The OCC Dental Insurance Program consists of two dental options: A preferred provider organization (PPO) and a dental health maintenance organization (DHMO). You may enroll in, drop, or change dental plans during the Open Enrollment period held every other year or if you experience a qualifying life event. 67). Overview . The annual maximum benefit is $2,000. Dental Two dental plans are available through SEGIP. According to the American Academy of Periodontology, panoramic X-rays have limited value in the diagnosis of periodontal disease (Delta Dental Dentist Handbook, Pg. Groups affected: All groups. All MHCP covered services must be medically necessary, appropriate, and the most cost-effective for the medical needs of the MHCP member. The listing of a code does not imply that the service described by the code ⦠A current list of all MHCP covered codes can be found using the MHCP Fee Schedule. The state offers two dental plans. same dentist/dental office who placed the appliance, denied if different dentist/dental office) (not billable to the patient when billed on the same date as any other surgical procedure(s) in the same surgical area by the same dentist/dental office.) Refer to the Dental Services Overview for Minnesota Health Care Programs (MHCP) Eligible Providers and Eligible Recipients.. This list of codes applies to the policy titled Dental Services. Submitted Amount: This is the dollar amount the dentist submitted to your insurance company for a given procedure. ... & CURRENT PROCEDURAL TERMINOLOGY (CPT) Combined CPT & CDT Point and Click language LICENSE FOR USE OF PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (CPT) ... CPT codes⦠CDT 2020 is the newest version of the American Dental Associationâs code on dental procedures and nomenclature. Federal HIPAA law requires that CDT codes be used in electronic health care transactions. With Delta Dental as the programâs administrator, these two options are known as the Delta Dental PPOSM plan and the DeltaCare® USA (DHMO) plan. Delta Dental is not wanting us to code LANAP laser osseous surgery as D4260. Planing Codes and Billing Guidelines ⢠D1110 prophylaxisâadult Age 14 or older ⢠D1120 prophylaxisâchild Age 13 or younger Definition: A primarily preventive treatment intended to control local irritational factors by the removal of plaque, calculus and stains from the tooth structures in the permanent and transitional dentition. Benefits in both plans are similar, but there are some differences in the way benefits are administered. They have suggested D4999 and D4341, They stated that the D4999 would probably not ⦠When the ADA changes the codes, carriers must adopt the changes. General Anesthesia and IV Sedation (Codes D9222, D9223, D9239, & D9243): Implementation: January 1, 2020. 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