Participating Dentist Agreement definition

Participating Dentist Agreement means an agreement between a member of the Delta Dental Plans Association and a Dentist that establishes the terms and conditions under which services are provided.
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Examples of Participating Dentist Agreement in a sentence

  • A dentist who has filed and executed a Participating Dentist Agreement with Delta Dental and who abides by such uniform rules and regulations as are prescribed, from time to time, by Delta Dental.

  • In the event the Dentist providing orthodontic treatment has not signed a Participating Dentist Agreement, payment of any orthodontic benefits that may be eligible for periodic payments shall be made by DDPOK to the Subscriber, or to other participant or beneficiary if required by law, in monthly installments, at the rate of fifty percent (50%), subject to the maximum orthodontic benefit payment and treatment plan.

  • A Dentist who has not signed a Participating Dentist Agreement with Delta Dental.

  • In the event the Dentist providing orthodontic treatment has not signed a Delta Dental PPO Participating Dentist Agreement but has signed a Delta Dental Premier Participating Dentist Agreement, payment of any remaining orthodontic benefits that may be eligible for periodic payments shall be made by DDPOK to a Delta Dental Premier Participating Dentist, in monthly installments, at the rate of fifty percent (50%), subject to the maximum orthodontic benefit payment and treatment plan.

  • In the event the Dentist providing orthodontic treatment has not signed a Participating Dentist Agreement, payment of any remaining orthodontic benefits that may be eligible for periodic payments shall be made by DDPOK to the Subscriber, or to other participant or beneficiary if required by law, in monthly installments, at the rate of fifty percent (50%), subject to the maximum orthodontic benefit payment and treatment plan.

  • In the event the Dentist providing orthodontic treatment has not signed a Delta Dental PPO Participating Dentist Agreement but has signed a Delta Dental Premier Participating Dentist Agreement, payment of any orthodontic benefits that may be eligible for periodic payments shall be made by DDPOK to a Delta Dental Premier Participating Dentist, in monthly installments, at the rate of fifty percent (50%), subject to the maximum orthodontic benefit payment and treatment plan.

  • A dentist who has not signed a Participating Dentist Agreement with Delta Dental.

  • ODS shall pay Dentist for Covered Services to Medicare Advantage Members using the Dentist’s then current Delta Dental Premier Fees pursuant to Delta Dental of Oregon and Alaska Participating Dentist Agreement, Delta Dental Premier Network Exhibit by and between Dentist and ODS (the “Premier Agreement”).

  • Under the Delta Dental participating agreements with participating dentists, benefit claims are reimbursed based on the lesser of the dentist’s submitted fee for his/her services or the maximum allowable amount he/she has agreed to accept as payment for covered services in accordance with the Participating Dentist Agreement applicable to the plan.

  • Dentists − the Dentist’s submitted fee up to the amount the Delta Dental PPO Participating Dentist has agreed to accept as payment for Covered Services in accordance with a Delta Dental PPO Participating Dentist Agreement.