Dentist a duly licensed Dentist legally entitled to practice dentistry at the time and in the state or jurisdiction in which services are performed.
Dentist. Dentist means a doctor of medical dentistry or dental surgery who is currently licensed to practice by the appropriate authority of the jurisdiction in which the person practices and who renders Services within the lawful scope of such license.
Dentist a person who is a doctor of dental surgery (D.D.S.) or a doctor of medical dentistry (D.M.D.), licensed where required and performing services within the scope of such licensure.
Dentist. The term "Dentist" shall mean each individually licensed professional who is employed or otherwise retained by or associated with PC, each of whom shall meet at all times the qualifications described in Section 4.2 and Section 4.3.
Dentist. Any licensed doctor of dental science (DDS) or doctor of medical dentistry (DMD).
Dentist. A person duly licensed to practice dentistry in the State of Oklahoma; or a person duly licensed to practice dentistry in the state in which the dental services are rendered.
Dentist. A general dental practitioner who is, for the time being, included in the General Dental Council’s register of Dentists. For the purposes of Dental Treatment provided outside the United Kingdom, Dentist shall mean a general dental practitioner who is authorised to provide such Dental Treatment in the country that it is received.
Dentist. A person who is member of a professional dental association recognized by the competent authorities in the province where the person practices.
Dentist. To be eligible to be appointed to a dentist position, a person must—
Dentist. A person licensed to practice dentistry in the state or jurisdiction in which dental services are performed. ♦ Delta Dental PPOTM Dentist (“PPO Dentist”) – a Dentist who has signed an agreement with the Delta Dental Member Plan in his or her state to participate in Delta Dental PPO. ♦ Delta Dental Premier Dentist (“Premier Dentist”) – a Dentist who has signed an agreement with the Delta Dental Member Plan in his or her state to participate in Delta Dental Premier. ♦ Nonparticipating Dentist – a Dentist who has not signed an agreement with any Delta Dental Member Plan to participate in Delta Dental PPO or Delta Dental Premier. ♦ Out-of-Country Dentist – A Dentist whose office is located outside the United States and its territories. Out-of-Country Dentists are not eligible to sign participating agreements with Delta Dental. PPO Dentists and Delta Dental Premier Dentists are sometimes collectively referred to herein as “Participating Dentists.” Wherever a definition or provision of this Certificate differs from another state’s Delta Dental Member Plan and its agreement with Participating Dentists, the agreement in that state with that Dentist will be controlling. Delta Dental Premier Dentists, Nonparticipating Dentists, and Out-of-Country Dentists are sometimes collectively referred to herein as “Non-PPO Dentists.” Deny/Denied/Denial When a Claim for a particular service is denied for payment due to certain contractual limitations/exclusions. You will be responsible for paying your Dentist the applicable amount for such service regardless of the Dentist’s participating status. Dependent(s) Your dependents are as defined by the rules of eligibility as stated in your Summary of Dental Plan Benefits Enrollee You, when the Contractor notifies Delta Dental that you are eligible to receive Benefits under This Plan. Maximum Approved Fee The Maximum Approved Fee is the lowest of: ♦ The Submitted Amount ♦ The lowest fee regularly charged, offered, or received by an individual Dentist for a dental service or supply, irrespective of the Dentist’s contractual agreement with another dental benefits organization. ♦ The maximum fee that the local Delta Dental Member Plan approves for a given procedure in a given region and/or specialty based upon applicable Participating Dentist schedules and internal procedures. Participating Dentists agree not to charge Delta Dental patients more than the Maximum Approved Fee for a Covered Service. In all cases, Delta Dental will make th...
