Delta Dental Premier Dentist definition

Delta Dental Premier Dentist means (1) any Dentist who has entered into a Delta Dental Premier Dentist agreement with Delta Dental to provide or arrange for the provision of Dental Procedures to Policyholders and Covered Dependents and who abides by Delta Dental’s uniform rules and regulations; and (2) any Dentist who is a member or shareholder of a professional dental corporation or other entity that has entered into a corporate Delta Dental Premier Dentist agreement with Delta Dental on behalf of its member, shareholder or employee Dentists and who abides by Delta Dental’s uniform rules and regulations..
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Delta Dental Premier Dentist. (or Premier Dentist) means a Dentist who contracts with Delta Dental or any other member company of the Delta Dental Plans Association and who agrees to abide by certain administrative guidelines. Not all Premier Dentists are PPO Dentists; however, all Premier Dentists agree to accept Delta Dental’s Maximum Plan Allowance for each Single Procedure as payment in full.
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Delta Dental Premier Dentist means: (a) Any Dentist who has entered into a Delta Dental Premier Dentist Agreement with Delta Dental to provide or arrange for the provision of Dental Procedures to Subscribers and Covered Dependents, and who abides by such uniform rules and regulations as prescribed by Delta Dental. (b) Any Dentist who is a member or shareholder of a professional dental corporation or other entity that has entered into a corporate Delta Dental Premier Dentist Agreement with Delta Dental on behalf of its member, shareholder or employee Dentists.
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Examples of Delta Dental Premier Dentist in a sentence

  • The allowed charge is determined by whether the provider of the services is a Delta Dental PPO Dentist, a Delta Dental Premier Dentist, or does not participate with Delta Dental.

  • Delta Dental will send payment to your Delta Dental Premier Dentist, and you will be responsible for any difference between Delta Dental’s payment and the Maximum Approved Fee for Covered Services.

  • Ask your Dentist if he/she is a Delta Dental PPO Dentist or participates as a Delta Dental Premier Dentist; visit Delta Dental’s website at xxx.xxxxxxx.xxx, refer to the Delta Dental Participating Dentist Directory for a PPO Dentist, or call Delta Dental for information.

  • PPO Dentists are allowed to charge for Deductibles, Co-Payments, Coinsurance, or services not covered under your plan.You will also receive benefits if you choose to visit a Delta Dental Premier Dentist.

  • If the Dentist is not a Delta Dental PPO Dentist, but is a Delta Dental Premier Dentist, the allowed charge will be the lesser of the submitted charge or Delta Dental’s allowance for PPO Dentists in the geographic area in which the services were provided.

  • If your Dentist is not a PPO Dentist, but is a Delta Dental Premier Dentist, you will also be responsible for any difference between the PPO Dentist Schedule and the Delta Dental Premier Dentist Schedule for Covered Services, in addition to Copayments and/or Deductibles.

  • The level of covered benefits paid under this Group Dental Plan depends on whether a Covered Individual goes to a Delta Dental PPO Dentist, a Non-Delta Dental PPO Dentist who is a Delta Dental Premier Dentist, or a Non-Delta Dental PPO Dentist who is not a Delta Dental Premier Dentist.

  • The maximum fee allowed per procedure for services rendered by a Delta Dental Premier Dentist as determined by that Dentist’s local Delta Dental Member Plan.

  • If your Dentist is not a Delta Dental PPO Dentist, but is a Delta Dental Premier Dentist, you will also be responsible for any difference between the PPO Dentist Schedule and the Premier Dentist Schedule for Covered Services, in addition to Coinsurance, Copayments or Deductibles.

  • If Delta Dental PPO Dentist (100% / 50% / 50%), Delta Dental Premier Dentist (80% / 50% / 50%); or Out-of-network Non-participating Dentist (80% / 50% / 50%).

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