Teledentistry

With dental practices across the country closed for all but urgent or emergency care, DentaQuest, our parent company, is creating both short- and long-term solutions for remote care. We aim to develop best-in-class teledentistry solutions that will quickly address the needs of today while reflecting our overall goal of building a better future with improved access to quality oral health care for all.

What is Teledentistry?

Teledentistry refers to a variety of technologies and tactics used to virtually deliver oral health and education services and helps to connect providers to other providers or connects providers directly with patients to enhance care and education delivery. Teledentistry services can expand oral health access, lower costs and improve health outcomes and patient satisfaction—making it a critical service to transform the oral health industry.

Now, more than ever, the use of teledentistry as an alternative method to care can provide much-needed access to urgent dental care when providers and patients can’t meet in person. In a crisis, dental providers can use teledentistry to consult with patients, triage their needs and offer limited urgent services without being in the same room. This alternative may help prevent patients from seeking care in emergency departments, where even under regular circumstances, treating oral health issues is often expensive and inefficient.

Reimbursing Teledentistry

As a result of COVID-19, various federal and state government bodies have taken steps to expand providers‘ ability to deliver teledentistry services across the country. As an immediate solution for our members and your office, currently all covered benefits that can be performed remotely (e.g. via teledentistry) will be reimbursed. In order to be paid, a teledentistry claim must meet two criteria:

  • It is both feasible and clinically appropriate to perform the service remotely; and
  • The service is a covered benefit per the patient’s plan design

If a provider submits a covered service of D0140 (Limited Oral Evaluation) or D0170 (Re-evaluation) and indicates the place of service is 02 (telehealth), the service will be covered whether done in office (11) or, in this case, telehealth (02). Please note member eligibility and existing benefit limitations still apply. For further details on benefit limitations, please contact DCPG Customer Service at (513) 554-1100.

Teledentistry Resources from the DentaQuest Partnership for Oral Health Advancement

The latest communications brief from the experts at the DentaQuest Partnership for Oral Health Advancement, Teledentistry: Providing Access to Care During the COVID-19 Crisis, addresses how teledentistry can benefit health care during this critical and extraordinary time as we – patients, providers and states – face the COVID-19 pandemic. For a deeper look into the areas that state policymakers can address to support broader adoption of technology and tools, such as teledentistry, read the Partnership’s white paper Fast-Track to Teledentistry: Removing Barriers to Care While Maximizing Health.

ADA teledentistry Codes

As a result of COVID-19, various federal and state government bodies are expanding providers’ ability to deliver teledentistry services across the country. DentaQuest is working to configure internal systems in appropriate markets using published American Dental Association teledentistry codes  to accurately process teledentistry submissions from providers who evaluate, diagnose and develop treatment plans for patients remotely through video or phone technology. 

New Online Learning Module - The Role of Teledentistry During a Public Health Crisis

Earn 1.5 CE credits with this online offering that was developed from the recent DentaQuest Partnership for Oral Health Advancement webinar on teledentistry. This module explores the ability of using teledentistry to address limited access to care during a public health crisis and discusses policy issues and solutions.

Contact DCPG

Contact Provider Relations for:

  • reimbursements
  • joining DCPG networks
  • contract questions
  • credentialing
  • change of address

Contact Customer Service for:

  • questions about eligibility
  • status of a claim
  • benefit verification
  • how to file a claim
  • pretreatment estimates

Call DCPG at (800) 367-9466 or (513) 554-1100, Monday through Friday from 8:00 am until 4:30 pm EST.

100 Crowne Point Place
Cincinnati, OH 45241
providerrelations@dentalcareplus.com