Primary plan payment based on schedule fee, we are secondary. In-Network Dentist's Fee: $200.00*. Plan Allowance: $150.00. Primary Plan's Scheduled Amount: ... |
Except as specified otherwise, codes on this fee schedule refer to codes of the American Dental Association (ADA). Provider must designate the appropriate ... |
Learn about Aetna's provider cost estimator and physician fee schedule tools to help you estimate patient costs. |
1 янв. 2024 г. · Crowns/Inlays/Onlays and Prosthetic Procedures: Once every 5 years per tooth. Charges for crowns and bridgework are per unit. There will be ... |
The fee schedule lists the total amount you will receive, which includes payments from us and applicable member payments. How will I know if a patient is ... |
When emergency services are provided by a participating PPO dentist, your co-payment/coinsurance amount will be based on a negotiated fee schedule. When ... |
Therefore, anytime you see the “Aetna Dental. Access” name on an ID card, you should bill the patient the same amount as the maximum fee on the PPO fee schedule. |
Services given by a nonparticipating dental provider to the extent that the charges exceed the amount payable for the services shown in the Dental Care. |
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