Dentally Appropriate definition
Examples of Dentally Appropriate in a sentence
If you request treatment, Service, or a dental appliance that your dental care Provider believes is not Dentally Necessary and Dentally Appropriate and you disagree, you may ask for a second opinion from another Dental Group Provider.
Your dental care Provider will use his or her judgment to determine if a treatment or Service is Dentally Appropriate.
Provider and its dental providers, if any, shall advise a Member who is the patient of the Provider about the health status of the Member, or any service, treatment or test that is Dentally Appropriate but not authorized as Covered Services, Exhibit B, Part I, Section 2 of the DCO Contract, or is subject to copayments, if the Provider is acting within the lawful scope of practice, and an ordinarily careful practitioner in the same or similar community would do so under the same or similar circumstances.
A Service is Dentally Necessary only if a Dentist determines that its omission would adversely affect your dental health and its provision constitutes a Dentally Appropriate course of treatment for you in accord with generally accepted professional standards of practice that are consistent with a standard of care in the dental community.