Common Contracts
1 similar Dentist Participation Agreement contracts
DENTIST PARTICIPATION AGREEMENT FOR MEDICA* LABELED PRODUCTSDentist Participation Agreement • December 7th, 2015 • Minnesota
THIS AGREEMENT, effective ("Effective Date"), is made between Delta Dental of Minnesota, a Minnesota nonprofit health service plan corporation ("DDMN") and ("Dentist"). The purpose is to set forth the terms and conditions under which Dentist shall render Dental Services to individuals covered by Benefit Contract whose payment specifications are described in the attached Appendix B. For Dental Services provided on or after the Effective Date, this Agreement supersedes and replaces any existing agreements between Dentist and Medica ("Medica") relating to Dental Services provided to individuals covered for Dental Services under any Medica Benefit Contract after the effective date.
