Summary Disclosure Form And Dentist Agreement OhioDentist Participation Agreement • November 18th, 2020 • Ohio
Contract Type FiledNovember 18th, 2020 JurisdictionFee Maximums: A schedule containing 50 commonly billed procedure codes and Fee Maximums is included with the Participation Agreement.
Summary Disclosure Form And Dentist Agreement KentuckyDentist Participation Agreement • November 18th, 2020 • Ohio
Contract Type FiledNovember 18th, 2020 JurisdictionFee Maximums: A schedule containing 50 commonly billed procedure codes and Fee Maximums is included with the Participation Agreement.
Summary Disclosure Form And Dentist Agreement IndianaDentist Participation Agreement • November 18th, 2020 • Ohio
Contract Type FiledNovember 18th, 2020 JurisdictionFee Maximums: A schedule containing 50 commonly billed procedure codes and Fee Maximums is included with the Participation Agreement.
Summary Disclosure Form And Dentist Agreement OhioDentist Participation Agreement • January 21st, 2020 • Ohio
Contract Type FiledJanuary 21st, 2020 JurisdictionFee Maximums: A schedule containing 50 commonly billed procedure codes and Fee Maximums is included with the Participation Agreement.