Dental plans may include a separate orthodontia benefit to treat malocclusion. An orthodontia benefit may include a lifetime orthodontia deductible, a specific orthodontia banding maximum, and a lifetime orthodontia maximum for all orthodontia treatment. Please contact our customer service department to inquire if your patient's plan includes orthodontia benefits.
To expedite the processing of your orthodontia claim, it is important to include the following information:
- Date the orthodontia appliance was placed
- Total cost of orthodontia treatment
- Banding fee or initial down-payment
- Monthly adjustment fee
- Expected length of treatment in months
You can choose to bill orthodontia adjustments monthly or quarterly. A pre-determination for orthodontia services is recommended, however not required.
Note: Certain pediatric dental plans will require prior authorization for medically necessary orthodontia services to treat cleft lip, cleft palate and certain other severe craniofacial anomalies.