Delta Dental. You must WebDelta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 877.521.2101 | DeltaDentalWA.com DD LG Premier 2015. 0000040598 00000 n Can you give me a comparison of my costs in network vs. out of network? Payment is based on the SPEEA fee schedule with Delta Dental. The plan covers a wide array of services, andpreventive care like routine cleanings and examsis coveredat little or no cost.. The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. If your dentist participates in both How to access and interpret information provided on remittances 0 Are you part of the dental health maintenance organization (DHMO) or Advantage network? lowest cost network in which your dentist This functionality is no longer available on the Humana.com portal and has been fully migrated to Availity. These plans make it easy to receive Delta Dental coverage and protect your health. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. (This fee is non-refundable as allowed by state). If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." hbbd```b`` WebClaim/Claim Form Information.the.dentist.submits.to.the.dental.plan. %%EOF How do I make sure I use a PPO dentist? participates. J kujbplc#vv9~KNpxDKXnNd !KdHM2^)}zo"ktD;Y5s6tVH't_h4k,Y@'F6'+t+U;W*D2VFut8E=s!_$bPqvi,f?7HWJ6[QmlgOuAa4j="*-uQqj0mw$)yIZzT]Y$x=zUJJ'zS/DfKN1AWiY~`$sNl]M,t2;zZ4ju ~\)1/\+ER;s? 0000008367 00000 n Here are the benefits of creating an account. 0000010024 00000 n This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 2018 Survey of Dental Fees. Submit a list of fees to be filed with Delta Dental of Are you part of the HumanaDental Medicare network or the Humana Florida GoldPlus Dental network (for patients who purchased their plan in Florida)? Yes. WebProtect your smile and wallet with a DeltaCare USA plan from Delta Dental. This dentist provides most of your treatment and coordinates any necessary specialist referrals. WebDelta Dental of Minnesota 1 -877 631 8954 . $E}kyhyRm333: }=#ve Medical Assistance Program Dental Fee Schedule: provider : 20 : 20 ; ADJUNCTIVE GENERAL SERVICES . Refer to your benefit plan to determine whether these requirements apply to you. Here are some examples: Available free to members or for purchase through the ADA Store, the ADAs 2022 Survey of Dental Fees also features: 5 tips for marketing your dental practice, National average fees broken down for both general practitioners and each of the six specialties, National level statistics for fees for more than 200 commonly performed dental procedures, Average fees charged by general practitioners broken down into nine regional areas, based on U.S. Census divisions, Standard deviation and percentiles for each fee, Dental procedures identified by procedure code and nomenclature from the Code on Dental Procedures and Nomenclature as published in the ADAs CDT 2022. SM WebConfidential Filed Fee Schedule (Updated to include CDT 2015 code terminology) Statement of Intent: I agree that each fee submitted to Delta Dental on a claim for dental services I provide to any Delta Dental patient will be these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the Get paid faster and reduce administrative paperwork with electronic funds transfer (EFT) and electronic remittance advice (ERA). 3. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. With Delta Dental as the programs administrator, these two options are known as the Delta Dental PPOTM plan and the DeltaCare USA (DHMO) plan. 0000007717 00000 n Specialists and general dentists recorded the fees they charged most often for over 200 dental procedures. hz\Ssr@B=$ Dn&\p JJLZF[[{Zlgk[kmWo~]/nJ}$HwB>>= A`j/}eHtUk. CompBenefits payer ID: CX021. They also may present a digital ID card using their MyHumana mobile app. trailer <]/Prev 806005/XRefStm 2090>> startxref 0 %%EOF 5029 0 obj <>stream Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Delta Dental of New Jersey is a part of Delta Dental Plans Association. @C{+$aF^ADjCq)C-{ =Q[m9@q P{( (U"N Y y Oh5; d % )SPp/F w`` >E;!3J B H2H" TN+!u`),aKU@!Ds&'L@6$H d8H i#RMIvJ+rTe+E7,n)9"Aw H)4__DZW3tma,($TirN'}QZEaP_D 5@8 = t` 90 0 obj <>/Filter/FlateDecode/ID[<0EF7D80C2DB26D3E1A81A2055E849515>]/Index[81 21]/Info 80 0 R/Length 61/Prev 49932/Root 82 0 R/Size 102/Type/XRef/W[1 2 1]>>stream Administered by Humana Insurance Company. Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. WebSCHEDULE A Description of Benefits and Copayments The benefits shown below are performed as deemed appropriate by the attending Contract Dentist subject to the hS@W1+/Wp48 8~eX WebPlease note: This fee schedule applies to procedures performed by a General Dentists only. The national network of Delta Dental companies protects more smiles than any other insurance company. With signNow, you cane Sign as many documents per day as Click View hWF+HYr :1U`vh$~#_EJC $!yo70EN3"&IHC" !#_BD,'>nN"~.O_EHiL This is just one of the solutions for you to be successful. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. The provider agreement that dental providers enter into with Humana allows Humana to provide such third parties with access to Humanas contracted provider network and in turn Humanas contracted dental providers services. Box 14611 hbbd``b`$C`)l 1bL@&3~0 Get started here. endstream endobj startxref %PDF-1.6 % You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. 81 0 obj <> endobj Refer to your benefit plan to determine whether preventive services are covered for you. This exclusive survey provides you with an analysis of self-reported fees by procedure from a nationwide, random sample of dentists. P.O. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Start quoting dental + vision plans for small business, Getting affordable dental coverage is easier than ever with aDeltaCare USA plan. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Select the Claims & Payments menu and choose Remittance Viewer. WebKY Medicaid Dental Fee Schedule 2022 Revised 3/17/2022 Proc Code Procedure Description UNDER AGE 21 Rate 21 and OVER Rate Notes D0145 ORAL EVALUATION FOR A PATIENT UNDER THREE (3) YEARS OF AGE AND COUNSELING WITH THE PRIMARY CAREGIVER. 0000000016 00000 n WebDelta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company P.O. The Content on this website is not medical advice. 0000002090 00000 n NAI-1502064614v2 1 Introduction We are pleased to welcome you to the dental plan for BRAND NEW DAY. How do I submit claims to Delta Dental? Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. O5g8f Dq0tt0Ht D50A8D[=X@M?CooSutoEdx /f f`rg0 yTU [r Can't find your city? Check out our DCUSA network video. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). WebThe Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. HumanaDental digital member ID cards FAQs, PDF. Accept Delta Dental of Oregon benefit payments for services provided. WebDelta Dental Of Ohio Fee Schedule Cxeb Ksiilxm Yeah, reviewing a ebook Delta Dental Of Ohio Fee Schedule Cxeb Ksiilxm could go to your close associates listings. COVID-19 resources Click Here . Interested in learning more about our plans? Claims will be processed when received according to your plan provisions. WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. You also may contact Delta Dental PPO customer service at (800) 626-3108. endstream endobj 149 0 obj <> endobj 150 0 obj <> endobj 151 0 obj <>stream 0000008456 00000 n endstream endobj 153 0 obj <>stream How can I make my benefits go the furthest? Mail it to Delta Dental at the address shown below.. Any Subscription Charges The AMA does not directly or indirectly practice medicine or dispense medical services. The information and content (collectively, "Content") on this website is for your general educational information only. DIAGNOSTIC Delta Dental has the largest network of dentists nationwide. Find the one that's right for you. 2020 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) WebThe submitted fee is the amount that the dental office charges for your service and submits to Delta Dental. %%EOF Please note that the benefit payments made by Delta Dental to dentists, other dental care providers or . 0000016709 00000 n For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 6. WebWhen a service is denied and the reason for denial is considered integral to another dental service, the participating dentist agrees to the negotiated fee as adjudicated and cannot charge the participant for the denied integral service. delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company With your DeltaCare USA plan, when you visit a network dentist, you'll: Save on out-of-pocket costs. Refer to the EOC booklet for coverage details and plan limitations. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. 0000033685 00000 n Patients covered by a Humana Dental commercial group plan have the convenience of a digital member ID card and may no longer need to present a physical member ID card. Youll save the most when you see PPO dentists. 0 Zq iApwTu}hoh? How much is it going to cost? If so, you may want to review these plan summaries. Preventive care coverage varies by plan and by demographic considerations such as age. Can I go to any dentist I want with this plan? You can also access this information on the Availity portal. Go to our Find a Dentisttool. In the event of any disagreement between this communication and the plan document, the plan document will control. hTP=O0+@PuCH--Ol~z%A7FY/l.8:Cu%IsC]snN|chL}n ' Do not avoid getting dental care based on the cost information provided on this website. If a contracted dental provider no longer wants to have third parties accessing its services under the contract the dental provider and Humana entered into, the contracted dental provider can reach out to its Humana dental representative to be removed from third-party access. endstream endobj 349 0 obj <. hb```f``Ra`a`8 B@1P` bxHFw@[/fv8uAlA7Z!2f2#fp If you have purchased an association plan, an association fee may also apply. 0 Know your costs for covered procedures up front. Check out Virtual Consult, Check out our new DeltaVision plans Under a dental discount plan, you pay the dentist directly at the time of service on a pre-negotiated rate. (those who choose not to participate in PPO or Premier) dont offer negotiated discounts. DHMO and Advantage network plan summaries, PDF, If you treat patients with the Federal Dental Plan, you can review these exclusive provider organization (EPO) and preferred provider organization (PPO) plan summaries and helpful documents. WebDelta Dental Premier is one of our five contracted national network-based programs. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 0000081041 00000 n Not available with all Humana health plans. 160 0 obj <>stream For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. get the It is a nationwide network for MA members who bought their plan in Florida. Please see your plan booklet or Policy for a complete description of plan benefits, limitations and exclusions. Your actual cost may be higher or lower than the estimate for various reasons. In Maryland, Delta Dental PPO. If you are eligible to use our online application, please review this important information. Search. 368 0 obj <>/Filter/FlateDecode/ID[<9CBCF151ED38014EB2A0AB26D20255F5>]/Index[348 33]/Info 347 0 R/Length 96/Prev 546855/Root 349 0 R/Size 381/Type/XRef/W[1 2 1]>>stream ^o /B WebSchedule A - Description of Benefits and Copayments.. 13 Schedule B - Limitations and Exclusions of Benefits.. 37 . Like all Dentists, PPO Dentists are allowed to charge for any applicable Co-payments, Deductibles, or non-covered services. 0000002677 00000 n Want to know before you set foot in the dentists office? 348 0 obj <> endobj If so, please visit Humana Medicare Advantage Supplemental Dental Benefits Information to find the most recent dental office handbook, Humana Medicare Advantage dental benefit descriptions and member-specific dental plans. Our coverage makes it easy and affordable to protect your smile, Follow snack and alcoholic drinks with water to keep your smile healthy on game day. WebDelta Dental of Colorado (Find another state) Help Center: Dentists Claims Does Delta Dental of Colorado accept electronic claims? !~V;]lf({n1pED^ q The American Dental Association may periodically change CDT codes or definitions. |w&Vk2JIUQ kpbU}$qYs#]NflzSC%M_y WIm{SGn>95xfi'c]r_5\}GW:muM'|KC#{oG$tnRw[GU@u/l7{8;}cEl>c7% GsF All of those matters are things that you should decide, in consultation with your dental care professionals. To promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service, and value. hSmk0+qcdz,($m9n%lGrF? Out of pocket payment when you visit the dentist. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. The accepted fee is the amount your dentist agrees to accept from Delta Dental as full payment for your dental service. FAQs About Participation with Delta Dental Patient Direct. Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). Network Overview Take a tour of the Connection Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. We pay 100% of an allowed amount - the amount our participating dentists agree to accept, which is less than what they charge their out-of-network patients. The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. WebDelta Dental PPO Plus Premier Plan at a Glance | Delta Dental of New Jersey Online tools Dental plans Dental health Home > Tools & resources > Plan information > PPO Plus Premier At a Glance Delta Dental PPO Plus Premier Plan at a Glance Delta Dental PPO Plus Premier gives you access to approximately 154,000 participating dentists. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. WebDELTA DENTAL PATIENT DIRECT MEMBER FEE SCHEDULE MEMBER PAYS DENTAL SERVICE (Maximum Charge) Delta Dental of Illinois DDIL.PD.FS.0802 These companies are financially responsible for their own products. You'll have a list of copayments for every covered procedure so you know all your costs for preventive, basic and major services up front. hb``e``ZAXX8W``H`ibH CGHcWpajkf Webfull dental arch - mandible .. $110.00 D0366 Cone beam CT capture and interpretation with field of view of one full dental arch - maxilla, with or without cranium .. $110.00 D0367 Cone beam CT capture and interpretation with field of view of both billing surprises. Connect with your Delta Dental company to learn more. 0000002580 00000 n If You are not satisfied, You may return the Policy within 10 days after You received it. 0000010743 00000 n Dental Network Names in and outside of Florida. Virtual Consult 0000002346 00000 n tqX)I)B>== 9. The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. , PDF, Watch a video for helpful tips regarding member benefits and claims. Submitting claims - All claims must be In the event of a dispute, the policy as written in English is considered the controlling authority. hb```f``R |cf`ah s[3D320d+jPh;@''SZ\55|~=dp0u4X43hL `{x+l8AB6i)]@lp9 WebDelta Dental of Minnesota Experience the Delta Dental Difference No waiting periodsyou have full benefits the day your coverage begins. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. pBwOgeU 3)P(K^2FhLv>+SxvU}8F/i~\>cHHQ,/:0B'-ac`T2r68b)!PRJ[&}4v?S`3 This exclusive survey provides you with an analysis of self-reported fees by procedure from a nationwide, random sample of dentists. 0000011417 00000 n Delta Dental Participating Provider, explain Benefits, check the status of a claim, and assist you in If you elect to participate in this plan, you'll have a two-tiered fee schedule: Delta Dental Premier and a slightly reduced fee schedule for Delta Dental PPO. PPO fees are posted to the National Provider File and accepted nationally by other Delta Plans. Premier and PPO networks, we will pay your Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! For a complete description of the details of your coverage, please refer to your coverage documents. This network supports the SimpleChoice plan. This preferred provider organization (PPO) plan is designed in response to employers' requests for an economical product for their employees. SimpleChoice offers the unmatched level of service member dentists enjoy from Delta Dental and is designed to be easy for dental offices to administer. WebDelta Dentals payment as payment in full, and further agree not to charge any difference between their fees and the amount paid by Delta Dental back to their Delta Dental patients. Lexington, KY 40512-4283, Electronic payer IDs In states, and for products where applicable, the premium may include a $1 administrative fee. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 7906 0 obj <>/Filter/FlateDecode/ID[<6A22589A1FC506448F51EC6CE5CCD5A3><7FE5D63132C3D543B8A2DB0D0F689003>]/Index[7893 21]/Info 7892 0 R/Length 82/Prev 914206/Root 7894 0 R/Size 7914/Type/XRef/W[1 3 1]>>stream Click View contracted fee reports 2. WebBudget-friendly dental care. 101 0 obj <>stream 2022 Delta Dental PPO Plan Benefit Summary Dentures and bridges (construction or repair of fixed bridges, partial, and complete dentures) Periodontics (treatment of diseases of the gums and supporting structures of the teeth) $2,000 Calendar year deductible, per member Some plans may also charge a one-time, non-refundable enrollment fee. SCHEDULE B LIMITATIONS AND EXCLUSIONS OF BENEFITS Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. 7913 0 obj <>stream WebFees PPO Fee Percentage Paid by Delta Dental Amount Delta Dental Pays Total Amount You Pay PPO Network $1,200 $850 $850 50% $ 425$ Premier** Network $1,200 $975 Get preventive care (like cleanings and exams) at low or no cost. %PDF-1.5 % Webdental entitys Type 2 NPI (if different) to npi@delta.org Please also include the dentists name, practice name, address and license number. hb```b``se`e` @16L@P iS;~1fm,Jxo0~e d {@ O ka$31b0;p7AyFCt+?:ro@MoCOW{\\uKs[Y. DeltaCare USA plans are underwritten in these states by these entities: CA Delta Dental of California; DC(Policy I-P-DC-dc-20) and FL Delta Dental Insurance Company; MD and TX Alpha Dental Programs, Inc.; UT Alpha Dental of Utah, Inc.; NY Delta Dental of New York, Inc.; NV Alpha Dental of Nevada, Inc.; PA Delta Dental of Pennsylvania. 0000023974 00000 n WebDelta Dental has affordable individual dental plan options available for you. hbbd``b`$WXWk.`l "3A\~n:${. Copyright 2023 Delta Dental Plans Association. WebIf you need to share the delta dental fee schedule 2022 pdf with other people, it is possible to send the file by e-mail. Delta Dental has the largest network of dentists nationwide. 0000005788 00000 n Third parties with access to Humanas contracted provider network: Some Humana networks may have additional participation criteria physicians and other healthcare providers must meet to be granted participation status. Group Dental and Vision Plans (Insurance through your employer). Box 16354 Little Rock, AR 72231 Everyday forms Authorization for Release of Health and Payment Information (PDF, 2 pages, 21kb) This form authorizes Delta Dental of New Jersey to release protected health information. 0000014888 00000 n What if I use a clearinghouse not included in your list of accepted clearinghouses? As understood, achievement does not suggest that you have fabulous points. q>^{N:c0 '5xY*/KC9Nk#qw2G:_uxPb~m:$=fLW \1eaH^XBG49;k"g t=wMW$u d:eCm&GNbYkqVpI_ Download Supporting Materials(Free for ADA members) The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. How can I make my benefits go the furthest? 0000002640 00000 n Find a listing of more than 1,000 Delta Dental PPO provider locations in Colorado and hundreds of thousands of Delta Dental network providers nationwide at www.DeltaDentalCoversMe.com, or call 888-899-3734. 380 0 obj <>stream Here are some examples. Find a dentist near you. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Health information changes quickly. $O./ 'z8WG x 0YA@$/7z HeOOT _lN:K"N3"$F/JPrb[}Qd[Sl1x{#bG\NoX3I[ql2 $8xtr p/8pCfq.Knjm{r28?. My Contracted Fees 1. Go365 is not an insurance product. The Delta Dental PPO fee schedules are reviewed annually and updated accordingly. Please scroll down and accept to proceed. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Plan participants may not always inform a dental office of their participation in the MetLife PDP program. Be sure to select the Delta Dental PPO Plus Premier network. Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. The Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. ,9g4crDe`py:0ocnjvl)tDh}.~K m=_ endstream endobj 152 0 obj <>stream hU[k0+zl. 0000031542 00000 n Medical Assistance Program Dental Fee Schedule: provider : 20 : 20 ; ADJUNCTIVE GENERAL 0000008809 00000 n %%EOF WebDelta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 877.521.2101 | DeltaDentalWA.com DD LG Premier 2015. I receive dental insurance through my employer. Preventive services are included in this tool. Getting affordable dental coverage is easier than ever with a Delta Dental PPO plan. The plan covers a wide array of services. Get 100% coverage for essential preventive care, like routine cleanings and exams. Maximize your savings and keep your options open with our PPO plan. 0000006341 00000 n We offer vision coverage through DeltaVision in 15 states and the District of Columbia. You have remained in right site to start getting this info. Payment is based on the SPEEA fee schedule with Delta Dental. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Both dental plans provide the same services. Have a question about coverage or looking for dental insurance? Privacy Statement Terms of Use Social Media Policy. 0 ) A?)){BYf)Q$ek:INTVTF!oE+6/$+~-,Wj44["$I"u>DN'$m! CODE DESCRIPTION ENROLLEE PAYS D0100-D0999 I. WebMedicaid has two dental plans. For Arizona residents: Insured by Humana Insurance Company. Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem.