How do I enroll in Denti-Cal?
- Contact the Provider Telephone Service Center at 1-800-423-0507 to receive an application packet by mail or;
- Download and print applications from the Provider Enrollment page of the Medi-Cal Dental website at www.dental.dhcs.ca.gov – Providers/Application Forms.
How does a dentist join a network?
A dental network is a group of dentists under contract with your dental insurance carrier. These dentists agree to provide dental care at a set fee. A dentist who contracts with your insurance carrier is said to be participating, or in-network.
What procedures does Dentical cover?
Medi-Cal Dental Program
- Diagnostic and preventive dental hygiene (e.g. examinations, x-rays, and teeth cleanings);
- Emergency services for pain control;
- Tooth extractions;
- Fillings;
- Root canal treatments (anterior/posterior);
- Crowns (prefabricated/laboratory);
- Scaling and root planning;
- Periodontal maintenance;
Is Medi-Cal the same as Denti-Cal?
California’s Medicaid program, Medi-Cal, currently offers dental services as one of the program’s many benefits. Medi-Cal Dental, also known as Denti-Cal, is the program that provides free or low-cost dental services to eligible children and adults.
How do I check my Denti-Cal eligibility?
Eligibility. For automated messages providing member eligibility information, call the Automated Eligibility Verification System (AEVS) at 1-800-456-2387. When prompted, enter the information found on the Member Identification Card (BIC ID).
What does Denti-Cal cover in 2021?
Denti-Cal will only provide up to $1800 in covered services per year. Some services are not counted towards the cap, such as dentures, extractions, and emergency services. Your dental provider must check with Denti-Cal to find out if you have reached the $1800 cap before treating you. Appeals.
What is a network general dentist?
network general dentist will refer you to a network specialist. (Except pediatric for children under, orthodontic and endodontic.) › Pediatric dentist. Children under age 7 don’t need a. referral to see a network pediatric dentist.
What does it mean when a dental office is out of network?
Many highly trained dentists decide to work out-of-network. In other words, these dentists are not contracted with any insurance company and they don’t have pre-established rates. The main benefit of choosing an out-of-network dentist is you are free to choose the one that best suits your needs.
Will Denti-Cal cover implants?
For example, as we saw in Maggie’s story, Denti-Cal covers full dentures but not partial dentures, bridges or implants, leaving many older adults with the choice of either pulling out all their teeth or getting no treatment.
Is dental covered under Medi-Cal?
Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.
Are crowns covered by Denti-Cal?
This policy is effective January 1, 2018. Restored benefits will include, for example: Laboratory processed crowns, posterior root canal therapy, periodontal services, and partial dentures, including denture adjustments, repairs, and relines.