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Dental coverages, How do I file a dental claim

I have Delta Dental PPO insurance plan though work.  I just used it for the first time yesterday.  I got my regular check up and cleaning.   Lucky for me that was all I needed to have done.  Because after having my dental cleaning I was told I needed to pay the bill in full which was $175.00.

I did not really understand this because I told them my insurance plan with Delta Dental states they pay 100% for the services I just had.  I told them I agree that I have $50.00 deductible which I thought they were going to bill me for after my insurance company paid the claim.

I was told it was up to me to file a claim in order to get back my money from Delta Dental.  I though that was part of the dental office job.  Little to say I am upset but glad that I had the $175.00 to pay for the work I had done.  How do I file a claim to Delta Dental.  I never had to do that before but would like to get it to them ASAP so I can get my money back.   Thanks for the help.

Posted on Jun. 11th 2010, by Dental, in Dental help, Dental Insurance, Dental Plans, No Comments »

Dental Coverages, What is the ADA code for a Root Canal

I have this tooth that I know I needs to have a root canal.  A little over four months ago the dentist I was seeing told me I should have a root canal done on one of my teeth.  Since I was moving I put it off.  Now the dental insurance I have does not cover for me to see a specialist.  I was told that I would need to know the ADA code for an idea of cost.  If the root canal can be done by a general dentist I will have some coverage. How do I find out what is the right ADA code so I can check into my policy coverages and how would I know if I have to see a specialist or not?

Posted on May. 31st 2010, by Dental, in ADA Codes, Dental help, Root Canals, 1 Comment »

Dental coverages, What does ADA dental codes mean ?

Two days ago I went in for my regular dental cleaning, check up visit.  My dentist told me all and all I was in good shape but that I needed to have a deep cleaning.  I told him I would look into it and see if I can afford to have it done after speaking with my insurance company.

So I called my dental insurance company that stated that without a the ADA codes they could not tell me my cost for the service.  I told them it is just a deep cleaning but they said it was not enough information for them to tell me cost.   I though a deep cleaning is just a deep cleaning what is a ADA code and were would I get that from?

Posted on May. 31st 2010, by Dental, in ADA Codes, Dental help, Dental Insurance, 2 Comments »
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