Delta Dental of Kansas updates to participating dentists.
Delta Dental Participating Dentist Handbook -
The dentist handbook is an extension of the Participating Dentist Agreement and is designed to provide important information related to the general processing policies and guidelines for all ADA CDT procedure codes, along with other helpful information such as definitions, submitting claims, appeals and using electronic services.
The 2019 handbook will be available online by December 31, 2018. To access, log in to your dentist account at DeltaDentalKS.com and click on the "Documents & Dentist Handbook" section.
If you need assistance creating a dentist account or need help navigating the website, contact our Customer Service team at 800.234.3375 or your Professional Relations Representative.
Delta Dental PPOTM Fee Schedule -
The 2019 Delta Dental PPO Fee Schedules were mailed on November 14 to all general dental offices participating in the Delta Dental PPO network. The PPO Fee schedule is also available online, in the "Documents & Dentist Handbook" section of your dentist account at DeltaDentalKS.com.
Contact your local Professional Relations Representative if you would like to participate in or learn more about the PPO network - or send an email requesting more information to email@example.com.
Detailed Dentist Snapshot (DDS Report) -
We've made it easy for you to access the reporting you want. Check out the "Dentist Snapshot Report" in the "Reporting" section of the Kansas Provider Toolkit at DeltaDentalKS.com. In this report you'll find:
It's an easy and quick way to look up your Delta Dental patient benefits, access forms, reports and other important information.
The American Dental Association has published the new procedure codes for 2019. Changes include: 15 new codes, 4 deleted codes and 7 revised codes.
To order CDT 2019 items, visit adacatalog.org or contact the ADA at 800.947.4746.
Please note: the listing of procedure codes does not mean that the procedure code is a covered or reimbursable benefit within a dental benefits plan.
D8660 Pre-orthodontic treatment examination to monitor growth and development – This procedure code is not a benefit for patients with orthodontic history. A “pre” orthodontic visit must be performed on a date preceding orthodontic banding or delivery of aligners. Fees for D8660 submitted on the same date of service as D8070, D8080 or D8090 are not billable to the patient.
Explanation: A “pre” orthodontic visit must be performed on a date preceding orthodontic banding or delivery of aligners.
Evaluations – age limitation changes – D0145 oral evaluation for a patient under three years of age and counseling with primary caregiver.
The following codes are for patients ages 3 years and older:
Claims will be processed based upon the appropriate evaluation code according to age. D0120 (periodic oral evaluation – established patient) remain valid for ages 0-99.
*Preventive Plus - Diagnostic & Preventive services do not accumulate to Annual Maximum.
Please be aware plan changes may occur at the beginning of a plan year. Plan rollovers occur throughout the month of December for the new year, to verify current year accruals contact Customer Service at 800.234.3375.
As a best practice, we recommend that you verify patient coverage and benefits each time your patient seeks treatment at your office. You can easily check by logging in to your dentist account at DeltaDentalKS.com.
*New group Announcement* - Pfizer employees will be covered under the Delta Dental PPO plan through Delta Dental of New York effective January 1, 2019. Delta Dental of New York’s contact center is happy to answer any questions about this transition. Please feel free to call 888-893-4411.
2019 brochures for Delta Dental of Kansas' Individual & Family plans have been mailed out. These updated brochures have the correct rates for 2019.
Please use the 2019 brochures and discard the old brochures. Any enrollee who enrolls AFTER November 25, 2018 will have a 1-1-19 start date, and will have the 2019 rates.
Please send requests for additional brochures to firstname.lastname@example.org.
You're welcome to use the Delta Dental logo to promote your practice - here's how:
Delta Dental of Kansas will match approved charity donations made by a participating dentist within the 2018 calendar year up to $100. Eligible organizations include any non-profit charitable health care, education, civic or cultural organization provided it is located in Kansas and recognized as a tax exempt organization by the IRS under Section 501(c)(3).
2018 Matching Gift Applications must be submitted by December 14, 2018 to Delta Dental of Kansas' Community Benefit department at email@example.com.
To view a list of approved organizations, access the 2018 application and learn more about the matching gift program, visit DeltaDentalKS.com/CommunityBenefit/MatchingGiftProgram.
December 24 & 25 - Christmas
January 1 - New Year's Day
Understanding Dental Insurance Seminar Opportunities:
3/1/2019 - Leawood, KS (9 a.m. - 12 p.m.)
3/8/2019 - Wichita, KS (9 a.m. - 12 p.m.)
Registration and more information coming soon at DeltaDentalKS.com/Register
Dental Office Changes or Updates? Please notify us.
Please contact the Professional Relations team with any dentist and/or office changes or updates. When to notify us:
New and/or change of physical or payment address(es)
New and/or change of phone number(s)
A dentist joining or leaving
Closing of an office
Tax information changes
New and/or changed NPI information
Sale or purchase of practice
License status updates
Contact your Professional Relations Team at
firstname.lastname@example.org or 316.264.1099.
Meet your Professional Relations Representative
Delta Dental of Kansas | DeltaDentalKS.com | 800.234.3375
March 2017 (special edition)
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