FYI

Dentist blog from Delta Dental

Tag: CDT

Reminder: CDT 2021 updates have arrived

The American Dental Association’s CDT procedure codes and nomenclature* have been updated for 2021. The CDT updates for 2021 include 28 new codes, four code deletions and 11 nomenclature and description revisions.

Please review our summary of changes and claims processing policies (PDF) and begin using CDT 2021 codes on claims for procedures provided on and after Jan. 1, 2021.

*CDT coding and nomenclature are the copyright and a trademark of the American Dental Association, all rights reserved.

Take a look at CDT 2020 updates

The American Dental Association’s CDT procedure codes and nomenclature* have been updated for 2020. Changes include 37 new codes, six code deletions and several nomenclature and description revisions.

Please review our summary of changes and updated Delta Dental claims processing policies and begin using CDT 2020 codes on claims for procedures provided on and after Jan. 1, 2020.

*CDT coding and nomenclature are the copyright and a trademark of the American Dental Association, all rights reserved.

View the PDF summary of CDT 2020 changes.

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Important reminders for 2018

Verify your TIN

Double-check that we’re using the correct taxpayer identification number (TIN) to report your Delta Dental earnings to the IRS.

Check the last four digits of the TIN on page 1 of the claim payment document you receive from us. If they don’t match exactly with your TIN on file with the IRS for your name/business name, notify us right away. Use the TIN Enrollment Form under Administrative Forms on our website.

Check out more TIN tips, too.

Use CDT 2018

Use the new codes on claims for treatment provided on and after January 1, 2018. Review the summary of new codes and other changes.

Report fraud

We work diligently to uncover fraudulent behaviors and prevent fraud from driving up the cost of our plans. If you suspect fraud has occurred, please contact us. You may remain anonymous.

  • Fraud hotline: 800-526-1852
  • Online fraud report form
  • Medicare fraud, waste and abuse hotline: 800-511-0831

Learn ways to protect your practice from fraud. 

Respond promptly to your re-credentialing letter

Re-credentialing is required by state and federal regulations and Delta Dental, and occurs once every three years. When you receive a re-credentialing letter from us, please be sure to reply by the due date indicated in the letter.

If we don’t hear from you, we’re required to take action, which may include contract termination.

Learn more about re-credentialing.

Use CDT 2018 codes on claims starting Jan. 1, 2018

The American Dental Association’s CDT procedure codes and nomenclature have been updated for 2018. Changes include 18 new codes, three code deletions and several nomenclature and description revisions.

Please review our summary of changes and applicable Delta Dental claims processing policies, and begin using CDT 2018 codes on claims for procedures provided on and after January 1, 2018.

CDT coding and nomenclature are the copyright and a trademark of the American Dental Association; all rights reserved.

2016 year-end reminders

Enroll as a Medicare provider

There are more than 1 million Delta Dental enrollees nationwide in Medicare Advantage plans. Opt in to be listed in our Medicare Advantage network, ensure payment as an in-network dentist and get your patients’ prescriptions covered. Learn more about joining Medicare Advantage.

Verify your TIN

Make sure we’re reporting your Delta Dental earnings to the IRS using your correct taxpayer identification number (TIN). Check the last four digits of the TIN on page 1 of the “Your claim payment” document you receive from us. If they don’t match exactly with your TIN on file with the IRS for your name/business name, notify us right away. Use the TIN Enrollment Form under Administrative Forms on our website. Learn more.

Use CDT 2017

Use the new codes on claims for treatment provided on and after January 1, 2017. Review the summary.

Respond promptly to a re-credentialing letter

Re-credentialing is required by state and federal regulations and Delta Dental, and occurs once every three years. Avoid contract termination for non-compliance – respond by the due date indicated in the letter. Learn more about re-credentialing.

Report Medicare fraud, waste and abuse

Our new Medicare hotline number is 800-511-0831. You may remain anonymous. Learn more about how we work to prevent fraud.

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