Can Dentists Charge Less Than Contracted Rates

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Dental Insurance Contract Issues | American Dental …

    https://www.ada.org/resources/practice/dental-insurance/dental-insurance-resources/dental-insurance-contract-issues
    A. Example - “Dentist agrees that charges for Covered Services provided to Covered Persons will be at the lowest rate as is charged to other patients.” B. Analysis The dentist would be wise to consider the financial impact of compliance with this requirement.

Non-Covered and Non-Billable Services - American …

    https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/practice/dental-insurance/ada_non_covered_and_non_billable_services.pdf?rev=6841980faac145f385d7b1fb07e38532&hash=104C0D7B5BFCEE5FEE6922275A9E9177
    capping what a dentist can charge a patient for a non-covered service. This means that you could charge your full fee in this scenario. If your state has not passed …

Can Dentists Charge More Than Insurance Allowed …

    https://www.growingfamilybenefits.com/dentist-charges-above-allowed-amount/
    Network Dentists Charging More than Insurance Approves Dentists who are in-network with a PPO or EPO plan cannot charge …

Fee capping: Why some PPO dentists can charge their …

    https://www.dentalclaimsupport.com/blog/fee-capping-dental-insurance
    State fee-capping laws apply only to fully insured plans sold in that state. About 35% of plans in the average dental practice fall under state laws. Self-funded insurance plans …