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The ADA has a long history of advocating against dental coverage under national health insurance plans. In 1965, the ADA lobbied against the inclusion of dental coverage in the original Medicare program. [11] In 2021, the ADA launched a well-funded lobbying effort against proposal to provide dental insurance coverage for all Medicare recipients.
Dental insurance companies divide benefits, services, or procedures into categories and refer to them with American Dental Association (ADA) 3-4 digit code. As an example, Preventive and Diagnostic procedures often include exams (ADA code 0120), x-rays (ADA code 0210), and basic cleanings or prophylaxis (ADA code 1110).
The Delta Dental Plans Association, also known as simply Delta Dental, is an American network of dental insurance companies composed of 39 independent Delta Dental members operating in all 50 states, the District of Columbia and Puerto Rico. These member companies provide coverage to 85 million people, enrolled in over 157,000 groups.
In addition, payment to dental professionals is based on the CDT code(s) reported on the ADA Claim Form, so using the most current codes helps to maximize reimbursement and minimize audit liability. [6] In the near future, dental professionals will be required to use diagnosis codes in support of the procedures and services they provide.
List of Dental Specialties under the ADA: [16] Dental anesthesiology [18] – The study and administration of general anesthesia, sedation, local anesthesia and advanced methods of pain control. Recognized by both ADA and ABDS. Dental public health – The study of dental epidemiology and social health policies.
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