 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. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Delta Dental of Kentucky offers four dental plan options for individuals and families. Dental service provider coverage for adults is limited but includes oral exams, emergency visits, X-rays, extractions and fillings. Therefore, the services of a dentist are a necessary and even inevitable thing in our life. Estimates should not be construed as financial or medical advice. *Not sure where your company is headquartered? Want to know before you set foot in the dentist’s office? Good oral health is a vital part of good general health, and your Delta Dental program is designed to promote regular dental visits. Plan Pays Plan Pays Plan Pays : Waiting Period Type I - Diagnostic & Preventive Services Oral Exams and Cleanings 80% 80% 80% NONE . Connect with your Delta Dental to learn more. Estimates may vary depending on your benefit plan and the state you live in. delta dental of kentucky insures nearly 800,000 smiles in the commonwealth of kentucky through group and individual plans. The information and content (collectively, "Content") on this website is for your general educational information only. The national network of Delta Dental companies protects more smiles than any other insurance company. Payment is not guaranteed. In 2015, an additional charitable program, Making Smiles Happen, was established to further our not-for-profit mission. Control Plan - Delta Dental of Colorado . 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. Delta Dental has the largest network of dentists nationwide. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Have a question about coverage? Do not avoid getting dental care based on the cost information provided on this website. Delta Dental Premier Dentist or Nonparticipating Dentist - $75 Deductible per person total per Benefit Year limited to a maximum Deductible of $225 per family per Benefit Year. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what dental benefits your plan will cover, or your out-of-pocket costs. Estimates should not be construed as financial or medical advice. Save or instantly send your ready documents. see schedule o for continuationfor close to six decades, delta dental of kentucky has helped promote healthy smiles for our members by designing and administering innovative, cost-effective dental benefit programs. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Show fee discounts on claims; Filing fees for multiple offices; Working with Delta Dental. Code Procedure Description Fee; 0120 Oral Evaluation $33; 0274. DENTAL FEE SCHEDULE Effective 01/01/2020 Print Date: 05/05/2020 Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) Pricing does not include cutbacks, assessment fees, etc. Access your insurance and the tools to help you use it anytime, anywhere with the Delta Dental mobile app. In order to solve this problem, he always turned to the dentist. How much is it going to cost? The maximum lifetime benefit for child orthodontia is $2,000 and is subject to course of treatment limitations. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Delta Dental PPO (Standard) Summary of Dental Plan Benefits . Fee-For-Service: A dental plan under which a dentist is paid for each covered service rendered to an eligible enrollee. Delta Dental of Kentucky Delta Dental PPO (Standard) Summary of Dental Plan Benefits Group Name: Mercer County Board of Education Group Number: 709020 Covered Services – In-Network Out-of-Network Plan Pays Plan Pays* Diagnostic & Preventive Diagnostic and Preventive Services – exams, cleanings, fluoride, and space maintainers 100% 100% Emergency Palliative Treatment – to … Information regarding the Cost Estimator content. Refer to your benefit plan to determine whether preventive services are covered for you. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Our Dental Office Toolkit provides fast online claims processing and easy access to information. We now offer exclusive dental options from Delta Dental of Kentucky as well as vision options from DeltaVision in partnership with VSP. Our plans have the benefits you and your family need at an affordable price. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Access your benefits online; anytime, anywhere. Delta Dental PPO. Easily fill out PDF blank, edit, and sign them. Find a dentist who participates in DeltaCare, our HMO-type program. Preventive services are included in this tool. Please contact the Delta Dental company below for more information. Providers m… 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. See schedule o for continuationfor close to six decades, Delta Dental of Kentucky has helped promote healthy smiles for our members by designing and administering innovative, cost-effective Dental benefit programs. *Not sure where your company is headquartered? Find the one that’s right for you. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. No dentist found that matches your criteria, I receive dental insurance through my employer, Please enter a treatment type and/or valid 5-digit ZIP code. Group Number: 690650 . Contact your company's human resources department. 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. DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. Your actual cost may be higher or lower than the estimate for various reasons. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Delta Dental of Kentucky is continuing business as usual and we remain fully operational at present time. This plan pays benefits based on Delta Dental PPO network fees. Shop Delta Dental of Kentucky's Dental & Vision plans. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Refer to your benefit plan to determine whether these requirements apply to you. Dentists must meet the coverage provisions and requirements of 907 KAR 1:026to provide covered services. App features may vary by geographic area and individual dentist participation. Let us help more patients find their way to your office. Covered Services – Delta Dental PPO Dentist Delta Dental Premier Dentist Non-participating Dentist Plan Pays Plan Pays* Plan Pays* Diagnostic & Preventive Diagnostic and … View your plan, print ID cards, review claims, check eligibility and more. The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. Sign in to get a more accurate range that includes in-network savings. Delta Dental of Kentucky is a part of Delta Dental Plans Association. The national network of Delta Dental companies protects more smiles than any other insurance company. 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. The national network of Delta Dental companies protects more smiles than any other insurance company. We encourage you to take advantage of this program by calling your Dentist today for an appointment. Therefore, it is always best to confirm information with your health care professionals. Our Dental Care Cost Estimator provides estimated cost ranges for common dental care needs. When you visit a New Mexico dentist who participates in Delta Dental Patient Direct, you can receive discounts on hundreds of common dental procedures. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Get started here. The national network of Delta Dental companies protects more smiles than any other insurance company. The maximum annual dental benefit for all dental services is $2,000 if an out-of-network provider is utilized. Delta Dental PPO in-network providers offer services at a lower negotiated fee schedule, resulting in lower member copays. Delta Dental Patient Direct® Schedule 19 Form 0718 Diagnostic and Preventive Services (x-rays and cleanings) Restorative Services (fillings and crowns) ADA CODE DENTAL PROCEDURE /ADA CODE DESCRIPTION NORMAL FEE* MEMBER FEE YOU SAVE D2950 Core buildup, including any pins when required $369 $104 72% D2951 Pin retention - per tooth, in addition to restoration $112 $31 72% … Please scroll down and accept to proceed. There is no separate fee schedule for Medicare Advantage plans, as payment is based on the program in which the dentist is participating. Almost every person has experienced toothache in his life. Prophylaxes (cleanings) are payable twice per calendar year. Connect with your Delta Dental to learn more. Dental and Vision Plans are available to all Kentucky residents, regardless of age, income level or prior benefit coverage. Members are responsible for all charges over the scheduled amount and/or the annual maximum benefit. Delta Dental PPO dentists accept our PPO fees as payment in full, so members will pay the least out-of-pocket with a PPO dentist. Dental coverage for children includes oral exams, emergency visits, x-rays, extractions, and fillings. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Preventive care coverage varies by plan and by demographic considerations such as age. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. The Delta Dental of Kentucky Foundation was created in 2004 to support projects and nonprofit organizations in Kentucky. Connect with your Delta Dental company to learn more. Delta Dental of Kentucky now offers affordable vision plans that will save you money. We update them regularly, usually every 6 to 24 months. There is also no balance billing when utilizing a PPO dentist. These updates are required to be filed first for approval by state regulatory agencies in many locales. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. How to use your Dental Medicare Advantage Plan - Choice of Network Dentist . All of those matters are things that you should decide, in consultation with your dental care professionals. Benefit Year – Policy Year. Have a question about coverage or looking for dental insurance? See schedule o for continuationproviding value to our customersdelta dental is dedicated to members receiving quality dentistry, while also saving groups and members money. All Rights Reserved. DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. Estimates should not be construed as financial or medical advice. Delta Dental of Kentucky Delta Dental PPO plus Premier Summary of Dental Plan Benefits Group Name: ... * When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. Connect with your Delta Dental to learn more. 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. Complete MN Delta Dental Confidential Filed Fee Schedule 2014 online with US Legal Forms. The Deductible does not apply to diagnostic and preventive services, emergency palliative treatment, brush biopsy, X-rays, and sealants. How much is it going to cost? It shows procedures, date(s) of service, processing policies, Delta Dental's payment and the amount (if any) that the enrollee owes to the dental provider. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). Contact your company's human resources department. Group Name: Kentucky Conference of the United Methodist Church . By clicking, you agree that you have read the information below, 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. Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. Enter the location where your company is headquartered or the state where your company's insurance-buying decisions are made. Delta Dental of Kentucky insures nearly 800,000 smiles in the commonwealth of Kentucky through group and individual plans. 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. Delta Dental of Kentucky . 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. This website shows estimates of certain dental care costs. To enroll in this Program, you must select a Network Dentist from one of the following counties: Miami-Dade and Broward Counties only. Benefit Year: January 1. st. through December 31. st. The maximum orthodontia benefit is $1,500 if an out-of-networ… Language Assistance: لعربیة | Ikirundi | 繁體中文 | Français | Deutsch | 日本語 | 한국어 | नेपाली | Oroomiffa | Deitsch | Русский | Srpsko-hrvatski | Español | Tagalog | Tiếng Việt, I receive dental insurance through my employer. A Delta Dental Medicare Advantage TM member will be handled the same as any other patient in your practice who has a Delta Dental PPO or Delta Dental Premier plan, and claims will be processed the same as well. Confidential Filed Fee Schedule (Updated to include CDT 2018 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 rules and regulations of Delta Dental. CLASSIC PLAN . Delta Dental has important information for our members about COVID-19, including what to expect at your next dentist appointment. The national network of Delta Dental companies protects more smiles than any other insurance company. Example: If the dentist submits a fee on a claim for $120, ... Delta Dental reviews allowances on an ongoing basis. Have a question about coverage or looking for dental insurance? The national network of Delta Dental companies protects more smiles than any other insurance company. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Visiting a Delta Dental dentist provides network savings that result in lower out-of-pocket costs. *Not sure where your company is headquartered? Delta Dental of Kentucky is the Commonwealth’s dental benefits specialist. Click below for log-in information. 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