FAQ: Fees
How does Delta Dental determine its Maximum Plan Allowance (MPA) levels?
Allowances may differ depending on the type of plan. For example, allowances for Delta Dental PPO will be different in most cases from those for the Delta Dental Premier® Plan. Depending on the state in which you practice, the allowances can reflect a variety of factors. These may include data on fees from claims, fee filings or other sources. They can also include economic factors.
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How often does Delta Dental update its allowances?
Delta Dental reviews allowances on an ongoing basis. We update them regularly, usually anywhere from every 6 to 24 months. In the event of rapid or significantly fluctuating dental care costs, Delta Dental may adjust its levels more frequently. These updates are required to be filed first for approval by state regulatory agencies in many locales.
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What geographic area is used for Delta Dental's allowances?
In general, we calculate allowances on a regional basis. Any one state may have two or more regions, depending on economic variations.
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I have more than one office. May I have a separate fee filing for each office?
Generally, yes, if the offices are in different regions of the state. Simply submit a separate Confidential Fee Filing for each location. (Note: fee filings are not used in Texas).
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Who can I contact to discuss other questions about fees and allowances?
Call or e-mail the Dentist Network Administration and Contracting department at your local Delta Dental office.
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