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Dental Benefit Plans

Use our resources to navigate the requirements of provider agreements, file dental claims and better understand your appeal rights as a dentist. If you experience challenges, you can submit your dental benefit plan issues online for review.

Dental benefit questions? Get expert advice.

Share issues and get support from expert analysts. 

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Call to Action

Contact your dental plans to stress the importance of providing meaningful financial relief.

Resources by Topic

CDA members already have access to Practice Support’s full resource library. See dental benefits resources listed by topic below for help navigating common dental benefit plan challenges. 

Audits

Resources and information on dental plan audits; understanding the audit authority of third party payers and requirements; and best practices for patient records.

View Audit Resources
Billing

Resources and information on laws related to dental benefits; eligibility verification; proper coding; understanding how to properly bill for treating providers; and navigating the payment dispute process.

View Billing Resources
Carrier-Specific

Resources and information to help dentists navigate a rapidly-shifting marketplace and sustain systems in which dentists can most effectively provide quality oral health care to their patients.

View Carrier-Specific Resources
Claims

Resources and information on provider rights; navigating claim denials, the payment dispute process and appeals; and understanding the role of the plan regulators.

View Claims Resources
Contracting

Information and tools to help dentists evaluate dental plan provider agreements; establish fee schedules; and understand the impact to a dental practice.

View Contracting Resources

Resource Library

Access an online library of downloadable articles, guides, templates, checklists and forms.

Dental Benefit Plan News

Delta rule change continues to negatively affect dentists

CDA Practice Support continues to hear from member dentists impacted by Delta Dental of California’s contractual change under Participating Dentist Rule 2, Basis of Fees that took effect September 15, 2018. Dental practices can take action annually to avoid negative impacts.

Considerations when billing for an associate in the dental practice

Cindy Hartwell, dental benefits analyst at CDA Practice Support, reviews how a dental practice can bill properly by registering all treating dentists in the practice with the dental plan or plans.

Leadership Corner Leadership Corner: Dr. Tippett-Whyte addresses Delta Dental’s postponed fee cuts, highlights CDA’s advocacy initiatives

Dr. Tippett-Whyte discusses the latest developments with Delta Dental's planned fee cuts and provides insight on CDA’s ongoing advocacy efforts to ensure Delta Dental honors its obligation to providers.