Networks
CDT
Dental Plans
Dental Terms
TSP
100

the largest group of participating providers

what is an indemnity

100

D1110

What is a Adult Prophy? (Cleaning)

100

Uses the largest dental network of providers.

Dental Blue

100
A removable replacement for missing teeth?

What are Dentures?

100

the Command line that will allow me to look up clams by patient name.

What is SL, TSI, PN?

200

This network started on 01/01/2018 and available to all accounts

What is the GRID? (Dental Blue National Network)

200

D1206

Topical application of Fluoride varnish

200

Allows for only cleaning and can see all providers except non par Mass providers

Medex

200

An alloy containing silver and other materials that is mixed with mercury to form a dental restorations

What a Amalgam?
200

On the example is Leighann eligible for a FMX

What is NO?

300

Select plan use this network

What is Dental Blue PPO network?

300

D2330

Resin- based composite - one surfaces

300

Has waiting periods

What is DentalBlue65?
300

The dental specialty that deals with the diagnosis and treatment of the pulp and periapical tissues

What is Endodontics?

300

On Example #2 what is the services on 12/19/2013

Resin-based composite filling
400

not contracted with Mass or any Blue Cross or Dentamax

What is out of network?
400

What is the code for Pulpal therapy on a Anterior Primary tooth

What would be D3230?

400

This plan allows you to see any contracted providers but get the best benefits with PPO providers.

What is Dental Blue Freedom?

400
Additional benefits for individuals with Diabetes, Coronary Artery Disease, Pregnancy and or Oral Cancer.

Enhanced Dental Benefits

400

How we view authorization in TPS?

What is AF?

500
The company or school  has their own network of providers they must see or will not be covered.

EPO

500

Biologic materials to aid to soft and osseous tissue regeneration.

What is D4265?

500
Used the Dental Blue Freedom Network but uses their own Table of Allowance where members must pay the amount over this allowance.

TeamstersCare

500

The Dental specialty that deals with the causes, prevention and treatment of the irregularities of the teeth and arches.

What is Orthodontics?

500

In the ICN what number indicate it is a Pre-Determination and which indicate claim

What are 19,37 and 18,36?

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