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 such procedure. Such "Prevailing Fees" shall be kept current through analysis of fee data not less frequently than once every twelve (12) months. 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:

Prevailing Fee means a charge for Dental Expenses that does not exceed the 90th percentile of the Plan’s prevailing health care data.

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.

Examples of Prevailing Fee in a sentence

• With the Average Prevailing Fee, the plan allowance for each covered procedure is established according to the median dentist charges in the ZIP Code area where services are provided.

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

• 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.

• And, according to the PoA procedure, all projects within a PoA must use methodology combination in a con- sistent manner.

• 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.

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

• The plan will pay the applicable percentage of the dentist’s fee for a standard cast chrome, acrylic partial denture or a standard complete denture, up to a maximum fee allowance which is at least the Prevailing Fee for a standard denture.

• Covered Dental Expenses for Diagnostic and Preventative Services provided by a non-participating Dentist will be covered at 80% of the Prevailing Fee.

• Discussion and possible vote on Resolution 21-03, a Resolution amending the Prevailing Fee Schedule of the City.

More Definitions of Prevailing Fee

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

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.

Prevailing Fee means a charge for Dental Expense which does not exceed the 90th percentile of the Plan’s prevailing health care data.

Prevailing Fee means the fee for a Single Procedure which satisfies the majority of Dentists in California, as determined by Delta Dental.

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.