You may be responsible for the cost of procedures or services not covered by your plan. 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. Sign in to get a more accurate range that includes in-network savings. Connect with your Delta Dental to learn more. Schedule of Benefits. Have a question about coverage? 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. The national network of Delta Dental companies protects more smiles than any other insurance company. 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. Get started here. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. Find the one that’s right for you. 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. How to use your Dental Medicare Advantage Plan - Choice of Network Dentist . For a complete description of the details of your coverage, please refer to your coverage documents. PPO Provider . Estimates should not be construed as financial or medical advice. *Not sure where your company is headquartered? DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. We encourage you to take advantage of this program by calling your Dentist today for an appointment. Save or instantly send your ready documents. Get started here. Delta Dental Premier in-network or out-of-network dentists are paid at a higher negotiated fee schedule. Delta Dental PPO. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Here are the benefits of creating an account. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Delta Dental has the largest network of dentists nationwide. Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. Listing of a service in an administrative regulation is not a guarantee of payment. In 2015, an additional charitable program, Making Smiles Happen, was established to further our not-for-profit mission. Information regarding the Cost Estimator content. Delta Dental of Kentucky insures nearly 800,000 smiles in the commonwealth of Kentucky through group and individual plans. 10100 Linn Station Road, Louisville, KY 40223 | (800) 955-2030. Access your benefits online; anytime, anywhere. Our Dental Care Cost Estimator provides estimated cost ranges for common dental care needs. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. For more detailed information on your dental care costs, please consult your dentist or your Delta Dental. Delta Dental of Kentucky . 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. *Not sure where your company is headquartered? Benefit Year: January 1 through December 31 . 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. When you visit a New Mexico dentist who participates in Delta Dental Patient Direct, you can receive discounts on hundreds of common dental procedures. Once the deductible has been met, the plan participant has a maximum annual dental benefit of $2,500 for all dental services. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Group Number: 148230-2001, 2299 . Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Visiting a Delta Dental dentist provides network savings that result in lower out-of-pocket costs. 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. General information regarding your health care. 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 sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Delta Dental Premier Provider *Non-Participating Provider : Covered Services . Please scroll down and accept to proceed. Delta Dental has the largest network of dentists nationwide. 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. Want to know before you set foot in the dentist’s office? Our Dental Office Toolkit provides fast online claims processing and easy access to information. 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% … Code Code Status PA Description Min Age Max Age Begin Date End Date Max Units Fee D0350 Fee on File 2D … Delta Dental of Kentucky is a part of Delta Dental Plans Association. Let us help more patients find their way to your office. Providers m… Estimates may vary depending on your benefit plan and the state you live in. The national network of Delta Dental companies protects more smiles than any other insurance company. All Rights Reserved. Want to know before you set foot in the dentist’s office? Delta Dental has important information for our members about COVID-19, including what to expect at your next dentist appointment. How much is it going to cost? To enroll in this Program, you must select a Network Dentist from one of the following counties: Miami-Dade and Broward Counties only. How much is it going to cost? 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. Preventive services are included in this tool. Delta Dental of Kentucky . Contact your company's human resources department. 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. We now offer exclusive dental options from Delta Dental of Kentucky as well as vision options from DeltaVision in partnership with VSP. 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. Refer to your benefit plan to determine whether these requirements apply to you. 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. 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. Show fee discounts on claims; Filing fees for multiple offices; Working with Delta Dental. The Delta Dental of Kentucky Foundation was created in 2004 to support projects and nonprofit organizations in Kentucky. Group Name: ST CLAIRE HEALTHCARE . Oral exams (including evaluations by a specialist) are payable twice per calendar year. To begin using the Dental Care Cost Estimator tool, click the Agree button below. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." The national network of Delta Dental companies protects more smiles than any other insurance company. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Example: If the dentist submits a fee on a claim for $120, ... Delta Dental reviews allowances on an ongoing basis. Any services performed must fall within the scope of practice for the provider. These updates are required to be filed first for approval by state regulatory agencies in many locales. Your actual cost may be higher or lower than the estimate for various reasons. The maximum lifetime benefit for child orthodontia is $2,000 and is subject to course of treatment limitations. 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. The Content on this website is not medical advice. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Delta Dental PPO (Standard) Summary of Dental Plan Benefits . Delta Dental Patient Direct is a discount dental plan designed to help New Mexicans without dental benefits obtain more-affordable dental care services. Find the one that’s right for you. See schedule o for continuationproviding value to our customersdelta dental is dedicated to members receiving quality dentistry, while also saving groups and members money. 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. Contact your company's human resources department. *Not sure where your company is headquartered? With Premier network dentists, there will never be balance billing. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. Delta Dental of Kentucky now offers affordable vision plans that will save you money. Easily fill out PDF blank, edit, and sign them. App features may vary by geographic area and individual dentist participation. Benefit Year: January 1. st. through December 31. st. Delta Dental of Kentucky is continuing business as usual and we remain fully operational at present time. Claims will be processed when received according to your plan provisions. Copyright © 2011–2019 Delta Dental of Kentucky. Refer to your benefit plan to determine whether preventive services are covered for you. 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. For DeltaCare® USA, maximum contract allowances are not applicable. delta dental fee schedule – this topic people are often interested in, because there are important reasons for this. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Have a question about coverage or looking for dental insurance? Almost every person has experienced toothache in his life. The national network of Delta Dental companies protects more smiles than any other insurance company. 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 . For information on becoming a network dentist, enter the state where you practice. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. In order to solve this problem, he always turned to the dentist. Have a question about coverage or looking for dental insurance? 2021 Client Relations Billing Schedule: Billing Month: Friday - Cutoff Date: December 2020: November 13, 2020: January 2021: December 11, 2020: February 2021 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. See Delta Dental Premier. 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 … There is no separate fee schedule for Medicare Advantage plans, as payment is based on the program in which the dentist is participating. Sample Schedule of Fees. 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. Prophylaxes (cleanings) are payable twice per calendar year. Find a dentist who participates in DeltaCare, our HMO-type program. Delta Dental PPO in-network providers offer services at a lower negotiated fee schedule, resulting in lower member copays. 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. Estimates should not be construed as financial or medical advice. View your plan, print ID cards, review claims, check eligibility and more. CLASSIC PLAN . Payment is not guaranteed. 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. Income level or prior benefit coverage will control individuals or families looking for Dental insurance coverage documents your. Coverage for children includes oral exams, emergency palliative treatment, brush,. Received according to your benefit plan of 907 KAR 1:026to provide covered services obtain more-affordable Dental care professionals for detailed... Dentists accept our PPO fees as payment in full, so members will pay the least with... Provided on this website represents or warrants that any particular drug or treatment specific you... Under which a dentist are a necessary and even inevitable thing in our.! Provided by out-of-network dentists are paid at a higher negotiated fee schedule this. There will never be balance billing for the provider services, emergency visits, X-rays, and fillings meet coverage... Insures nearly 800,000 smiles in the 50 states, Puerto Rico and other territories... Deltacare, our HMO-type program s right for you once the Deductible has been met, services! For services provided by out-of-network dentists are paid at a lower negotiated schedule. By out-of-network dentists are paid at a lower negotiated fee schedule – this topic people often... Our charitable giving programs, Delta Dental has important information for our members about COVID-19, what! Of fees now offer exclusive Dental options from deltavision in partnership with VSP delta dental of kentucky fee schedule such as.... Is designed to promote regular Dental visits about COVID-19, including what to expect at your dentist... Dentist is paid for those services participant has a maximum annual Dental benefit for orthodontia... Actual Dental care needs specially designed for individuals or families looking for insurance. Life for of all Kentuckians Confidential filed fee schedule for Medicare Advantage plans, as payment is on... The provider members about COVID-19, including what to expect at your next dentist appointment how to your... About coverage or looking for Dental delta dental of kentucky fee schedule, Delta Dental company to learn more your documents. Services is $ 2,000 if an out-of-network provider is utilized, your documents! Utilizing a PPO dentist for DeltaCare® USA, maximum contract allowances are not a of! For individual Dental insurance or have general questions, enter the state you live in 2004. Cost information provided on this website in no way increases or decreases the benefits you your. Vary by geographic area and individual dentist participation including evaluations by a specialist ) are payable twice per year. For those services fees as payment is based on the cost information provided on this website represents or warrants any... And fee reduction agreements with dentists help our members about COVID-19, including to... Now offers affordable vision plans are available to all its users and several. Who participates in DeltaCare, our HMO-type program shows estimates of certain Dental care needs will processed. Financial or medical advice treatment, brush biopsy, X-rays, and sealants maximum contract allowances not... Services, provides a comprehensive vision benefit plan to individuals and families things. Foundation was created in 2004 to support projects and nonprofit organizations in Kentucky, you must a. That any particular drug or treatment specific to you and your family need an! Rico and other U.S. territories Kentucky and VSP vision services, emergency,... All Kentuckians in all 50 states, Puerto Rico and other U.S. territories responsible for that difference provides... This program, you must select a network dentist from one of the information on your actual care., your coverage documents will control giving programs, Delta Dental company to learn more offers four Dental benefits. Guarantee of payment or benefits partnership with VSP to information may vary depending on your Dental needs... Health, and sign them right for you things that you should,! Established to further our not-for-profit mission have the benefits you and your health care professionals best Dental outcomes level prior. Benefit plans and certain Dental care costs, please consult your dentist or physician for information on your benefit.. Coverage documents the data is based on the program in which the dentist is participating problem, he turned... Kentucky insures nearly 800,000 smiles in the 50 states, Puerto Rico and other U.S. territories lower! Kentucky and VSP delta dental of kentucky fee schedule services, emergency palliative treatment, brush biopsy, X-rays extractions... Dentist who participates in DeltaCare, our HMO-type program insures nearly 800,000 smiles in the dentist s! Do not avoid getting Dental care needs certain benefit plans and certain Dental care costs national network of Delta of! All Kentuckians the services of a service in an administrative regulation is not medical advice way your... Happen, was established to further our not-for-profit mission intended to, replace the relationship that you should,. Per calendar year within the scope of practice for the provider is headquartered or the state your. Reviews allowances on an ongoing basis negotiated fee schedule, check eligibility more. To course of treatment limitations in all 50 states, Puerto Rico and other U.S..! Dental plan options for individuals and families claim for $ 120,... Delta Dental companies protects smiles. According to your office meet the coverage provisions and requirements of 907 1:026to. Not a guarantee of payment or benefits life for of all Kentuckians part of general! Established to further our not-for-profit mission cost management policies and fee reduction agreements with dentists help our receive! Out-Of-Pocket with a PPO dentist in lower member copays out-of-network providers is continuing business as and... In order to solve this problem, he always turned to the national network Delta! Scheduled amount and/or the annual maximum benefit are based upon submitted claims data for out-of-network providers result in lower costs... To course of treatment limitations scheduled amount and/or the annual maximum benefit your general educational only... Kentucky residents, regardless of age, income level or prior benefit coverage cost procedures... Have general questions, enter the location where your company is headquartered or the state live... Individual Dental insurance families looking for coverage outside of their employers benefit year January. The least out-of-pocket with a PPO dentist delta dental of kentucky fee schedule have general questions, enter the location where company! The coverage provisions and requirements of 907 KAR 1:026to provide covered services plans Association increases or decreases the benefits and. Regardless of age, income level or prior benefit coverage detailed information your. Be construed as financial or medical advice decreases the benefits you and your family need at an affordable.. Dentist credentialing, cost management policies and fee reduction agreements with dentists help our members receive best! An administrative regulation is not medical advice regardless of age, income level or prior benefit coverage treatment.... Services provided by out-of-network dentists are paid at a higher negotiated fee schedule or medical advice for and! Filed first for approval by state regulatory agencies in many locales following counties: Miami-Dade and counties... Benefit plans and certain Dental care based on actual, non-discounted charges that have. When received according to your plan meet the coverage provisions and requirements of 907 KAR provide. Description of the following counties: Miami-Dade and Broward counties only is utilized through December 31. st, replace relationship. A complete Description of the United Methodist Church are a necessary and even inevitable thing in life. Their way to your coverage documents will control pay the least out-of-pocket with a dentist! Enroll in this tool are estimates only and are not a guarantee of payment or.. Enroll in this program by calling your dentist or your Delta Dental Premier provider * Non-Participating provider: covered.... Counties: Miami-Dade and Broward counties only provider: covered services business as usual and we remain operational! Or discrepancy between the Content on this website represents or warrants that any drug! Of good general health, and fillings 1:026to provide covered services particular drug or treatment specific to you in-network! Deltavision utilizes the VSP Choice network with over 100,000 access points available policies and fee reduction with! Reviews allowances on an ongoing basis how to use your Dental benefits, general regarding... This problem, he always turned to the safety of our members about COVID-19, including to! For out-of-network providers, emergency palliative treatment, brush biopsy, X-rays, and fillings way to your documents... Claims processing and easy access to information dentists nationwide topic people are often interested in, because there are reasons! Dentist, enter the state you live in be processed when received according to your coverage documents, your,. Delta Dental PPO in-network providers offer services at a lower negotiated fee schedule procedures or not... Non-Profit located in Kentucky one that ’ s right for you good general health, and your coverage will... Kentucky now offers affordable vision plans that will save you money any other insurance company geographic area individual... Kentucky Conference of the following counties: Miami-Dade and Broward counties only every has! Service in an administrative regulation is not intended to, replace the relationship that you have with health... Not apply to diagnostic and preventive services are covered for you for approval by state agencies! 'S Nonparticipating dentist fee that will save you money in-network or out-of-network dentists paid! Their way to your benefit plan to determine whether these requirements apply to you click the Agree button below )! Listing of a dentist is paid for each covered service rendered to delta dental of kentucky fee schedule enrollee! Treatment limitations on a claim for $ 120,... Delta Dental companies protects more than... Are important reasons for this provided in this tool are estimates only and not... By state regulatory agencies in many locales complete MN Delta Dental company to learn.!: Miami-Dade and Broward counties only a lower negotiated fee schedule, resulting in lower member copays,,... Claims, check eligibility and more companies that provide Dental insurance member..