PPO Dentist definition

PPO Dentist means a Contracting Dentist who has agreed to participate in the Preferred Provider Organization and meets all applicable credentialing and contractual standards associated with the Preferred Provider Organization. The Company will pay a PPO Dentist directly. Covered Services provided by a PPO Dentist are subject to the In- Network Coinsurance as specified in the Schedule of Benefits.
PPO Dentist means a Dentist or service Provider who is a member of the Delta Dental PPO Network.

Examples of PPO Dentist in a sentence

  • Delta Dental PPO Dentist - a Dentist with whom Delta Dental has a written agreement to provide services at the in-network level for Enrollees in this Delta Dental PPO Plan.

  • Covered Services performed by a PPO Dentist or Contracting Dentist are subject to the In-Network Coinsurance percentage of the Charge for the Covered Service stated in the Schedule of Benefits.

  • 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.

  • The District shall continue to provide the self-insured dental insurance coverage which shall provide the same level of benefits and services as the plan currently in effect with a maximum annual benefit of one thousand five hundred dollars ($1,500) with a Premier Dentist, and one thousand seven hundred ($1,700) with a PPO Dentist.

  • Plan Feature Delta Dental PPO 1500 Delta Dental PPO 2000 PPO Dentist Premier and Non-PPO Dentist PPO Dentist Premier and Non-PPO Dentist X-rays, Study Models Prophylaxis (cleaning), Periodontal Maintenance, Fissure Sealants, Topical Fluoride, Space Maintainers, Resin Restoration No cost and no deductible.

  • Delta Dental will send payment to the PPO Dentist, and the Subscriber will be responsible for any difference between Delta Dental’s payment and the PPO Dentist Schedule for Covered Services.

  • Delta Dental will send payment to the PPO Dentist, and the Subscriber will be responsible for any difference between Delta Dental’s payment and the PPO Dentist Schedule or the Maximum Approved Fee for Covered Services.

  • In-Network Benefits are those covered by the Contract and performed by a Delta Dental PPO Dentist.

  • DELTAL DENTAL’S PPO DENTIST’S FEE (PPO DENTIST FEE)The fee outlined in the PPO Dentist Agreement.

  • A default realisation process means that the new underlying segments can be produced in any context in the L2.

Related to PPO Dentist

  • Dentist means a registered dental practitioner whose name is included in sub-part A of the first part of the dental list;

  • Nurse-midwife means a registered nurse who has graduated from a program of study designed to prepare registered nurses for advanced practice as nurse-midwives.

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  • School District/Public Entity means the School District/Public Entity that executes the contract.

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  • Midwife means a midwife in good standing with the College of Midwives of Ontario;

  • Participating Marriage and Family Therapist means a Marriage and Family Therapist who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Practitioners in private practice means a practitioner who does not:

  • School District/Public Entity means the School District/Public Entity that executes the contract.

  • Authorized medical physicist means an individual who:

  • Certified nurse midwife means an advanced practice registered nurse who is certified in the

  • Nurse aide means any individual who is not a licensed health professional or volunteer providing nursing or nursing-related services to residents in a nursing facility.

  • Participating Prosthetic Provider means a Prosthetic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Pet Ambulance means a Pet medical transportation service vehicle equipped with stretchers, hydraulic tables, oxygen and a driver and/or veterinary technician.

  • Hospice means a public agency or private organization licensed pursuant to Chapter 400, Florida Statutes, to provide Hospice services. Such licensed entity must be principally engaged in providing pain relief, symptom management, and supportive services to terminally ill Members and their families.

  • Specialist medical practitioner means a specialist as defined in section 3 of the Health Insurance Act 1973.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.

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  • Investment Personnel means: (a) Portfolio Managers and other Advisory Persons who provide investment information and/or advice to the Portfolio Manager(s) and/or help execute the Portfolio Manager's(s') investment decisions, including securities analysts and traders; (b) any natural person in a control relationship to the Fund who obtains information concerning recommendations made to the Fund with regard to the purchase or sale of a security; and (c) certain other individuals as designated by the Compliance Officer.

  • Nurse means a person who holds a current license from the Oregon Board of Nursing as a registered nurse or licensed practical nurse pursuant to ORS chapter 678.

  • Non-Participating Certified Nurse-Midwife means a Certified Nurse-Midwife who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Marriage and family therapist means a marriage and family therapist licensed by the board to practice marriage and family therapy as defined in division (G) of section 4757.01 of the Revised Code.

  • Naturopathic physician means a person licensed to practice naturopathic medicine by the Oregon Board of Naturopathic Medicine.

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  • School nurse means a registered professional nurse with Maine Department of Education certification for school nursing.