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Reimbursement-Adjusted Denture Pricing Programme

Jon M, DDS
Updated
The information provided in this article is intended for use by licensed dental and healthcare professionals only, for informational purposes only, and does not constitute medical or dental advice or replace clinical judgement. The treating clinician bears sole responsibility for all diagnostic and therapeutic decisions made in connection with patient care.

Overview: Manage discounted rates for final full and partial dentures when insurance reimbursement falls below $750 per arch using the Dandy Portal.

Understanding the Reimbursement Programme

The Reimbursement-Adjusted Pricing Programme provides discounted rates on specific dentures when insurance allowed amounts are under $750 per arch. No formal enrolment is required; submitting documentation through the Dandy Portal serves as agreement to the programme terms.

Eligible Products and CDT Codes

The following table outlines products eligible for the reimbursement-adjusted programme:

Product Type CDT Codes
Immediate Dentures (Printed) D5130, D5140
Full Dentures / Overdentures (Printed) D5110, D5120, D5835, D5836
RPD – Acrylic (4+ teeth) D5211, D5212

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