Dental provider definition

Dental provider means a licensed provider of dental services in this state.
Dental provider means a licensed dentist, dental hygienist or other dental practitioner or a dental care team or clinic that provides the following core services:
Dental provider means a person licensed to practice dentistry when and where services are performed and may be referred to as a “PPO Provider”, a “Premier Provider” or a “Non-Delta Dental Provider”. A Dental Provider will also include a dental partnership, dental professional corporation or dental clinic.

Examples of Dental provider in a sentence

  • Dental provider means any individual legally qualified to provide dental services or supplies.

  • Delta Dental contracts with dentists throughout the U.S. to provide high quality care and 90% of Michigan dentists are in the Delta Dental provider network.

  • BlueCare Dentist means a Dentist who has entered into an agreement with the Claims Administrator to participate as a BlueCare Dental provider.

  • Any procedures or services listed as a benefit that the Bright Now! Dental provider cannot perform due to the patient’s general health, physical, behavioral or management problems, are not covered.18.

  • The Mobile Dental provider is also authorized to receive third party payments for services rendered to residents to the extent of any applicable insurance coverage.

  • Dental provider demographicsBCBSNC maintains an online provider directory listing addresses, phone numbers and current rosters of providers at a participating practice, so that our members can quickly locate dental care providers and health care providers to schedule appointments.

  • You can also verify your dentist’s affiliation with Delta and/or find a Delta Dental provider through the DeltaTo find a Delta Dental provider visit the Delta Dental Web site at www.deltadentalaz.com, or call Delta Dental at800-352-6132, extension 5 .Dental Web site at www.deltadentalaz.com, or by calling Delta Dental at 800-352- 6132, extension 5.As you seek dental care, you must first meet the plan year deductible ($50 per person;$150 per family) before benefit coverage kicks in.

  • Present Delta Dental provider contracts contain similar, non-negotiable fee clauses.

  • The Plans also began sharing extensive transactional data about dentists participating in the Delta Dental provider network: “[t]he Research and Data Institute was established in 2005 to develop new benefit plan designs based on scientific evidence and find new ways to improve business processes and service.

  • Dental provider shall submit to the HCAAA for approval, a dental assessment, with the cost of services needed for clients 60 years of age and older.


More Definitions of Dental provider

Dental provider means a dental hygienist, affiliated practice
Dental provider means an individual licensed as specified in
Dental provider means an individual licensed under A.R.S. Title 32, Chapter 11, whose scope of practice allows the individual to:
Dental provider means dental specialists and general dentists.
Dental provider means a dentist, dental health service provider, or a ---------------- dental product provider who or which is a party to a contract with any SafeGuard Affiliate to provide dental services or dental products to Subscribers enrolled in a Health Net Branded Product.
Dental provider means a dentist, dental health service provider, or a ---------------- dental supply provider who or which as of the Effective Date is party to a Contract with HNL to provide dental services or dental supplies to HNL Subscribers who reside in California, Arizona or Oregon.

Related to Dental provider

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Mental health provider means a health care provider or a health care facility authorized by state law to provide mental health services.

  • Qualified medical provider means the same as that term is defined in Section 26-61a-102.

  • Health care provider or "provider" means:

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Participating Orthotic Provider means an Orthotic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:

  • Primary care provider (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator or another Blue Cross and/or Blue Shield Plan.

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Participating provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Individual provider means an individual provider as defined

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Family child care provider means a person who: (a) Provides

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Health carrier or "carrier" means a disability insurer

  • Provider of health care means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.

  • Dependent care assistance program means a benefit plan