Delta Dental PPO definition

Delta Dental PPO or “PPO” means the preferred provider organization available from and through DDMO pursuant to the Membership Agreement.
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Delta Dental PPO. The Delta Dental PPO network is a subset of DDKS Participating Dentists who agree contractually to participate in the Delta Dental PPO network as part of a discounted fee- for-service plan. Delta Dental PPO providers sign a supplemental agreement and are paid according to a Maximum Plan Allowance for PPO Dentists as defined below. Delta Dental PPO Dentists are paid at the in-network co-insurance percentages in Section 1.6 and/or Section 1.7, while Delta Dental Premier Dentists and non-participating Dentists are paid at the out-of-network co-insurance percentages in Section 1.6 and/or Section 1.7.
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Delta Dental PPO or “PPO” means the preferred provider organization available from and through DDMO pursuant to this Agreement.
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Examples of Delta Dental PPO in a sentence

  • If the dental services you receive are provided by a dentist who is not a Delta Dental Dentist or Delta Dental PPO Dentist, you are responsible for the difference between the amount Delta Dental pays and the amount charged by the non-Delta Dental dentist.

  • OTHER CHARGES‌Delta Dental's co-payment for your Benefits is shown in this Evidence of Coverage under the caption titled "YOUR BENEFITS." If dental services are provided by a Delta Dental Dentist or a Delta Dental PPO Dentist, you are responsible for your co-payment only.

  • Delta Dental PPOSM 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.

  • 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.

  • A Delta Dental PPO dentist has also agreed to file the claim directly with Delta Dental.

  • The dentist has agreed to accept the Delta Dental PPO Maximum Amount Payable as payment in full for covered dental care.

  • A Delta Dental PPO dentist has agreed not to bill more than the Delta Dental PPO Maximum Amount Payable.

  • Delta Dental PPO Dentists are reimbursed by Delta Dental based on the lesser of the submitted charge or Delta Dental’s allowance for PPO Dentists in the geographic area in which the services were provided.

  • A Delta Dental PPO network dentist is a dentist who has signed Delta Dental PPO agreement with Delta Dental of Minnesota.

  • Delta Dental PPO Dentists: Claim payments are based on the Plan’s Payment Obligation which is the highest fee amount Delta Dental approves for dental services provided by a Delta Dental PPO dentist to a Delta Dental covered patient.


More Definitions of Delta Dental PPO

Delta Dental PPO or “PPO” means the preferred Provider organization available through Delta Dental of Missouri.
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Related to Delta Dental PPO

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