Common Contracts

1 similar Provider Agreement contracts

LIBERTY Dental Plan of Florida, Inc. Provider Agreement Child Medicaid Fee for Service Programs Addendum General Dentist and Specialist
Provider Agreement • October 12th, 2020

This Child Medicaid Fee for Service Programs Addendum (the “Addendum”) to the LIBERTY Dental Plan of Florida, Inc. Provider Agreement (the “Agreement”) between LIBERTY Dental Plan of Florida, Inc. (“LIBERTY”) and the legal entity or individual qualified and licensed to practice dentistry in the state of Florida as defined in the Agreement and as specified on the signature page of this Addendum (“Dentist”) is meant to supplement the Agreement. Except as expressly modified by this Addendum, the Agreement remains in full force and effect and all capitalized terms in this Addendum (which are not otherwise defined) shall have the meaning ascribed to them in the Agreement. LIBERTY and Dentist agree as follows:

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