The Delta Dental Smiles member cannot be billed for the difference in cost. "D2929 - Prefabricated porcelain/ceramic crown, primary tooth, or D2934, prefabricated esthetic coated stainless steel crown, primary tooth, may be performed and submitted, but will be alternated and covered as a D2930, prefabricated stainless steel crown, primary tooth."ĭHS has advised Delta Dental that a D2934 can be billed and paid at the D2930 rate.
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Porcelain and Ceramic Crownsĭelta Dental’s Provider Manual currently states: Under state and federal Medicaid rules, dentists cannot collect from the Delta Dental Smiles member the difference between the dentist’s charge for the posterior composite and the amount paid by Delta Dental. “If a provider chooses to do posterior composites, reimbursement will be given at the amalgam reimbursement rate.” The current DHS dental provider manual (Sec. Posterior Compositesĭelta Dental will continue the previous approach taken by DHS with respect to posterior composites. Questions about payments for posterior composites, crowns and dentures continue going into the new managed care Medicaid dental program. If you have any questions or concerns, please contact Provider Relations at or 50. In the event you are unhappy with the results you can file a grievance.
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If you are unsatisfied or have any other issues, we encourage you to discuss them with our Professional Relations Department or Customer Service Representatives.
If you need further assistance, call our customer service department at 1-86. If you need assistance with billing, pre-authorizations, access to the provider manual, and access to our secure electronic claims submission portal please log in to our Dental Office Toolkit by clicking here. Our Professional Relations staff is also available to schedule a visit to your office to answer any questions that you may have. Contact us at 50 and our friendly staff will help guide you through the process. If you are not already participating in the Arkansas Medicaid dental program, you will need our provider enrollment packet and a Medicaid provider number. You can return the completed documents by: Joining the Delta Dental Smiles network is simple! If you are a current participating network dentist with Delta Dental of Arkansas, contact our Professional Relations staff at 50 to request an amendment to your existing network contract and enrollment form. Click here to log in and view the Smiles Provider Manual, Smiles Forms, and other useful resources. Access to our world class customer service department.ĭelta Dental Smiles Provider Forms and Resources can be accessed from the "Announcements" section of the Dental Office Toolkit.Dedicated Professional Relations Department to assist you and your office staff.Fast and efficient processes for pre-authorizations and timely claims processing.24-hour access to all of our online services through the Dental Office Toolkit.The great news is that as a Delta Dental Smiles and Delta Dental Smiles for Kids participating dentist, you have: We are thrilled to partner with providers across the state to help more Arkansans receive quality oral health care.
Delta Dental administers the Arkansas Medicaid dental program under the names of Delta Dental Smiles and Delta Dental Smiles for Kids.
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