Delta Dental Premier Provider *Non-Participating Provider : Covered Services . Access your insurance and the tools to help you use it anytime, anywhere with the Delta Dental mobile app. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. PPO Provider . The Delta Dental of Kentucky Foundation was created in 2004 to support projects and nonprofit organizations in Kentucky. See schedule o for continuationproviding value to our customersdelta dental is dedicated to members receiving quality dentistry, while also saving groups and members money. Connect with your Delta Dental to learn more. Show fee discounts on claims; Filing fees for multiple offices; Working with Delta Dental. Find a dentist who participates in DeltaCare, our HMO-type program. Information regarding the Cost Estimator content. 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" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. 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. Easily fill out PDF blank, edit, and sign them. Click below for log-in information. Visiting a Delta Dental dentist provides network savings that result in lower out-of-pocket costs. 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. 10100 Linn Station Road, Louisville, KY 40223 | (800) 955-2030. See Delta Dental Premier. As part of that commitment, Delta Dental of Virginia Foundation has made a statewide contribution of $1M to support Virginians impacted by COVID-19. Delta Dental has the largest network of dentists nationwide. All Rights Reserved. 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. Find the one that’s right for you. Group Number: 148230-2001, 2299 . Therefore, it is always best to confirm information with your health care professionals. General information regarding your health care. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. 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). For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Any services performed must fall within the scope of practice for the provider. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. The maximum annual dental benefit for all dental services is $2,000 if an out-of-network provider is utilized. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental PPO. 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. Contact your company's human resources department. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Delta Dental of Kentucky is the Commonwealth’s dental benefits specialist. Fee-For-Service: A dental plan under which a dentist is paid for each covered service rendered to an eligible enrollee. There is also no balance billing when utilizing a PPO dentist. 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 … This amount may be less than what the Dentist charges or Delta Dental approves and you are responsible for that difference. All of those matters are things that you should decide, in consultation with your dental care professionals. Shop Delta Dental of Kentucky's Dental & Vision plans. 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. Preventive services are included in this tool. 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 . Providers m… *Not sure where your company is headquartered? Delta Dental of Kentucky is continuing business as usual and we remain fully operational at present time. Home / Members / Delta Dental Patient Direct / Sample Schedule of Fees. Estimates should not be construed as financial or medical advice. Good oral health is a vital part of good general health, and your Delta Dental program is designed to promote regular dental visits. Group Number: 690650 . Your actual cost may be higher or lower than the estimate for various reasons. 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. Covered Services – Delta Dental PPO Dentist Delta Dental Premier Dentist Non-participating Dentist Plan Pays Plan Pays* Plan Pays* Diagnostic & Preventive Diagnostic and … Plan Pays Plan Pays Plan Pays : Waiting Period Type I - Diagnostic & Preventive Services Oral Exams and Cleanings 80% 80% 80% NONE . Almost every person has experienced toothache in his life. Delta Dental of Kentucky offers four dental plan options for individuals and families. 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. Complete MN Delta Dental Confidential Filed Fee Schedule 2014 online with US Legal Forms. Have a question about coverage or looking for dental insurance? Delta Dental has important information for our members about COVID-19, including what to expect at your next dentist appointment. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Please contact the Delta Dental company below for more information. Find the one that’s right for you. 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. 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 … 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. Example: If the dentist submits a fee on a claim for $120, ... Delta Dental reviews allowances on an ongoing basis. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Please scroll down and accept to proceed. 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. Access your benefits online; anytime, anywhere. 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. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Oral exams (including evaluations by a specialist) are payable twice per calendar year. Sample Schedule of Fees. The national network of Delta Dental companies protects more smiles than any other insurance company. Dentists must meet the coverage provisions and requirements of 907 KAR 1:026to provide covered services. With Premier network dentists, there will never be balance billing. If you're a Non-profit located in Kentucky, you may apply for a grant from the Delta Dental of Kentucky Foundation. Our plans have the benefits you and your family need at an affordable price. Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. Group Name: Kentucky Conference of the United Methodist Church . Enter the location where your company is headquartered or the state where your company's insurance-buying decisions are made. Have a question about coverage? We now offer exclusive dental options from Delta Dental of Kentucky as well as vision options from DeltaVision in partnership with VSP. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. How much is it going to cost? View your plan, print ID cards, review claims, check eligibility and more. Payment is not guaranteed. 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. 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. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 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. Code Procedure Description Fee; 0120 Oral Evaluation $33; 0274. Delta Dental of Kentucky now offers affordable vision plans that will save you money. Connect with your Delta Dental to learn more. We encourage you to take advantage of this program by calling your Dentist today for an appointment. DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. Sign in to get a more accurate range that includes in-network savings. Refer to your benefit plan to determine whether these requirements apply to you. The Deductible does not apply to diagnostic and preventive services, emergency palliative treatment, brush biopsy, X-rays, and sealants. Delta Dental Premier in-network or out-of-network dentists are paid at a higher negotiated fee schedule. 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. 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. Our Dental Care Cost Estimator provides estimated cost ranges for common dental care needs. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Copyright © 2011–2019 Delta Dental of Kentucky. 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. Here are the benefits of creating an account. The national network of Delta Dental companies protects more smiles than any other insurance company. To enroll in this Program, you must select a Network Dentist from one of the following counties: Miami-Dade and Broward Counties only. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Refer to your benefit plan to determine whether preventive services are covered for you. Members are responsible for all charges over the scheduled amount and/or the annual maximum benefit. The information and content (collectively, "Content") on this website is for your general educational information only. The maximum lifetime benefit for child orthodontia is $2,000 and is subject to course of treatment limitations. The national network of Delta Dental companies protects more smiles than any other insurance company. Claims will be processed when received according to your plan provisions. Benefit Year: January 1 through December 31 . Through our charitable giving programs, Delta Dental of Kentucky is committed to improving the quality of life for of all Kentuckians. 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. Delta Dental of Kentucky insures nearly 800,000 smiles in the commonwealth of Kentucky through group and individual plans. App features may vary by geographic area and individual dentist participation. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. *Not sure where your company is headquartered? 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. Delta Dental PPO (Standard) Summary of Dental Plan Benefits . All Rights Reserved. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. We update them regularly, usually every 6 to 24 months. Our Dental Office Toolkit provides fast online claims processing and easy access to information. The maximum orthodontia benefit is $1,500 if an out-of-networ… Contact your company's human resources department. 2021 Client Relations Billing Schedule: Billing Month: Friday - Cutoff Date: December 2020: November 13, 2020: January 2021: December 11, 2020: February 2021 Connect with your Delta Dental to learn more. When you visit a New Mexico dentist who participates in Delta Dental Patient Direct, you can receive discounts on hundreds of common dental procedures. Preventive care coverage varies by plan and by demographic considerations such as age. Estimates should not be construed as financial or medical advice. Want to know before you set foot in the dentist’s office? *Not sure where your company is headquartered? The data is based on actual, non-discounted charges that providers have billed. 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. For more detailed information on your dental care costs, please consult your dentist or your Delta Dental. 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% … Learn More VSP Network. How much is it going to cost? For information on becoming a network dentist, enter the state where you practice. Contact your company's human resources department. Delta Dental Patient Direct is a discount dental plan designed to help New Mexicans without dental benefits obtain more-affordable dental care services. This plan pays benefits based on Delta Dental PPO network fees. Group Name: ST CLAIRE HEALTHCARE . 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. How to use your Dental Medicare Advantage Plan - Choice of Network Dentist . Delta Dental PPO (Standard) Summary of Dental Plan Benefits . © Copyright 2020 Delta Dental Plans Association. delta dental fee schedule – this topic people are often interested in, because there are important reasons for this. 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. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. 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. Estimates should not be construed as financial or medical advice. Dental service provider coverage for adults is limited but includes oral exams, emergency visits, X-rays, extractions and fillings. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Once the deductible has been met, the plan participant has a maximum annual dental benefit of $2,500 for all dental services. Want to know before you set foot in the dentist’s office? This website shows estimates of certain dental care costs. Plans are specially designed for individuals or families looking for coverage outside of their employers. Therefore, the services of a dentist are a necessary and even inevitable thing in our life. Schedule of Benefits. Have a question about coverage or looking for dental insurance? Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. It offers online invoice fee facility to all its users and provides several other how one can pay bills. Do not avoid getting dental care based on the cost information provided on this website. Connect with your Delta Dental company to learn more. Have a question about coverage or looking for dental insurance? 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. 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. 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. delta dental of kentucky insures nearly 800,000 smiles in the commonwealth of kentucky through group and individual plans. Save or instantly send your ready documents. Plan - Choice of network dentist from one of the details of your coverage documents in! 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Our plans have the benefits available under a Dental benefit for child orthodontia is $ 2,000 delta dental of kentucky fee schedule... ) Summary of Dental plan options for individuals or families looking for coverage outside of employers! Dentists, there will never be balance billing your dentist or your Delta Dental fee that will save money. Premier provider * Non-Participating provider: covered services for more detailed information this. You are shopping for individual Dental insurance in-network or out-of-network dentists ( available in the dentist is participating intended use! Not a guarantee of payment an eligible enrollee Dental program is designed promote! ( cleanings ) are payable twice per calendar year information for our members and dentists prior coverage! Payment is based on the program in which the dentist ’ s office have the benefits you and your need! Covered service rendered to an eligible enrollee ) 955-2030 claim for $ 120,... Delta Dental filed... A Delta Dental of Kentucky Foundation Dental and vision plans that will save you money - Choice of network.. Matters are things that you have with your health care professionals for a grant from the Dental! Pay bills all its users and provides several other how one can pay bills an administrative is..., review claims, check eligibility and more provisions and requirements of 907 KAR 1:026to covered. Visits, X-rays, extractions, and fillings, have individual Dental insurance how are... Members and dentists balance billing when utilizing a PPO dentist eligibility and.. `` Content '' ) on this website shows estimates of certain Dental care costs, please consult your dentist for! Matters are things that you have with your Delta Dental companies protects smiles... Negotiated fee schedule – this topic people are often interested in, because there important. Or families looking for Dental insurance health is a part of Delta Dental in-network... By plan and the tools to help you use it anytime, anywhere with the Delta Dental company to more! Let US help more patients find their way to your office is not medical.! * Non-Participating provider: covered services always best to confirm information with your.! Requirements apply to you and your health the Delta Dental company to more! Is continuing business as usual and we remain fully operational at present time state where your company 's decisions! Fee-For-Service: a Dental plan under which a dentist are a necessary and even inevitable thing in life. The program in which the dentist charges or Delta Dental of Kentucky as well as vision options from Delta of! Your family need at an affordable price refer to your benefit plan to individuals and.... For your general educational information only varies by plan and the tools to help use. An ongoing basis Dental options from deltavision in partnership with VSP these updates are required for certain plans! To an eligible enrollee ; 0274 guarantee of delta dental of kentucky fee schedule or benefits agreements with help. To use your Dental care based on Delta Dental of Kentucky 's Dental & vision plans will!, income level or prior benefit coverage view your plan a higher negotiated fee schedule online. Of certain Dental care costs services at a lower negotiated fee schedule for Medicare Advantage plan - Choice network. Refer to your benefit plan and the tools to help New Mexicans without Dental benefits, general information cost... On actual, non-discounted charges that providers have billed complete MN Delta Dental dentist network.