Kids
Literally Fight Tooth Decay in Online Game
Oral health education takes a fun new
twist with our Dental Defenders game. Players
embark on action-packed adventures where
brushing, flossing, and healthy eating help
them win. Play
Dental Defenders for a unique experience
that you won't soon forget. Then tell your
young patients about Dental Defenders with this
colorful
game poster!
Radiographic
Submission Requirements Revised as of October
1, 2008
Delta Dental of New Jersey will
implement new radiographic processing
procedures for claims received on or after
October 1, 2008. Whenever a participating
dentist submits a claim that includes any
combination of intraoral films whose combined
fee equals or is greater than a complete
series (D0210), the fee allowed will be
limited to that of a complete series. Also, a
panoramic film submitted together with
supplemental radiographs will be handled in
the same manner.
If a participating or non-participating
dentist submits eight or more intraoral films
and/or a panoramic radiograph with
supplemental bitewings or periapical films,
the dentist must submit a brief narrative as
to the reason for taking the radiograph and
also identify the tooth numbers of the
periapical films if the radiographs are not
part of a complete series or are not intended
to function as a complete series. Delta Dental
will consider that supplemental information in
determining whether the x-rays will be subject
to the limitations for individual x-rays
rather than for a complete series.
Participating
Dentist Appeals Rules and Forms Updated
Please note that we have updated the
appeals rules for participating dentists to
reflect changes in the fees charged by the
American Arbitration Association for their
external (non-binding) reviews. You may access
the new rules and forms or call Customer
Service at 800-452-9310 for a hard copy of the
revised rules. The revisions will take effect
on October 1, 2008.
New
PPO Fees Now in Effect
Our new Delta Dental PPO fees in NJ and
CT, as well as our new Delta Dental Patient
Direct fees in NJ, went into effect January 1,
2008. If you already participate in these
networks, you should have received a copy of
the updated fees. If you need another copy, or
want to learn more about these networks,
please call your dental network coordinator at
888-396-6641.
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