Prevailing Fee definition

Prevailing Fee means the most commonly charged fee for a particular procedure in the geographic area or population center where covered dental services are provided, so long as it is not less than the average fee for Primary insurance is the insurance carrier or third party payee that pays for services rendered to a covered person before any other carriers would. Prophylaxis is a professional cleaning to remove plaque, tartar (calculus), and stain from teeth to help prevent dental disease. Pulpotomy is a partial removal of the pulp. Radiograph is the photographic representation of opaque objects produced by the action of ionizing radiation upon sensitized plate or film. Also known as x-ray or digital image. Root canal therapy is the treatment of a tooth having a damaged pulp; usually performed by completely removing the pulp, sterilizing the pulp chamber and root canals, and filling these spaces with inert sealing material. Sealant is a thin plastic material used to cover the biting surface of a tooth to prevent tooth decay. Secondary insurance is the insurance carrier or third party payee that would process its payment for a claim after a primary carrier made payment, and make any additional payments as necessary. Single Procedure means a dental procedure to which a separate procedure number has been assigned. (See Article X Procedure Codes and Nomenclature of this Contract.) Space maintainer is a mechanical or prosthetic device used to prevent the drifting of teeth in an area where there has been premature loss of a tooth or teeth. Special Enrollment Period means the 30 day period of time after each of the following events during which an eligible employee can enroll eligible persons under this contract:
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Prevailing Fee means a charge for Dental Expenses that does not exceed the 90th percentile of the Plan’s prevailing health care data.
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Prevailing Fee means the fee for a Single Procedure which satisfies the majority of Dentists in California, as determined by Delta Dental.
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Examples of Prevailing Fee in a sentence

  • The usual and customary charge or Prevailing Fee is the lesser of: (a) the charge generally made by a Provider.

  • If Covered Services are provided by a Dentist who has not signed a participating agreement with Delta Dental, the Plan will pay its Benefits directly to the Eligible Person, or to other participant or beneficiary as required by law, at the applicable Percentage of the Allowable Charge specified in the Schedule of Benefits based on the Dentist’s submitted fee for his or her service or the Prevailing Fee, whichever is less.

  • If a Subscriber or other participant obtains treatment from a dentist who has not signed a participating agreement with Delta Dental, any benefit payment will be paid directly to the Subscriber, or to other participant if required by law, and will be based on the dentist’s submitted fee for his or her service or the Prevailing Fee, whichever is less.

  • Currency Conversion Risk Premium (Mark Up Fee) is the Currency Conversion Prevailing Fee set by financial institutions on the current exchange rates of the type of currency used or the money used in foreign currency and the Currency Conversion (Prevailing Fee) set by the Bank shall be changed as necessary depending on the market conditions.

  • The Company agrees to pay 85% of the premiums for Prevailing Fee and Major Medical for active employees after ninety (90) days of employment and for those on pension, until the end of the month in which the employee or pensioner attains age 65, who authorizes payroll deductions for that purpose.

  • The Township shall participate in a Health Benefits program to provide for Hospital, Surgical, Prevailing Fee and Major Medical Benefits Coverage.

  • Prevailing Fee - the fee for a Single Procedure that satisfies the majority of Delta Dental PPO Dentists, as determined by Delta Dental based upon confidential fee listing accepted by Delta Dental from Delta Dental PPO Dentists.

  • The Applicant shall pay such fees as stated in the City’s most recently adopted Prevailing Fee Schedule, which shall not exceed the reasonable cost of processing the application and issuing the Certificate and/or Identification Badge.

  • The Maximum Allowable Charge for in-state Out-of-Network Providers is limited to the Prevailing Fee.

  • Maintain enrollment in the applicable classifications (individual, family, etc.) in the Indemnity program of Blue Cross/Blue Shield, Major Medical (a maximum of $1,000,000 with a $200 deductible for the life of the agreement) Prevailing Fee program.


More Definitions of Prevailing Fee

Prevailing Fee is the fee for a Single Procedure which satisfies the majority of Dentists in California, as determined by Delta based upon confidential fee listings accepted by Delta from Participating Dentists.
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Prevailing Fee means a charge for Dental Expense which does not exceed the 90th percentile of the Plan’s prevailing health care data. Benefit LimitationsBenefits will NOT be paid for more than two Prophylactic Dental Examinations per calendar year, per person. Dental Benefit limits for Eligible Dependents under age 19 do not apply to reasonable expenses for pediatric services as required by law.Section Eight – Death and Dismemberment BenefitsActive Eligible Employees Only
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Prevailing Fee means a charge for Dental Expense which does not exceed the 90th percentile of the Plan’s prevailing health care data.
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Prevailing Fee. The original amount of fee payable by the OC for the provision of the Services under this Scheme. “RI” means a registered inspector as defined in the Buildings Ordinance (Cap.123 of the Laws of Hong Kong) who is qualified to perform the duties and functions of inspectors in accordance with the said Ordinance. “Services” means the services to be provided by URA to the OC under This Scheme in respect of the Building in organizing the Building Rehabilitation Works as more particularly described in Schedule I hereto.
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Prevailing Fee means a charge for Dental Expense that is the lesser of the fee assessed by the attending dentist, or a Dental Expense that does not exceed the 90th percentile of the Usual and Customary dental care schedule.
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Related to Prevailing Fee

  • Prevailing Rate means, in respect of any currencies on any day, the spot rate of exchange between the relevant currencies prevailing as at or about 12 noon (London time) on that date as appearing on or derived from the Relevant Page or, if such a rate cannot be determined at such time, the rate prevailing as at or about 12 noon (London time) on the immediately preceding day on which such rate can be so determined or, if such rate cannot be so determined by reference to the Relevant Page, the rate determined in such other manner as an Independent Financial Adviser shall in good faith prescribe.

  • prevailing party shall include, without limitation, a Party or Broker who substantially obtains or defeats the relief sought, as the case may be, whether by compromise, settlement, judgment, or the abandonment by the other Party or Broker of its claim or defense. The attorneys' fee award shall not be computed in accordance with any court fee schedule, but shall be such as to fully reimburse all attorneys' fees reasonably incurred. Lessor shall be entitled to attorneys' fees, costs and expenses incurred in preparation and service of notices of Default and consultations in connection therewith, whether or not a legal action is subsequently commenced in connection with such Default or resulting Breach. Broker(s) shall be intended third party beneficiaries of this Paragraph 31.

  • Prevailing Market Rate for the applicable Extension Period shall be the prevailing rental rate for properties of equivalent quality, size, and utility, in the office submarket in which the Building is located, with the length of the lease term, Landlord concessions, and the credit standing of Tenant to be taken into account. Tenant shall, within thirty (30) business days of receipt of Landlord’s written notice of Landlord’s determination of the Prevailing Market Rate, notify Landlord in writing of its acceptance, dispute, or rejection of Landlord’s determination of the Prevailing Market Rate. If Tenant rejects Landlord’s determination or does not timely respond, then the Lease will terminate at the end of the Lease Term (without renewal, or further renewal [as the case may be]). If Tenant disputes Landlord’s determination of the Prevailing Market Rate, and Landlord and Tenant are not able to reach a mutual agreement as to the Prevailing Market Rate during the following thirty (30) business day period, then the Lease will terminate at the end of the Lease Term. If Tenant accepts Landlord’s determination, or Tenant and Landlord otherwise agree upon the Prevailing Market Rate, this Lease shall be extended without the necessity of the execution of any further instrument or document. Such Extension Period shall (A) commence upon the expiration date of the Lease Term (which, in the case of the Second Extension Period, shall be the date upon which the First Extension Period expires), (B) expire upon the same day of the forty-eighth (48) calendar month thereafter, and (C) be upon the same terms, covenants, and conditions as provided in the Lease for the initial Lease Term, except that the Base Rent payable during an Extension Period shall be at the Prevailing Market Rate as determined above beginning at the commencement of the applicable Extension Period. Payment of all additional rent and other charges required to be made by Tenant under the Lease for the initial Lease Term shall continue to be made during the applicable Extension Period in accordance with the terms and provisions of the Lease. Any assignment of the Lease or subletting of the Leased Premises by Tenant shall terminate the option(s) to extend the Lease Term contained herein. Notwithstanding the foregoing, in no event shall Base Rent for an Extension Period be less than the Base Rent during the last year of the initial Lease Term (which, in the case of the Second Extension Period, shall be the last year of the First Extension Period). Notwithstanding any provision to the contrary contained in this Rider, Tenant shall not have the option to extend the Lease Term for the Second Extension Period unless it has properly exercised its option to extend the Lease Term for the First Extension Period.

  • Prevailing Exchange Rate means, for purposes of translating, as of any date, any amount in a non-U.S. currency to U.S. dollars, the spot mid-rate of exchange between such currencies prevailing as of 4 p.m., New York City time, on such date, as displayed on, or derived from, Bloomberg page “BFIX” (or, if such page is not available, its equivalent successor page) in respect of such currencies. If such rate cannot be determined as provided in the immediately preceding sentence on such date (which, for the purpose of this definition, will be deemed to be the “affected day”), then the Prevailing Exchange Rate for such date will be determined mutatis mutandis but with respect to the immediately preceding day on which such rate can be so determined; provided, however, that, if such immediately preceding day is before the fifth (5th) day before such affected day, or if such rate cannot be so determined, then the Prevailing Exchange Rate will be determined in such other commercially reasonable manner as determined by the Company in good faith.

  • Prevailing Market means the arms-length, fair-market, annual rental rate per rentable square foot under extension and renewal leases and amendments entered into on or about the date on which the Prevailing Market is being determined hereunder for space comparable to the Premises in the Building and office buildings comparable to the Building in the San Jose, California area. The determination of Prevailing Market shall take into account (i) any material economic differences between the terms of the Lease and any comparison lease or amendment, such as rent abatements, construction costs and other concessions, and the manner, if any, in which the landlord under any such lease is reimbursed for operating expenses and taxes; (ii) any material differences in configuration or condition between the Premises and any comparison space, including any cost that would have to be incurred in order to make the configuration or condition of the comparison space similar to that of the Premises; and (iii) any reasonably anticipated changes in the Prevailing Market rate from the time such Prevailing Market rate is being determined and the time such Prevailing Market rate will become effective under the Lease.

  • Prevailing Wage means the wage rate paid by virtue of

  • Prevailing wage rate means the rate, amount, or level of wages, salaries, benefits, and other

  • Exit Fee shall have the meaning specified in the Fee Letter.

  • Late Payment Fee means the excess of the Price Differential paid as a result of its calculation at the Post-Default Rate over the Price Differential as would have been calculated at the Pricing Rate.

  • Late Fee If you don’t pay at least the Minimum Payment Due by the Payment Due Date, we will charge you a late fee. o The fee is $27.00 if you were not charged a late fee during any of the prior six billing periods.

  • Annual Fee has the meaning stated in Section 4.02(a).

  • Management Fee shall have the meaning set forth in Section 10(a).

  • Annual Fees means the annual fees charged by the Trustee for services provided as the trustee and paying agent under the Indenture.

  • Break Fee means an amount to compensate a Proponent for some of the costs the Proponent had incurred in developing and submitting a Proposal in the event that the RFP Process is cancelled, as determined by the Sponsors in accordance with RFP Section 10.3.3;

  • Renewal Fee means the fee that Borrower must pay Coast upon renewal of this Agreement pursuant to Section 9.1 hereof, in the amount set forth on the Schedule.

  • Default Fee means with respect to any amount due and payable by Seller in respect of any Aggregate Unpaids, an amount equal to the greater of (i) $1000 and (ii) interest on any such unpaid Aggregate Unpaids at a rate per annum equal to 2% above the Prime Rate.

  • Upfront Fee has the meaning specified in Section 2.07 hereof.

  • Development Fee means a fee for the packaging of a Property, including negotiating and approving plans, and undertaking to assist in obtaining zoning and necessary variances and necessary financing for the Property, either initially or at a later date.

  • Base Fee means the amount of compensation mutually agreed upon for the completion of Basic Services.

  • Expense Fee As to each Mortgage Loan and any Distribution Date, the product of the Expense Fee Rate and its Stated Principal Balance as of that Distribution Date.

  • Ticking Fee has the meaning specified in Section 2.09(a).

  • Joining Fee means the one-off fee charged by the trustee/sponsor of a scheme and payable by the employers and/or members upon joining the scheme.

  • Initial Fee means any applicable one-off initial or installation fee, as may be stated in an Order;

  • Drawing Fee means, with respect to each Draft drawn by TCCI and purchased by any Person on any Drawing Date and subject to the provisions of Section 2.15, an amount equal to the product of (i) the Applicable Rate times the aggregate Face Amount of the Draft, multiplied by (ii) a fraction the numerator of which is the number of days in the term to maturity of such Draft and the denominator of which is 365 or 366, as applicable.

  • Initiation fee means a fee charged by us to you in order to create a credit facility for you;

  • Usage Fee means the subscription fees to be paid by the Agency for ongoing access to Services.