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Overview
Dandy’s Reimbursement-Adjusted Pricing Program helps your practice care for more patients by offering discounted rates on Final Full and Partial Dentures when insurance reimbursement falls below $750 per arch. There’s no enrollment process or paperwork required. Simply submit proof through the Dandy Portal to receive credit.
This guide outlines eligibility, how to submit documentation, and where to track your submission status.
What’s Included
- No enrollment required
- Final Full & Partial Dentures are eligible
- Submit “Proof of Insurance” documents directly in the Dandy Portal
- Receive approvals within 7-10 days, and credits within 30 days
- New Insurance Tab to manage submissions and track statuses
- Same high-quality materials and turnaround times
Submission Summary
Step What You Do What Happens 1 Submit eligible denture order Use the Chairside Portal as usual 2 Submit proof of insurance Upload EOB or use Medicaid Eligibility Check in the Insurance Tab 3 Track status in the Insurance Tab View live updates and receive credits within 30 days if approved Step-by-Step Instructions
Step 1: Place an Eligible Order
Submit any qualifying final full or partial denture case as usual via the Dandy Portal or Chairside.
Step 2: Submit Proof of Insurance
Dandy offers two simple submission options in the Dandy Portal:
Option 1: Document Upload (All Patients)
Upload a redacted Explanation of Benefits (EOB), Pre-Authorization Approval, or other Proof of Insurance document to begin the review process.
Document must include:
- Patient Name
- Patient Date of Birth
- CDT Code(s) (e.g., D5110, D5211)
- Total Billed Amount
- Insurance allowed amount is under $750 per arch
Option 2: Eligibility Check (Medicaid Only)
Submit basic patient and provider information for automatic insurance verification.
Required Fields:
- Insurance Provider
- Member ID
- Patient Name & DOB
- Practice NPI and Tax ID (only required once)
Optional Fields:
- Group Number
Reimbursement requests may be submitted for:
- Final Full Dentures ordered on or after April 30, 2025
- Final Partial Dentures ordered on or after July 1, 2025
- Within 90 days of the original order date
Step 3: Track Case Status
The Insurance Tab in the Dandy Portal provides a centralized hub for submitting and managing your reimbursement-adjusted denture cases.
You can:
- Submit proof of insurance
- Track the status of denture and partial orders from the past 90 days
- Filter by case status: Eligible, Pending, Approved, Credit Applied, Denied
Tab Definitions
- 🟢 Eligible: Orders that may qualify; submit proof to begin review
- 🕓 Pending Review: Proof submitted and under review; no action needed
- ✅ Approved: Documentation approved; credit is processing
- 💰 Credit Applied: Credit successfully issued to your account
- 🔴 Denied: Case ineligible (e.g., allowed amount exceeds $750/arch)
Tip: Use built-in filters to quickly find the status of any submission.
Eligible Products & CDT Codes
Product CDT Codes Immediate Dentures D5130, D5140 Full Dentures / Overdentures D5110, D5120, D5835, D5836 Try-In Workflow – RPD – Acrylic D5211, D5212 RPD – Flexible D5225, D5226 RPD – Chrome Cobalt D5213, D5214 Turnaround times: 7–12 business days
FAQs
Do I need to enroll?
No. Submitting an EOB through the portal counts as agreement to the program terms.
Are partial dentures included?
Yes. Acrylic, Flexible, and Chrome Cobalt removable partial dentures (RPDs) are all eligible. Titanium units are the only exception.
Can I submit the EOB after delivery?
Yes. You can upload the EOB anytime once it becomes available.
Is the product quality the same?
Yes, quality remains the same. You’ll receive the same full and partial denture products Dandy is known for, crafted with industry-leading materials and workflows. Orders are completed in 7–12 business days, depending on the product type, at a fraction of the standard cost.
Support
Live Chat
- Chat: Open Practice Portal > Type "hello" > Select "Billing Help"
Email
Additional Resources
Reimbursement-Adjusted Denture Pricing v2 Program
Jon M, DDS