Dentist announces congressional candidacy at leadership conference

Dr. Paul Gosar of Flagstaff, AZ announced his candidacy for the Unites States Congress at the ADA leadership conference. Currently there are two dentist serving in the United States Congress - Rep. Mike Simpson (R-Idaho), one of the WLC speakers, and Rep. John Linder (R-Ga.). Read more...

ADA Files Class Actions Against Insurance Carriers

The American Dental Association has written an extremely informative article regarding legal decisions and their impact on the dental community. Please see the following:

"The Division of Legal Affairs actively monitors and engages in legal issues that are important to or may affect ADA members and supervises litigation pertaining to ADA. ADA has filed three class action lawsuits against insurance carriers alleging federal and state law violations for improperly denied, delayed and/or reduced payment to dentists; undercut fees charged by "out-of-network" dentists without the data required to justify the reductions and a racketeering complaint against three of the nation's largest insurers alleging that they conspired to "deny, reduce and delay" lawful payments to dentists under contract to the plans." To view and read the entire article click here:

DC Alliance and DC Medicaid Changes

I have great news! D-TECH has been working feverishly with Doral USA, Unison Health Plan, the DCPCA and local public health providers to enhance the benefits for the DC Alliance and DC Medicaid dental programs. Effective April 1, 2009, Unison has increased their fee schedule to participating providers and added five new procedure codes to their Adult Alliance benefit schedule. Based upon feedback from our providers, the following benefits have been added:

¨ D0330 Panoramic film

¨ D4355 Full mouth debridement

¨ D9110 Palliative treatment

¨ D9220 Deep sedation/general anesthesia – first 30 minutes

¨ D9221 Deep sedation/general anesthesia – add 15 minutes

Please note the effective date for D0330 and D9110 under the Adult Alliance program has been back dated to May 1, 2008. All previously denied claims for codes listed above are being reprocessed back to the effective dates.

Unison will also be covering Medicaid Adults(DC Healthy Smiles) effective May 1, 2009. If D-TECH is responsible for your reimbursements, we will make all of the necessary changes in your system to ensure a smooth transition. Please contact your account representative at D-TECH is you have questions about how these changes affect your office.

Onward and Upward!