DENTAQUEST OF ARIZONA, LLC DENTAL PROVIDER SERVICE AGREEMENT THIS AGREEMENT, effective as of date executed by DentaQuest (“Effective Date”), is made between DENTAQUEST OF ARIZONA, LLC (hereinafter referred to as "DentaQuest") and Yavapai County Community Health Services (hereinafter referred to as ("Provider"). (Business Name as appears on W-9) WHEREAS, DentaQuest arranges for the delivery of dental services to Members of prepaid healthcare plans and employer groups contracting with DentaQuest; and WHEREAS, Provider, has an unrestricted license to practice dentistry in the State of Arizona and desires to provide dental services pursuant to the terms and conditions of this Agreement; NOW, THEREFORE, in consideration of the above and the promises hereinafter contained, the parties hereby agree as follows: 1. Definitions (a) “AHCCCS” means the Arizona Health Care Cost Containment System, as described in A.R.S. Section 36-2901, et seq., which is composed of the Administration, contractors, subcontractors and other providers entering into arrangement through which health care services are provided to eligible persons. (b) “Agreement” means this Agreement between DentaQuest and Provider, including all attachments hereto. (c) “Covered Services” is a dental service or supply that satisfies all of the following criteria: 1. provided or arranged by a Participating Provider to a Member; 2. authorized by DentaQuest in accordance with the Plan Certificate; and 3. submitted to DentaQuest according to DentaQuest’s filing requirements; and 4. limited to the most professionally recognized standards of dental practice within the service area and applicable policies and procedures. (d) “Medically Necessary” means those Covered Services provided by a physician or other licensed practitioner of the healing arts within the scope of their practice under State law to prevent disease, disability and other adverse health conditions or their progression, or prolong life. In order to be Medically Necessary, the service or supply for medical illness or injury must be determined by Plan or its designee in its judgment to be a Covered Service which is required and appropriate in accordance with AHCCCS law, regulations, guidelines and accepted standards of medical practice in the community. (e) “Member” means any individual who is eligible to receive Covered Services pursuant to a contract and the eligible dependents of such individuals. (f) “Participating Provider” is a dental professional or facility or other entity, including Provider that has entered into a written agreement with DentaQuest, directly or through another entity, to provide dental services to selected groups of Members. (g) “Plan” is an insurer, health maintenance organization or any other entity that is an organized system which combines the delivery and financing of health care and which provides basic health services to enrolled members. (h) “Plan Certificate” means the document that outlines the benefits available to Members. 121001 AZ Maricopa & UFC MA MC 1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 2. 3. (i) “Provider” means the undersigned health professional or any other entity that has entered into a written agreement with DentaQuest to provide certain health services to Members. Each Provider shall have its own distinct tax identification number. (j) “Provider Dentist” means a doctor of dentistry, duly licensed and qualified under the applicable laws, who practices as a shareholder, partner, or employee of Provider. Obligations of DentaQuest (a) Operations. DentaQuest shall conduct the day-to-day administrative operations of DentaQuest, including but not limited to: drafting and negotiating contracts and provider agreements with Providers, making benefit determinations; conducting actuarial analyses; setting, collecting and accounting for fixed periodic payments; processing claims; regulatory compliance and reporting; and marketing DentaQuest. State and federal programs are responsible for enrollment, reenrollment and disenrollment of Members (b) Directories. DentaQuest shall maintain a listing of Participating Providers and may include Provider’s participation in Plan’s network in provider directories and/or other publications intended for use of Members, subject to approval by Plan. (c) Benefit Changes. DentaQuest shall notify Provider of changes in benefit provisions offered by the Plan. (d) Quality Improvement. DentaQuest shall operate, at its own expense, quality assurance, utilization review and Member grievance programs. (e) Payment Processing. DentaQuest shall transmit payments to Provider in accordance with the terms and conditions of this Agreement, or as may otherwise be agreed upon between the parties in writing. (f) Regulatory Compliance. Provider and employees and agents must meet the minimum requirements for participation in the Medicaid program as required by State and Federal regulations.. (g) Access to Care. DentaQuest shall conduct its administrative operations in a manner that does not encourage Provider to jeopardize Member’s access to care or the appropriate delivery of Covered Services to Members Provider Obligations (a) Provision of Services. Provider shall render to Members all Covered Services and continue to provide Covered Services to Members. After the date of termination from participation, upon the request of DentaQuest, Provider shall continue to provide Covered Services to Members for a period not to exceed one hundred and twenty (120) days during which time payment will be made pursuant to Attachments for Covered Services provided. (b) Submission of Claims. Provider shall submit claims for dental services to DentaQuest in a manner and format prescribed by DentaQuest. Provider understands that failure to submit claims or failure to submit requested documentation within 180 days will result in loss of reimbursement for services provided. Provider shall submit claims electronically to DentaQuest. If unable to submit electronic claims, paper claims must be submitted on a standard ADA claim form or a format that has been approved by DentaQuest in advance. Provider agrees to accept electronic payment and electronic remittance if/when available. (c) Non-discrimination. Provider shall not discriminate in the treatment or quality of services provided to Members on the basis of race, color, religion, sex, sexual orientation, age, disability, 121001 AZ Maricopa & UFC MA MC 2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. national origin, Vietnam-era veteran’s status, ancestry, health status or need for health services of such Members and without regard to source of payments made for health services rendered to such Members. Provider shall make their services accessible to Members during the same hours and with the same intensity as they do to non-Members. Provider agrees to comply with all applicable federal and state laws relating to non-discrimination and equal employment opportunity, including the Civil Rights Act of 1964, regulations issued pursuant to that Act and provision of Executive Order 11246 dated September 26, 1965. Provider agrees to provide physical and program accessibility of dental services to persons with physical and sensory disabilities pursuant to Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), all requirements imposed by any applicable DHFS regulations (45 C.F.R. Part 84) of CMS regulation (42 C.F.R. Parts 417 and 434) and all guidelines and interpretations issued pursuant thereto. (d) Policies and Procedures. Provider agrees to comply with any and all policies, rules and regulations of DentaQuest as they may exist from time to time including, but not limited to, claims processing, credentialing, quality or cost containment standards established by DentaQuest and Plans. Provider agrees to refer patients that require covered specialty services (oral surgery, endodontics, prosthetics, and orthodontics) that Provider does not perform, only to dental specialists designated by DentaQuest. (e) Member Advisement: MHP has no policies that would prohibit, or otherwise restrict, a health care professional acting within the lawful scope of practice, from advising or advocating on behalf of a member who is his or her patient, for the following: (i) The member’s health status, medical care, or treatment options, including any alternative treatment that may be self-administered. (ii) Any information the member needs in order to decide among all relevant treatment options. (iii) The risks, benefits, and consequences of treatment or non-treatment. (iv) The member’s right to participate in decisions regarding his or her health care, including the right to refuse treatment, and to express preferences about future treatment decisions. (42 CFR 438.102). (f) Records. Provider agrees to: 1. Maintain adequate dental/medical, financial and administrative records related to covered dental services rendered by Provider in accordance with federal and state law. 2. Safeguard all information about Members according to applicable state and federal laws and regulations. All material and information, in particular information relating to Members or potential Members, which is provided to or obtained by or through Provider’s performance under this Agreement, whether verbal, written, tape, or otherwise, shall be reported as confidential information to the extent confidential treatment is provided under state and federal laws. Provider shall not use any information so obtained in any manner except as necessary for the proper discharge of his/her obligations and securement of his/her rights under this Agreement. Neither DentaQuest nor Provider shall share confidential information with a Member’s employer absent the Member’s consent for such disclosure. Provider agrees to comply with the requirements of the Health Insurance Portability and Accountability Act (“HIPAA”) relating to the exchange of information and shall cooperate with DentaQuest in its efforts to ensure compliance with the privacy regulations promulgated under HIPAA and other related privacy laws. Provider and DentaQuest acknowledge that the activities conducted to perform the obligations undertaken in this Agreement are or may be subject to HIPAA as well as the regulations promulgated to implement HIPAA. Provider and DentaQuest 121001 AZ Maricopa & UFC MA MC 3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 3. 4. 5. 6. 7. 8. 9. 10. (g) agree to conduct their respective activities, as described herein, in accordance with the applicable provisions of HIPAA and such implementing regulations. Provider and DentaQuest further agree that, to the extent HIPAA or such implementing regulations require amendments(s) hereto, Provider and DentaQuest shall conduct good faith negotiations to amend this Agreement. Provider shall maintain adequate dental/medical, financial and administrative records related to covered dental services rendered by Provider in accordance with federal and state law. To cooperate and provide Plan, DentaQuest, government agencies and any external review organizations (“Oversight Entities”) with access to each Member’s dental records for the purposes of quality assessment, service utilization and quality improvement, investigation of Member complaints or grievances or as otherwise is necessary or appropriate To provide such information and data, including, but not limited to, encounter, utilization, referral and other data, that Oversight Entities may require. To provide, at no cost to the Member or the Member’s new or different dental provider, all Member’s dental/medical records no later than fourteen (14) calendar days following the written request. Upon written request by a Member, Provider agrees to transfer the information in such Member's health care records to the person specified by the Member at no charge. That any and all Member records will be maintained for a period not less than ten (10) years, or minimum required by state, following the termination of this Agreement or, if such records are under review or audit, until such review or audit is complete. That all records shall be made available for fiscal audit, medical audit, medical review, utilization review and other periodic monitoring upon request of Oversight Entities at no cost to the requesting entity. Upon termination of this Agreement for any reason, to make available to any Oversight Entities, in a useable form, all records, whether dental/medical or financial, related to Provider’s activities undertaken pursuant to the terms of this Agreement at no cost to the requesting entity. That any Oversight Entities, including but not limited to DSS, the Attorney General of the State of Arizona, the state fraud agency, the United States Department of Health and Human Services ("HHS"), the Comptroller General of the United States, and/or their duly authorized representatives shall have access to any books, documents, papers and records which are related to this Agreement for the purpose of making audit, examination, excerpts and transcriptions; provided, however, that those records detailing health care status and/or treatment of specific Members eligible for coverage of health care/dental services under Title XVIII of the Social Security Act need not be made available to the Comptroller General of the United States. That Provider shall allow duly authorized agents or representatives of Oversight Entities, during normal business hours, access to Provider’s premises to inspect, audit, monitor or otherwise evaluate the performance of Provider’s contractual activities and shall forthwith produce all records requested as part of such review or audit. In the event right of access is requested under this paragraph, Provider shall, upon request, provide and make available staff to assist in the audit or inspection effort, and provide adequate space on the premises to reasonably accommodate personnel conducting the audit or inspections effort. All inspections or audits shall be conducted in a manner as will not unduly interfere with the performance of Provider’s activities. All information so obtained will be accorded confidential treatment as provided under applicable law. Oversight Entities and/or their duly authorized representatives shall be allowed access to evaluate through inspection or other means, the quality, appropriateness and timeliness of services performed under this Agreement. Authority of Provider. Provider represents and warrants that it has full authority to bind those providers listed as Provider Dentist to the terms and conditions of this Agreement. 121001 AZ Maricopa & UFC MA MC 4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 4. 5. (h) Insurance. Provider shall procure and maintain at their own cost, liability insurance with limits as otherwise required by law. Provider shall provide evidence of such coverage to DentaQuest upon the execution of this Agreement and thereafter as requested by DentaQuest. (i) Clinical Laboratory Improvement Amendments. Provider shall refer all authorized laboratory tests and procedures to a laboratory that has been issued (A) either a certificate of registration under The Clinical Laboratory Improvement Amendments (“CLIA”), a certificate waiver under CLIA, or a certificate of accreditation under CLIA, and (B) a CLIA identification number. A laboratory that has been issued a certificate of waiver may only perform the tests and procedures permitted under its waiver. (j) AHCCCS Minimum Subcontract Provisions. AHCCCS Minimum Subcontract Provisions are attached to this Agreement as Attachment B and are incorporated herein by this reference. For purposes of the requirements set forth in Attachment B, Plan is the Contractor and DentaQuest and its Participating Providers are the Subcontractor. DentaQuest and its Participating Providers agree to fully comply with all terms and conditions set forth in Attachment B. (k) AHCCCS Number. Provider Dentist shall have his/her own distinct Arizona AHCCCS number. (l) Appointment Status. Provider shall ensure Members are offered appointments according to Arizona requirements; 45 days routine, 72 hours urgent, and 24 hours emergent. Provider shall ensure that a member's waiting time after arrival in a provider’s office is no more than 45 minutes, except when the Provider is unavailable due to an emergency. Professional Requirements (a) Licensure. Provider and employees or agents rendering services to Members shall be appropriately licensed to render such services as required by state or federal law or regulatory agencies, and such licenses shall be maintained in good standing. Provider shall provide DentaQuest a copy of said license(s) upon execution of this Agreement. (b) Restriction of Licensure. Provider shall notify DentaQuest within two (2) business days of the loss or restriction of his/her DEA permit or dentistry license or any other action that limits or restricts Provider’s ability to practice dentistry. (c) Professional Training. Provider and all employees or agents rendering services to Members shall possess the education, skills, training, physical and mental health status, and other qualifications necessary to provide quality dental patient care. (d) Professional Standards. Provider and employees or agents rendering services to Members shall provide dental care which meets or exceeds the standard of care for dentists in the region and shall comply with all standards for dentists as established by any state or federal law or regulation. (e) Continuing Education. Provider and employees or agents rendering services to Members shall comply with continuing education standards as required by state or federal law or regulatory agencies. (f) Regulatory Compliance. Provider must meet the minimum requirements for participation in the Medicaid program as provided by the State. Payment Arrangement (a) Compensation. Contingent upon receipt of payment from Plan, DentaQuest shall pay Provider according to Attachments. 121001 AZ Maricopa & UFC MA MC 5 Current Dental Terminology © 2012 American Dental Association. All rights reserved. (b) Hold Harmless. Provider agrees and warrants that in no event, including, but not limited to, nonpayment by DentaQuest, DentaQuest insolvency, or breach of this Agreement, shall Provider bill, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have any recourse against any Member or persons acting on their behalf for providing Covered Services. This provision does not prohibit Provider from seeking to collect co-insurance, copayments or deductibles from Members or fees for non-covered services delivered on a fee-forservice basis to Members as well as services received by ineligible persons in accordance with the terms of the applicable Plan Certificate. Provider agrees that they shall hold the Members harmless and shall not bill the Member for non-covered services if the services are not covered as a result of any error or omission by Provider. Provider also agrees that this hold harmless and warranty provision herein shall: 1. 2. survive the termination of the Agreement regardless of the cause giving rise to termination, and supersede any oral or written contract agreement heretofore entered into between Provider, DentaQuest, Plan and Members or designees. Provider also agrees to hold the State of Arizona, Members and the state agencies financially harmless from unpaid claims for Covered Services and not seek payment from the State of Arizona, Members or state agencies if DentaQuest will not pay for Covered Services performed by Provider under this Agreement. (c) Notification of Default. Provider agrees to notify Plan immediately of any payment defaults by DentaQuest relating to Covered Services rendered. In the event of such payment default by DentaQuest and at Plan’s option, Provider agrees to continue rendering Covered Services hereunder so long as payments due Provider for Covered Services rendered after Plan’s exercise of such option are made directly to Provider by Plan and until a date specified by Plan but no later than 120 days after Plan’s exercise of such option. Provider shall agree that any such payments during such time period shall be made, at Plan’s election, in accordance with the reimbursement terms set forth in this Agreement, in accordance with Plan's maximum fee schedule in effect at the time of service, or at the AHCCCS maximum allowable. (d) Co-payment Limits and Member Charges For Noncovered Services. No deductibles or copayments are permitted for Medicaid covered services. A provider shall be permitted to charge an eligible Member for goods or services which are not covered only if the Member knowingly elects to receive the goods or services and enters into an agreement in writing to pay for such goods or services prior to receiving them. For purposes of this section noncovered services are services not covered under the Medicaid state plan, services which are provided in the absence of appropriate authorization and services which are provided out-of-network unless otherwise specified in the contract, policy or regulation (e.g., family planning, mental health or emergency room services. (e) Coordination of Benefits. Provider shall notify DentaQuest whenever he/she has reason to believe a Member may be entitled to coverage under any other health benefit plan and shall assist DentaQuest in obtaining information for the coordination of benefits when a Member holds other coverage. If a Member is also covered by another dental plan, and DentaQuest determines it is the primary carrier, the Provider agrees that DentaQuest’s obligation to Provider will not exceed the compensation described in this Agreement for the Covered Services in question. If a Member is also covered by another health benefit plan and DentaQuest determines that it is the secondary carrier, the Provider agrees that DentaQuest’s obligation shall not exceed the compensation described in the Agreement for the Covered Services in question and that Provider will refund (reduced by any payments the Member may have made to Provider) the aggregate compensation Provider received from the other health benefits plan for the Covered Services in question. (f) Other Coverage. Provider agrees that payment defined in Attachments shall be his/her sole compensation for rendering Covered Services to Members. All other monies received by him/her 121001 AZ Maricopa & UFC MA MC 6 Current Dental Terminology © 2012 American Dental Association. All rights reserved. from any other worker’s compensation and/or auto, health, property/casualty insurance company must be reported and turned over to the DentaQuest subrogation department. 6. (g) Missed Appointment. Provider shall not bill, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have any recourse against a Member or persons acting on their behalf for missed appointments. Provider shall not be required to accept or continue treatment of a Member with whom Provider feels he/she cannot establish and/or maintain a professional relationship, or is beyond the scope of Provider’s expertise or ability. (h) Plan Reimbursement. Compensation of Provider by DentaQuest is subject to, and dependent upon, DentaQuest’s receipt of proper claims payment from Plan. In the event of nonpayment by Plan, DentaQuest reserves the right to withhold or recover payment to Provider for all claims not paid by Plan. Once DentaQuest has received the outstanding amount for such claims from Plan, DentaQuest will reimburse Provider according to the terms of this Agreement. Quality Management (a) Cooperation with Quality Programs. Provider shall cooperate with and participate in the utilization review, quality assurance, credentialing, grievance, peer review, claims processing, and audit procedures of DentaQuest, and shall comply with all final determinations rendered by such procedures. (b) Re-credentialing. Provider shall cooperate with the re-evaluation of their credentials at such intervals, as DentaQuest shall determine, but not more frequently than every three years. Such evaluation may take into account a review of Provider's past performance and practice patterns, and a review of dental records and evaluations pertaining to Provider's participation in the delivery of dental care. (c) Audit of Records. DentaQuest, Plan and all applicable state and federal agencies shall have access at reasonable times and upon demand, to inspect the books, records and papers of Provider for the purpose of auditing and evaluating and determining on a concurrent or retrospective basis the necessity or appropriateness of health services provided to Members. DentaQuest, Plan or state and federal agencies or their designees shall also have the right to inspect, upon demand and at reasonable times, Provider’s facilities pursuant to quality management programs or peer review programs. Provider shall provide copies of medical records to DentaQuest, Plan or state and federal agencies or their designees upon request. Copying and delivery expenses associated with compliance with this Agreement shall be the responsibility of Provider. (d) Plan and Regulatory Agency Oversight. The Provider acknowledges and agrees that nothing in the Agreement shall be construed to limit: (a) the authority of the Plan to ensure the Provider’s participation in and compliance with Plan’s quality assurance, utilization management, member grievance and other systems and procedures; (b) any applicable regulatory agency’s authority to monitor the effectiveness of such systems and procedures; or (c) Plan’s authority to sanction or terminate a Provider found to be providing inadequate or poor quality care or failing to comply with Plan’s systems, standards or procedures. The Provider acknowledges and agrees that any delegation under a contract of quality assurance, utilization management, credentialing, provider relations and other dental management programs, shall be subject to Plan’s oversight and monitoring of DentaQuest’s performance. The Provider further acknowledges and agrees that Plan, upon the failure of DentaQuest to properly implement and administer such systems or to take prompt corrective action after identifying quality, member satisfaction or other problems, may terminate the contract and that, as a result of such termination, the Provider’s participation in Plan may also be terminated . 121001 AZ Maricopa & UFC MA MC 7 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 7. 8. 9. Independent Contractors (a) Professional Relationship. Provider is an independent contractor and is responsible for maintaining a professional relationship with Members. Provider is responsible for his/her own acts or omissions in his/her professional practice of dentistry, as well as those acts or omissions of his/her employees and agents. No action by DentaQuest has or is intended to have the effect of infringing upon Provider’s care and treatment of the Member, including without limitation all decisions with respect to administration, treatment or discharge of such Member. (b) Appropriate Treatment. DentaQuest allows open Provider-Member communication regarding appropriate treatment alternatives. Provider will not be penalized for discussing medically necessary or appropriate patient care. A determination by DentaQuest that a particular course of treatment is not a Covered Service does not relieve Provider from providing or recommending such care to Members as he/she deems to be appropriate, and that determination may not be considered to be a medical determination made by DentaQuest. Provider Dentist (a) Provider Dentist Approval. Provider shall supply all information requested by DentaQuest for the purpose of credentialing Provider Dentist, and Provider Dentist must be approved for participation by DentaQuest in writing before rendering Covered Services to Members. (b) Rights and Obligations. Provider Dentist shall have the rights and obligations provided in the Agreement which are applicable to Provider, and understands that certain provisions of the Agreement shall also be individually binding on Provider Dentist, and that DentaQuest may require performance of all provisions by Provider Dentist. Provider Dentist also understands that DentaQuest and Provider may amend the Agreement without right of review by or approval of Provider Dentist. (c) Reimbursement by Provider. Provider Dentist agrees to look solely to Provider for reimbursement of Covered Services, where Provider is designated as payee pursuant to Agreement. Term and Termination (a) Term. This Agreement shall begin on the Effective Date and shall end one (1) year from such date. Thereafter, this agreement shall automatically renew for successive one (1) year periods unless either party provides notice of its intent not to renew. (b) Termination. This Agreement may be terminated as follows: i. By DentaQuest upon 30 days prior written notice without cause. ii. By Provider upon 60 days prior written notice without cause. iii. By either party, in the event of a material breach of this Agreement by the other party, upon 60 days prior written notice to the other party. iv. Upon the occurrence of any of the following events with respect to Provider, DentaQuest has the option to immediately terminate Provider's designation as a Participating Provider: 1. the death of Provider; 2. the loss or suspension of the dental license or Provider; 3. the loss or suspension of Provider’s drug enforcement administration license, or the loss of Provider’s unrestricted prescribing privileges; 4. the loss of Provider’s liability insurance; 121001 AZ Maricopa & UFC MA MC 8 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 5. 6. 7. 8. 9. 10. 11. 12. (c) 10. the Provider being restricted from receiving payments from Medicare or Medicaid; the Provider is convicted of any felony; the Provider is convicted of any offense involving DentaQuest or Plan; the failure of the Provider to meet any quality assurance, credentialing, or grievance program requirements of DentaQuest, Plan or any state or federal regulatory agency or their designees; the Provider intentionally and purposefully does not comply with the referral and notification requirements of DentaQuest, Plan or any state or federal regulatory agency or their designees; the Provider fails to cooperate with DentaQuest in the provision of costeffective, quality services to Members; the Provider is found to be harming Members; or any adverse regulatory finding with respect to Provider. Effect of Termination. In the event of termination of this Agreement, Provider agrees to complete any treatment in progress and/or assist in the orderly transfer of Members to another provider, as requested by DentaQuest. Provider must provide timely notification to all Members affected by Provider’s termination. Miscellaneous (a) Non-exclusivity. This Agreement is not an exclusive contract and DentaQuest may contract with other providers of dental services. Provider may contract with other dental plans. This Agreement shall be regarded as confidential and its terms or contents shall not be disclosed to any other party unless agreed to in writing by DentaQuest; except, however, Provider may disclose the contents of this Agreement to the legal representative of Provider without the consent of DentaQuest. (b) Amendment or Restated Agreement. DentaQuest may amend or restate this Agreement by sending a copy of the amendment or restated agreement to Provider at least 30 days prior to its effective date. If Provider does not object to such amendment or restated agreement in writing within such 30-day notice period, Provider shall be deemed to have accepted the proposed amendment or restated agreement as of the end of the 30-day notice period. In the event Provider objects within the 30-day notice period, by providing written notice to DentaQuest, the parties shall confer in good faith to reach agreement. If such agreement cannot be reached, DentaQuest may terminate this Agreement. (c) Change in Status. Provider understands that any and all changes in the Provider's legal and contractual relationship to and with Provider's clinic partners, who are also party to this Agreement must be communicated in writing to DentaQuest, or DentaQuest may elect to immediately terminate this Agreement. Provider also agrees to provide DentaQuest with 30 days advance written notice of any closure of their practice to additional Members, or new location at which Provider anticipates seeing Members. (d) Waiver of Breach. The waiver by either party of a breach of violation of any provision of the Agreement shall not operate as or be construed to be a waiver of any subsequent breach hereof. (e) Governing Law. This Agreement shall be governed in all respects by the laws of the state of Arizona. (f) Responsibility for Actions. Each party shall be responsible for any and all claims, liabilities, damages, or judgments that may arise as a result of its own negligence or intentional wrongdoing. (g) Severability. The invalidity or unenforceability of any term of condition shall in no way affect the validity or enforceability of the remainder of this Agreement. 121001 AZ Maricopa & UFC MA MC 9 Current Dental Terminology © 2012 American Dental Association. All rights reserved. (h) Arbitration. If a dispute regarding payment arises between the parties involving a contention by one party that the other has failed to perform its obligations and responsibilities under this Agreement, then the party making such contention shall promptly give notice to the other. Such notice shall set forth in detail, the basis for the party’s contention, and shall be sent by Certified Mail-Return Receipt Requested. The other party shall within thirty (30) calendar days of receipt of the notice provide a written response seeking to satisfy the party that gave notice regarding the matters as to which notice was given. Following such response, or the failure of the second party to respond to the compliant of the first party within thirty (30) calendar days, if the party that gave notice of dissatisfaction remains dissatisfied, then the party shall so notify the other party and the matter shall be promptly submitted to inexpensive and binding arbitration. (i) Assignment. DentaQuest may assign this Agreement immediately upon written notice to Provider. Provider must obtain DentaQuest’s prior written consent to assign this Agreement. (j) Notice. Any notices required to be given pursuant to the terms and provision hereof shall be sent by mail, addressed to DentaQuest at: DentaQuest of Arizona, LLC Attn: Provider Information 12121 N. Corporate Parkway Mequon, WI 53092 and to the Provider at the address stated herein or as he/she may otherwise notify DentaQuest in writing. (k) Form. All words used herein in the singular number shall extend to and include the plural. All words used in the plural numbers shall extend to and include the singular. All words used in any gender shall extend to and include all genders. (l) Entire Agreement. This Agreement, together with all subordinate and other documents and exhibits incorporated herein, constitutes the final and entire expression of the Agreement between the parties with respect to the subject matter contained herein and expressly supercedes all prior and contemporaneous representations, statements, drafts, correspondence or similar understanding or documents. 121001 AZ Maricopa & UFC MA MC 10 Current Dental Terminology © 2012 American Dental Association. All rights reserved. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date written below: Legal Entity Name & Address Name DentaQuest of Arizona, LLC Yavapai County Community Health Services Address 1090 Commerce Drive Prescott, AZ 86301 Phone (928) 442-5966 BY: ______________________________ (Signature) BY: Thomas Thurman, Chairman, BOS (Please Print or Type Name) BY: __________________________________ Steven J. Pollock Chief Operating Officer Tax ID# 86-6000561 Group NPI # 1659317022 DATE: _______/________/________ DATE: _______/________/________ PROVIDER DENTISTS (Please Type or Print) Please list the name of all individual dentists providing services under the terms of this Agreement. Richard Zapfe Dentist Name General Practice Specialty Joonwoo Bae Dentist Name General Practice Specialty Mark Emshwiller Dentist Name General Practice Specialty Maritza Sanchez-Salazar Dentist Name General Practice Specialty ________________________________ Dentist Name _____________________________________ Specialty ________________________________ Dentist Name _____________________________________ Specialty 121001 AZ Maricopa & UFC MA MC 11 Current Dental Terminology © 2012 American Dental Association. All rights reserved. THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC 12 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT A DENTAQUEST OF ARIZONA, LLC DENTAL PANEL REIMBURSEMENT 1.0 Provider Reimbursement 1.01 Maricopa Health Plan. Provider shall be paid the lesser of billed charges, or 100% of the fee schedule attached hereto as Attachment A-1 for the provision of Medically Necessary Covered Services as determined by DentaQuest to eligible Maricopa Health Plan Members. DentaQuest does not permit or offer any financial incentives to Provider to encourage Provider to avoid rendering Medically Necessary Covered Services to Members. 1.02 General and Pediatric Dentists in Maricopa County. Provider shall be paid the lesser of billed charges, or 100% of the fee schedule attached hereto as Attachment A-2 for the provision of Medically Necessary Services rendered to any eligible Plan Member which DentaQuest may contract with utilizing the fee schedule Attachment A-2. Provider will be given 30 days advance notice of any Plan/Members to which this fee schedule applies. 1.03 Specialists in Maricopa County. Provider shall be paid the lesser of billed charges, or 100% of the fee schedule attached hereto as Attachment A-3 for the provision of Medically Necessary Services rendered to any eligible Plan Member which DentaQuest may contract with utilizing the fee schedule Attachment A-3. Provider will be given 30 days advance notice of any Plan/Members to which this reimbursement arrangement applies. 1.04 General and Pediatric Dentists in Pima and Yavapai County. Provider shall be paid the lesser of billed charges, or 100% of the fee schedule attached hereto as Attachment A-4 for the provision of Medically Necessary Services rendered to any eligible Plan Member which DentaQuest may contract with utilizing the fee schedule Attachment A-4. Provider will be given 30 days advance notice of any Plan/Members to which this fee schedule applies. 1.05 Specialists in Pima and Yavapai County. Provider shall be paid the lesser of billed charges, or 100% of the fee schedule attached hereto as Attachment A-5 for the provision of Medically Necessary Services rendered to any eligible Plan Member which DentaQuest may contract with utilizing the fee schedule Attachment A-5. Provider will be given 30 days advance notice of any Plan/Members to which this reimbursement arrangement applies. 2.0 Provider agrees to practice cost effective dentistry. Provider acknowledges that improper billing or the rendering of dental care that is determined to be unnecessary or inappropriate by the DentaQuest Dental Director, shall not be compensated and will constitute sufficient basis for termination of this agreement or other measures as described in paragraph 3.0. 3.0 Provider acknowledges that “fee-for-service” dental reimbursement can only be maintained with the cooperation and commitment of all dental panel members to practice cost effective, quality dentistry. DentaQuest shall compile an internal “practice profile” for each member of the DentaQuest dental panel on a periodic basis. This profile will compute averages for total cost per patient. Providers, whose practice patterns deviate in a statistically significant way from the norms of the DentaQuest dental panel, may be subject to notice of probationary status and/or possible termination, subject to the appropriate notice and appeal procedures as stated herein. 4.0 DentaQuest shall pay Provider within thirty (30) calendar days of receipt of clean claims for dental services rendered to Members. Provider agrees to accept electronic payment and electronic remittances if/when available. Provider reimbursement requires receipt of a clean claim. A claim shall be considered clean only if the claim requires no further information, documentation, adjustment or alteration by Provider to be adjudicated by DentaQuest. Any dispute regarding payment shall be deemed waived unless Provider submits written notification of the reasons for the dispute within sixty (60) days of receipt of the payment, statement of denial or adjustment. 121001 AZ Maricopa & UFC MA MC A-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC A-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT A-1 DENTAQUEST OF ARIZONA, LLC SCHEDULE OF ALLOWABLE FEES-MARICOPA HEALTH PLAN ** PLEASE REFER TO OFFICE REFERENCE MANUAL ON DENTAQUEST’S WEBSITE FOR COVERED SERVICES ** Code Description Fee Code Description Fee D0120 periodic oral evaluation $23.77 D2794 crown - titanium $322.37 D0140 limited oral evaluation $31.44 D2910 recement inlay $39.08 D0145 oral evaluation for patient under three D2915 recement cast or prefabricated post and years of age and counseling $29.74 core $39.08 D0150 comprehensive oral evaluation $34.90 D2920 recement crown $39.08 D0160 detailed and extensive oral evaluationD2930 prefab steel crown - prime tooth $114.77 problem focused $34.90 D2931 prefab steel crown - perm tooth $133.47 D0180 comprehensive periodontal evaluation D2932 prefabricated resin crown $113.08 new or established patient $36.59 D2933 prefab steel crown w/resin win $134.36 D0210 intraoral-comp (inc bitewings) $62.05 D2934 prefab esthetic coated stainless steel D0220 intraoral-periapical - 1st film $12.73 crown-pr $134.36 D0230 intraoral-periapical - each film $10.23 D2940 sedative filling $43.36 D0240 intraoral - occlusal film $12.73 D2950 core buildup, including pins $119.04 D0250 extraoral - first film $14.43 D2951 pin retention - per tooth $34.02 D0260 extraoral - each additional film $11.05 D2952 cast post and core plus crown $180.29 D0270 bitewing - single film $10.23 D2954 prefab post & core $112.83 D0272 bitewings - two films $20.39 D2970 temporary crown (fracture) $89.29 D0273 bitewings0three films $25.55 D3110 pulp cap - direct $16.12 D0274 bitewings - four films $29.74 D3120 pulp cap - indirect $16.12 D0277 vertical bitewings-7 to 8 films $29.74 D3220 therapeutic pulpotomy $68.90 D0290 skull and facial bone film $31.44 D3221 gross pupal debridement, primary and D0310 sialography $49.72 permanent teeth $68.90 D0320 temporomandibular joint arthrogram, incl $97.76 D3230 pulpal therapy - anterior $88.65 D0321 other TMJ films, by report $46.74 D3240 pulpal therapy - posterior $88.65 D0330 panoramic film $52.72 D3310 anterior (exc final rest) $314.64 D0340 cephalometric film $45.05 D3320 bicuspid (exc final restore) $380.08 D0350 oral/facial images (includes intra and D3330 molar (excluding final restore) $477.03 extraoral images) $17.90 D3331 treatment of root canal obstruction; nonD0470 diagnostic casts $44.25 surgical access $88.41 D0502 other oral pathology procedures, by repo $21.28 D3332 incomplete endodontic therapy; D1110 prophylaxis - adult $42.55 inoperable or fractured tooth $181.10 D1120 prophylaxis - child $36.59 D3333 internal root repair or perforation defects $100.34 D1203 fluoride w/o prophy - child $16.92 D3346 retreat prior root canal - anterior $403.85 D1204 fluoride w/o prophy - adult $16.92 D3347 retreat prior root canal - bicuspid $425.13 D1206 topical fluoride varnish, theraputic appl $16.92 D3348 retreatment root canal - molar $505.88 D1310 nutritional counseling for control of D3351 apexification/recalc - 1st visit $75.69 dental disease $21.68 D3352 apexification/recalcification $63.75 D1351 sealant - per tooth $22.97 D3353 apexification/recalcification $204.06 D1510 space maintainer - fixed-uni $126.69 D3410 apicoectomy/periradicular - ant $289.09 D1515 space maintainer - fixed-bilateral $181.10 D3421 apicoectomy surgery - bicuspid $289.09 D1520 space maintainer - removable-uni $126.69 D3425 apicoectomy surgery - molar 1st $335.03 D1525 space maintainer - removable-bi $181.10 D3426 apicoectomy surgery (each root) $144.59 D1550 recementation space maintainer $28.94 D3430 retrograde filling - per root $101.15 D1555 removal of fixed space maintainer $28.94 D3450 root amputation - per root $166.67 D2140 amalgam - 1 surface, permanent $62.05 D3470 intentional replantation $363.08 D2150 amalgam - 2 surfaces, permanent $74.79 D3920 hemisection $166.67 D2160 amalgam - 3 surfaces, permanent $90.11 D4210 gingivectomy - gingivoplast/quad $231.31 D2161 amalgam - 4+ surfaces, permanent $108.00 D4211 gingivectomy(plasty) per tooth $90.88 D2330 resin - 1 surface, anterior, primary $73.99 D4240 gingival flap w/root plan/quad $263.63 D2331 resin - 2 surfaces, anterior $93.57 D4241 gingival flap w/root plan 1-3/quad $158.13 D2332 resin - 3 surfaces, anterior $117.34 D4249 crown lengthening - hard tissue $340.11 D2335 resin - 4+ surfaces, anterior $141.11 D4260 osseous surgery - per quadrant $421.74 D2390 composite crown – anterior $170.05 D4261 osseous surgery –1-3 teeth/quad $275.47 D2391 composite - 1 surface, post- permanent $62.05 D4263 bone replacement graft; first site in D2392 composite - 2 surfaces, post- permanent $74.79 quadrant $233.80 D2393 composite – 3 surfaces, post-permanent $90.11 D4264 bone replacement graft; each additional D2394 composite – 4+ surfaces, post-primary $108.00 site in quadrant $221.07 D2712 crown-3/4 resin based composite-indirect $178.08 D4265 biologic material to aid in soft and D2750 crown - porce fused to high noble $483.81 osseous tissue regeneration $250.81 D2751 crown - porcelain fused to metal $483.81 D4266 guided tissue regeneration; resorbable D2752 crown - porce fused to noble metal $483.81 barrier; per site $240.65 D2790 crown - full cast high noble $483.81 D4267 guided tissue regeneration; nonD2791 crown - full cast base metal $483.81 resorbable barrier; per site $259.35 D2792 crown - full cast noble metal $483.81 D4270 pedicle soft tissue graft proc $258.47 121001 AZ Maricopa & UFC MA MC A-1-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Code D4271 D4273 D4274 D4275 D4276 D4320 D4321 D4341 D4342 D4355 D4910 D4920 D5110 D5120 D5130 D5140 D5211 D5212 D5213 D5214 D5281 D5410 D5411 D5421 D5422 D5510 D5520 D5610 D5620 D5630 D5640 D5650 D5660 D5710 D5711 D5720 D5721 D5730 D5731 D5740 D5741 D5750 D5751 D5760 D5761 D5811 D5820 D5821 D5850 D5851 D5862 D6930 D7110 D7111 D7120 D7130 D7140 D7210 D7220 D7230 D7240 D7241 D7250 D7260 Description free soft tissue graft proc subepithelial connective tissue graft procedure (including donor site surgery) distal or proximal wedge procedure (when not performed in conjunction with surgical procedures in the same anatomical area) soft tissue allograft combined connective tissue and double pedicle graft provision splint - intracoronal provision splint - extracoronal perio scaling & root plan/quad perio scaling & root plan 1-3 teeth/quad full mouth debridement periodontal maintenance proc unscheduled dressing change complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular maxillary part denture - resin mandibular part denture - resin maxillar part denture - cst mtl mandibular part denture - mtl removable unti partial denture adjust comp dent - maxillary adjust comp dent - mandibular adj partial denture - maxillary adj partial denture - mandibular repair broken comp dent base replace teeth - dent/per tooth repair resin denture base repair cast framework repair or replace broken clasp replace broken teeth - per tooth add tooth to partial denture add clasp to partial denture rebase comp maxillary denture rebase comp mandibular denture rebase maxillary partial denture rebase mandibular partial denture reline comp max dent (chair) reline mandibular dent (chair) reline max part denture (chair) reline partial dent (chair) reline comp maxillary denture reline comp mandibular denture reline maxillary partial denture reline mandibular partial denture interim comp dent - mandibular interim part denture - maxillary interim part denture - mandibular tissue conditioning - maxillary tissue conditioning - mandibular precision attachment by report recement fixed partial denture extraction single tooth coronal remnants-primary tooth extraction each additional tooth root removal-exposed roots extraction – erupted tooth/exposed root surgical removal erupted tooth removal impacted tooth - soft remove impacted tooth - part bony remove impact tooth - comp bony removal of impacted tooth - bony surg remove residual roots oroantral fistula closure Fee $307.79 $437.86 Code D7261 D7270 D7280 D7281 D7282 $271.20 $340.98 $442.14 $149.66 $114.77 $123.31 $73.10 $63.75 $61.26 $25.55 $627.50 $627.50 $703.99 $703.99 $586.72 $586.72 $688.74 $688.74 $306.09 $34.02 $34.02 $34.02 $34.02 $90.11 $68.90 $62.94 $72.30 $73.99 $68.90 $81.64 $108.80 $261.85 $261.85 $261.85 $261.85 $144.59 $144.59 $132.65 $132.65 $202.37 $202.37 $171.74 $171.74 $322.78 $289.09 $289.09 $72.30 $72.30 $14.80 $39.08 $60.70 $48.36 $54.00 $70.63 $70.92 $108.80 $133.47 $170.05 $199.00 $246.62 $108.80 $255.08 D7283 D7285 D7286 D7290 D7310 D7311 D7320 D7321 D7410 D7411 D7412 D7413 D7414 D7415 D7440 D7441 D7450 D7451 D7460 D7461 D7465 D7471 D7472 D7473 D7485 D7490 D7510 D7511 D7520 D7521 D7530 D7540 D7550 D7560 D7610 D7620 D7630 D7640 D7650 D7660 D7670 D7671 D7680 D7710 D7720 D7730 D7740 D7750 D7760 D7770 D7771 D7780 D7810 D7820 Description primary closure of a sinus perforation tooth reimplantation - accident surg exp impacted tooth - ortho surg exposure of impacted or unerupted tooth mobilization of erupted or malpositioned tooth to aid eruption placement of device to facilitate eruption of impacted tooth biopsy of oral tissue - hard biopsy of oral tissue - soft surgical reposition of teeth alveoloplasty w/ extract/quad alveoloplasty in conjunction with extractions- one to three teeth or tooth spaces alveoloplasty - per quadrant alveoloplasty not in conjunction with extractions-one excision benign lesion – 1.25 cm excision benign lesion ->1.25 cm excision of benign lesion, complicated excision malignant lesion-1.25 cm excision malignant lesion- >1.25 cm excision of malignant lesion, complicated excision malignant tumor-1.25 cm excision malignant tumor->1.25 cm removal odontogenic cyst-1.25 cm removal odontogenic cyst->1.25 cm removal nonodontogenic cyst-1.25 cm removal nonodontogenic cyst->1.25 cm destruction of lesion(s) by physical or chemical method removal of lateral exotosis-(maxilla of mandible) removal of torus palatinus removal of torus mandibulars surgical reduction of osseous tuberosity radical resection of mand w/ graft incision/drain abscess - intraoral incision and drainage of abscess-intraoral soft tissue-complicated incision/drain abscess - extraoral incision and drainage of abscess-extraoral soft tissue-complicated removal or foreign body removal of foreign bodies partial ostectomy/sequestrectomy maxillary sinusotomy max-open reduction – immobilized max- closed reduction – immobilized mand-open reduction immobilized mand-closed reduction-immobilized malar/zygo arch –open reduction malar/zygo arch –closed reduction alveolus-closed reduction alveolus- open reduction facial bones-complicated reduction max-open reduction-compound max-closed reduction – compound mand – open reduction-compound mand- closed reduction-compound malar/zygo-open reduction- compound malar/zygo-closed reduction-compound alveolus-open reduction-stablization alveolus-closed reduction-stabliztion facial bones-complicated reduction open reduction-dislocation closed reduction-dislocation 121001 AZ Maricopa & UFC MA MC A-1-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $255.08 $246.62 $183.67 $110.57 $110.57 $45.05 $130.10 $130.07 $124.96 $129.28 $81.64 $170.05 $113.08 $90.11 $199.79 $233.80 $178.60 $263.63 $276.36 $174.32 $259.35 $129.28 $165.78 $94.37 $124.93 $60.45 $201.49 $282.07 $443.26 $229.69 $2,780.47 $60.45 $201.49 $108.80 $221.64 $74.96 $92.69 $153.13 $294.42 $1,410.38 $1,007.42 $1,718.26 $886.53 $1,007.42 $685.05 $276.44 $1,390.24 $2,296.91 $1,571.57 $963.09 $1,652.16 $1,039.65 $1,511.13 $1,043.69 $1,007.42 $584.31 $2,893.30 $1,442.62 $124.93 Code D7830 D7840 D7850 D7854 D7856 D7858 D7860 D7865 D7870 D7871 D7872 D7873 D7874 D7875 D7876 D7877 D7880 D7899 D7910 D7911 D7912 D7940 D7941 D7943 D7944 D7945 D7946 D7947 D7948 D7949 D7950 D7955 D7960 D7963 D7970 D7971 D7972 D7980 D7981 D7982 D7983 D7990 D7991 D8010 D8020 D8030 D8040 D8050 D8060 D8070 D8080 D8090 D8210 D8220 D8660 D8670 Description manipulation under anesthesia condylectomy surgical disectomy-w/ or w/o implant synovectomy myotomy joint reconstruction arthrotomy arthroplasty arthrocentesis non-arthroscopic lysis and lavage arthroscopy-diagnosis, with or without biopsy arthroscopy-surgical: lavage and lysis o arthroscopy-surgical: disc repositioning arthroscopy-surgical: synovectomy arthroscopy-surgical: discectomy arthroscopy-surgical: debridement occlusal orthotic appliance unspecified tmd therapy, by report suture small wounds up to 5 cm complicated suture up to 5 cm complex suture - more than 5 cm osteoplasty-orthognathic osteotomy-ramus, closed osteotomy-mandibular rami with bone graft, includes obtaining the graft osteotomy-segmented or subapical-per sex osteotomy-body of mandible lefort I (maxilla-total) lefort I (maxilla-segmented) lefort II or III (osteoplasty of lefort II or III -with bone graft osseous, osteoperiosteal, periosteal, or repair soft/hard tissue defect frenulectomy - separate proc frenuloplasty excise hyperplastic tiss/arch excision pericoronal gingiva surgical reduction of fibous tuberosity sialolithotomy excision of salivary gland-by report sialodochoplasty closure of salivary fistula emergency tracheotomy coronoidectomy limited orthodontic treatment or the primary dentition limited orthodontic treatment or the transitional dentition limited orthodontic treatment or the adolescent dentition limited orthodontic treatment or the adult dentition interceptive orthodontic treatment of the primary dentition interceptive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the adolescent dentition comprehensive orthodontic treatment of the adult dentition removable appliance therapy fixed appliance therapy pre-orthodontic visit periodic orthodontic treatment visit Fee $189.40 $1,833.50 $1,672.31 $2,087.37 $1,094.46 $2,189.72 $431.18 $2,189.72 $132.98 $241.78 $374.77 $979.21 $979.21 $1,323.34 $1,323.34 $2,189.72 $268.38 $200.68 $56.41 $95.12 $221.64 $1,007.42 $2,780.47 $2,780.47 $2,333.18 $2,518.55 $2,812.70 $2,574.96 $3,222.92 $3,344.62 $721.32 $729.37 $117.67 $117.67 $122.50 $59.64 $100.75 $157.16 $608.48 $443.26 $165.22 $294.17 $1,027.57 Code D8680 D8690 D8692 D8693 D9110 D9120 D9210 D9220 D9221 D9230 D9241 D9242 D9248 D9310 D9410 D9420 D9430 D9440 D9610 D9612 D9920 D9930 D9940 D9951 Description orthodontic retention (removal of appliances, construction, and placement of retainers) orthodontic treatment (alternative billing to contracted fee) replacement of lost or broken retainer rebonding or recementing and/or repair of fixed retainer palliative treatment fixed partial denture sectioning local anesthesia w/o operative or surgical procedure deep sedation/general anesthesia - 1st 30 min deep sedation/general anesthesia - each 15 min analgesia/anxiolysis/inhalation of nitrous oxide iv conscious sedation/analgesia - 1st 30 min iv conscious sedation/analgesia - each 15 min non-intravenous conscious sedation/analgesia consultation house/extended care facility call hospital call office visit for observation office visit after regularly scheduled hours therapeutic drug injection - by report therapeutic parenteral drugs 2 + administrations, different medications behavior management - by report treatment of complications - post surgical - by report occlusal guard - by report occlusal adjustment - limited $238.08 $238.08 $238.08 $238.08 $1,105.33 $1,105.33 $2,210.68 $2,486.13 $2,572.87 $259.35 $284.82 $38.29 $112.26 121001 AZ Maricopa & UFC MA MC A-1-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $170.05 $55.29 $110.57 $39.08 $48.44 $44.25 $8.54 $117.67 $54.80 $21.28 $113.08 $32.32 $51.02 $33.13 $38.29 $68.02 $23.77 $53.59 $16.12 $25.55 $29.74 $23.77 $153.05 $41.67 ATTACHMENT A-2 DENTAQUEST OF ARIZONA, LLC SCHEDULE OF ALLOWABLE FEES-GENERAL AND PEDIATRIC DENTISTS-MARICOPA COUNTY ** PLEASE REFER TO OFFICE REFERENCE MANUAL ON DENTAQUEST’S WEBSITE FOR COVERED SERVICES ** Code Description Fee Code Description Fee D0120 periodic oral evaluation $23.60 D2751 crown - porcelain fused to metal $480.24 D0140 limited oral evaluation $31.20 D2752 crown - porce fused to noble metal $480.24 D0145 oral evaluation for patient under $29.52 D2790 crown - full cast high noble $480.24 three years of age and counseling D2791 crown - full cast base metal $480.24 D0150 comprehensive oral evaluation $34.64 D2792 crown - full cast noble metal $480.24 D0160 detailed and extensive oral $34.64 D2794 crown - titanium $320.00 evaluation-problem focused D2910 recement inlay $38.80 D0180 comprehensive periodontal $36.32 D2915 recement cast or prefabricated post $38.80 evaluation - new or established and core patient D2920 recement crown $38.80 D0210 intraoral-comp (inc bitewings) $61.61 D2930 prefab steel crown - prime tooth $113.92 D0220 intraoral-periapical - 1st film $12.64 D2931 prefab steel crown - perm tooth $132.48 D0230 intraoral-periapical - each film $10.16 D2932 prefabricated resin crown $112.24 D0240 intraoral - occlusal film $12.64 D2933 prefab steel crown w/resin win $133.36 D0250 extraoral - first film $14.32 D2934 prefab esthetic coated stainless steel $133.36 D0260 extraoral - each additional film $10.96 crown-pr D0270 bitewing - single film $10.16 D2940 sedative filling $43.04 D0272 bitewings - two films $20.24 D2950 core buildup, including pins $118.16 D0273 bitewings0three films $25.36 D2951 pin retention - per tooth $33.76 D0274 bitewings - four films $29.52 D2952 cast post and core plus crown $178.96 D0277 vertical bitewings-7 to 8 films $29.52 D2970 temporary crown (fracture) $88.64 D0290 skull and facial bone film $31.20 D3110 pulp cap - direct $16.00 D0310 $44.00 D3120 pulp cap - indirect $16.00 sialography D0320 temporomandibular joint arthrogram, $97.04 D3220 therapeutic pulpotomy $68.40 incl D3221 gross pupal debridement, primary $68.40 D0321 other TMJ films, by report $46.40 and permanent teeth D0330 panoramic film $52.32 D3230 pulpal therapy - anterior $88.00 D0340 cephalometric film $44.72 D3240 pulpal therapy - posterior $88.00 D0350 oral/facial images (includes intra and $17.76 D3310 anterior (exc final rest) $312.32 extraoral images) D3320 bicuspid (exc final restore) $377.28 D0470 diagnostic casts $43.92 D3330 molar (excluding final restore) $473.52 D0502 other oral pathology procedures, by $21.12 D3331 treatment of root canal obstruction; $87.76 repo non-surgical access D1110 prophylaxis - adult $42.24 D3332 incomplete endodontic therapy; $179.76 D1120 prophylaxis - child $36.32 inoperable or fractured tooth D1203 fluoride w/o prophy - child $16.80 D3333 internal root repair or perforation $99.60 D1204 fluoride w/o prophy - adult $16.80 defects D1206 topical fluoride varnish, theraputic $16.80 D3346 retreat prior root canal - anterior $400.88 appl D3347 retreat prior root canal - bicuspid $422.00 D1351 sealant - per tooth $22.80 D3348 retreatment root canal - molar $502.16 D1510 space maintainer - fixed-uni $125.76 D3351 apexification/recalc - 1st visit $75.12 D1515 space maintainer - fixed-bilateral $179.76 D3352 apexification/recalcification $63.28 D1520 space maintainer - removable-uni $125.76 D3353 apexification/recalcification $202.56 D1525 space maintainer - removable-bi $179.76 D3410 apicoectomy/periradicular - ant $286.96 D1550 recementation space maintainer $28.72 D3421 apicoectomy surgery - bicuspid $286.96 D1555 removal of fixed space maintainer $28.72 D3425 apicoectomy surgery - molar 1st $332.56 D2140 amalgam - 1 surface, permanent $61.60 D3426 apicoectomy surgery (each root) $143.52 D2150 amalgam - 2 surfaces, permanent $74.24 D3430 retrograde filling - per root $100.40 D2160 amalgam - 3 surfaces, permanent $89.44 D3450 root amputation - per root $165.44 D2161 amalgam - 4+ surfaces, permanent $107.20 D3470 intentional replantation $360.40 D2330 resin - 1 surface, anterior, primary $73.44 D3920 hemisection $165.44 D2331 resin - 2 surfaces, anterior $92.88 D4210 gingivectomy - gingivoplast/quad $229.60 D2332 resin - 3 surfaces, anterior $116.48 D4211 gingivectomy(plasty) per tooth $89.44 D2335 resin - 4+ surfaces, anterior $140.08 D4240 gingival flap w/root plan/quad $261.68 D2390 composite crown – anterior $168.80 D4241 gingival flap w/root plan 1-3/quad $156.96 D2391 composite - 1 surface, post$61.60 D4249 crown lengthening - hard tissue $337.60 permanent D4260 osseous surgery - per quadrant $418.64 D2392 composite - 2 surfaces, post$74.24 D4261 osseous surgery –1-3 teeth/quad $273.44 permanent D4263 bone replacement graft; first site in $232.08 D2393 composite – 3 surfaces, post$89.44 quadrant permanent D4264 bone replacement graft; each $219.44 D2394 composite – 4+ surfaces, post$107.20 additional site in quadrant primary D4265 biologic material to aid in soft and $248.96 D2750 crown - porce fused to high noble $480.24 osseous tissue regeneration 121001 AZ Maricopa & UFC MA MC A-2-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Code D4266 D4267 D4270 D4271 D4273 D4274 D4275 D4276 D4320 D4321 D4341 D4342 D4355 D4910 D4920 D5110 D5120 D5130 D5140 D5211 D5212 D5213 D5214 D5281 D5410 D5411 D5421 D5422 D5510 D5520 D5610 D5620 D5630 D5640 D5650 D5660 D5710 D5711 D5720 D5721 D5730 D5731 D5740 D5741 D5750 D5751 D5760 D5761 D5820 D5821 D5850 D5851 D6930 D7111 D7140 D7210 D7220 Description guided tissue regeneration; resorbable barrier; per site guided tissue regeneration; nonresorbable barrier; per site pedicle soft tissue graft proc free soft tissue graft proc subepithelial connective tissue graft procedure (including donor site surgery) distal or proximal wedge procedure (when not performed in conjunction with surgical procedures in the same anatomical area) soft tissue allograft combined connective tissue and double pedicle graft provision splint - intracoronal provision splint - extracoronal perio scaling & root plan/quad perio scaling & root plan 1-3 teeth/quad full mouth debridement periodontal maintenance proc unscheduled dressing change complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular maxillary part denture - resin mandibular part denture - resin maxillar part denture - cst mtl mandibular part denture - mtl removable unti partial denture adjust comp dent - maxillary adjust comp dent - mandibular adj partial denture - maxillary adj partial denture - mandibular repair broken comp dent base replace teeth - dent/per tooth repair resin denture base repair cast framework repair or replace broken clasp replace broken teeth - per tooth add tooth to partial denture add clasp to partial denture rebase comp maxillary denture rebase comp mandibular denture rebase maxillary partial denture rebase mandibular partial denture reline comp max dent (chair) reline mandibular dent (chair) reline max part denture (chair) reline partial dent (chair) reline comp maxillary denture reline comp mandibular denture reline maxillary partial denture reline mandibular partial denture interim part denture - maxillary interim part denture - mandibular tissue conditioning - maxillary tissue conditioning - mandibular recement fixed partial denture coronal remnants-primary tooth extraction – erupted tooth/exposed root surgical removal erupted tooth removal impacted tooth - soft Fee $238.88 $257.44 $256.56 $305.52 $434.64 $269.20 Code D7230 D7240 D7241 D7250 D7260 D7261 D7270 D7280 D7281 D7282 $338.48 $438.88 $148.56 $113.92 $122.40 $72.56 $63.28 $60.80 $25.36 $622.88 $622.88 $698.80 $698.80 $582.40 $582.40 $683.68 $683.68 $303.84 $33.76 $33.76 $33.76 $33.76 $89.44 $68.40 $62.48 $71.76 $73.44 $68.40 $81.04 $108.00 $259.92 $259.92 $259.92 $259.92 $143.52 $143.52 $131.68 $131.68 $200.88 $200.88 $170.48 $170.48 $286.96 $286.96 $71.76 $71.76 $38.80 $48.00 $70.40 $108.00 $132.48 D7283 D7285 D7286 D7310 D7311 D7320 D7321 D7410 D7411 D7412 D7413 D7414 D7415 D7440 D7441 D7450 D7451 D7460 D7461 D7465 D7471 D7472 D7473 D7485 D7490 D7510 D7511 D7520 D7521 D7530 D7540 D7550 D7560 D7610 D7620 D7630 D7640 D7650 D7660 D7670 D7671 D7680 D7710 Description remove impacted tooth - part bony remove impact tooth - comp bony removal of impacted tooth - bony surg remove residual roots oroantral fistula closure primary closure of a sinus perforation tooth reimplantation - accident surg exp impacted tooth - ortho surg exposure of impacted or unerupted tooth mobilization of erupted or malpositioned tooth to aid eruption placement of device to facilitate eruption of impacted tooth biopsy of oral tissue - hard biopsy of oral tissue - soft alveoloplasty w/ extract/quad alveoloplasty in conjunction with extractions- one to three teeth or tooth spaces alveoloplasty - per quadrant alveoloplasty not in conjunction with extractions-one excision benign lesion – 1.25 cm excision benign lesion ->1.25 cm excision of benign lesion, complicated excision malignant lesion-1.25 cm excision malignant lesion- >1.25 cm excision of malignant lesion, complicated excision malignant tumor-1.25 cm excision malignant tumor->1.25 cm removal odontogenic cyst-1.25 cm removal odontogenic cyst->1.25 cm removal nonodontogenic cyst-1.25 cm removal nonodontogenic cyst->1.25 cm destruction of lesion(s) by physical or chemical method removal of lateral exotosis-(maxilla of mandible) removal of torus palatinus removal of torus mandibulars surgical reduction of osseous tuberosity radical resection of mand w/ graft incision/drain abscess - intraoral incision and drainage of abscessintraoral soft tissue-complicated incision/drain abscess - extraoral incision and drainage of abscessextraoral soft tissue-complicated removal or foreign body removal of foreign bodies partial ostectomy/sequestrectomy maxillary sinusotomy max-open reduction – immobilized max- closed reduction – immobilized mand-open reduction immobilized mand-closed reduction-immobilized malar/zygo arch –open reduction malar/zygo arch –closed reduction alveolus-closed reduction alveolus- open reduction facial bones-complicated reduction max-open reduction-compound 121001 AZ Maricopa & UFC MA MC A-2-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $168.80 $197.52 $244.80 $108.00 $253.20 $253.20 $244.80 $182.32 $109.76 $109.76 $44.72 $129.12 $129.12 $128.32 $81.04 $168.80 $112.24 $89.44 $198.32 $232.08 $177.28 $261.68 $274.32 $173.04 $257.44 $128.32 $164.56 $93.68 $124.00 $60.00 $200.00 $280.00 $440.00 $228.00 $2,760.00 $60.00 $200.00 $108.00 $220.00 $74.40 $92.00 $152.00 $292.00 $1,400.00 $1,000.00 $1,705.60 $880.00 $1,000.00 $680.00 $274.40 $1,380.00 $2,280.00 $1,560.00 Code D7720 D7730 D7740 D7750 D7760 D7770 D7771 D7780 D7810 D7820 D7830 D7840 D7850 D7854 D7856 D7858 D7860 D7865 D7870 D7871 D7872 D7873 D7874 D7875 D7876 D7877 D7880 D7899 D7910 D7911 D7912 D7940 D7941 D7943 D7944 D7945 D7946 D7947 D7948 D7949 D7950 D7955 D7960 D7963 D7970 D7971 D7972 D7980 Description max-closed reduction – compound mand – open reduction-compound mand- closed reduction-compound malar/zygo-open reductioncompound malar/zygo-closed reductioncompound alveolus-open reduction-stablization alveolus-closed reduction-stabliztion facial bones-complicated reduction open reduction-dislocation closed reduction-dislocation manipulation under anesthesia condylectomy surgical disectomy-w/ or w/o implant synovectomy myotomy joint reconstruction arthrotomy arthroplasty arthrocentesis non-arthroscopic lysis and lavage arthroscopy-diagnosis, with or without biopsy arthroscopy-surgical: lavage and lysis o arthroscopy-surgical: disc repositioning arthroscopy-surgical: synovectomy arthroscopy-surgical: discectomy arthroscopy-surgical: debridement occlusal orthotic appliance unspecified tmd therapy, by report suture small wounds up to 5 cm complicated suture up to 5 cm complex suture - more than 5 cm osteoplasty-orthognathic osteotomy-ramus, closed osteotomy-mandibular rami with bone graft, includes obtaining the graft osteotomy-segmented or subapicalper sex osteotomy-body of mandible lefort I (maxilla-total) lefort I (maxilla-segmented) lefort II or III (osteoplasty of lefort II or III -with bone graft osseous, osteoperiosteal, periosteal, or repair soft/hard tissue defect frenulectomy - separate proc frenuloplasty excise hyperplastic tiss/arch excision pericoronal gingiva surgical reduction of fibous tuberosity sialolithotomy Fee $956.00 $1,640.00 $1,032.00 $1,500.00 $1,036.00 $1,00.00 $580.00 $2,872.00 $1,432.00 $124.00 $188.00 $1,820.00 $1,660.00 $2,072.00 $1,086.40 $2,173.60 $428.00 $2,173.60 $132.00 $240.00 $372.00 $972.00 $972.00 $1,313.60 $1,313.60 $2,173.60 $266.40 $199.20 $56.00 $94.40 $220.00 $1,000.00 $2,760.00 $2,760.00 $2,316.00 $2,500.00 $2,792.00 $2,556.00 $3,199.20 $3,320.00 $716.00 $724.00 $116.80 $116.80 $121.60 $59.20 $100.00 $156.00 Code D7981 D7982 D7983 D7990 D7991 D8010 D8020 D8030 D8040 D8050 D8060 D8070 D8080 D8090 D8210 D8220 D8660 D8670 D8680 D8690 D8692 D8693 D9110 D9120 D9210 D9220 D9221 D9230 D9241 D9242 D9248 D9310 D9410 D9420 D9430 D9440 D9610 D9612 D9920 D9930 D9940 D9951 Description excision of salivary gland-by report sialodochoplasty closure of salivary fistula emergency tracheotomy coronoidectomy limited orthodontic treatment or the primary dentition limited orthodontic treatment or the transitional dentition limited orthodontic treatment or the adolescent dentition limited orthodontic treatment or the adult dentition interceptive orthodontic treatment of the primary dentition interceptive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the adolescent dentition comprehensive orthodontic treatment of the adult dentition removable appliance therapy fixed appliance therapy pre-orthodontic visit periodic orthodontic treatment visit orthodontic retention (removal of appliances, construction, and placement of retainers) orthodontic treatment (alternative billing to contracted fee) replacement of lost or broken retainer rebonding or recementing and/or repair of fixed retainer palliative (emergency) treat fixed partial denture sectioning local anesthesia non-surgical gen anesthesia - first 30 minutes gen anesthesia – each add’l 15 min analgesia intravenous conscious sedation/analgesia; first 30 minutes intravenous conscious sedation/analgesia; each additional 15 minutes non-intavenous conscious sedation consultation house call hospital call office visit for observation office visit - after hours therapeutic drug injection theraputic parenteral drugs behavior management-by report treat complication (post-surg) occlusal guard – by report occlusal adjustment –limited 121001 AZ Maricopa & UFC MA MC A-2-3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $604.00 $440.00 $164.00 $292.00 $1,020.00 $236.32 $236.32 $236.32 $236.32 $1,097.20 $1,097.20 $2,194.40 $2,467.84 $2,553.92 $257.44 $282.72 $38.00 $111.44 $168.80 $54.88 $109.76 $38.80 $48.08 $43.92 $8.48 $116.80 $54.40 $21.12 $112.24 $32.08 $50.64 $32.88 $38.00 $67.52 $23.60 $53.20 $16.00 $25.36 $29.52 $23.60 $151.92 $41.36 THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC A-2-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT A-3 DENTAQUEST OF ARIZONA, LLC SCHEDULE OF ALLOWABLE FEES-SPECIALISTS-MARICOPA COUNTY ** PLEASE REFER TO OFFICE REFERENCE MANUAL ON DENTAQUEST’S WEBSITE FOR COVERED SERVICES ** Code Description Fee Code Description Fee D0120 periodic oral evaluation $27.73 D2790 crown - full cast high noble $564.28 D0140 limited oral evaluation $36.66 D2791 crown - full cast base metal $564.28 D0145 oral evaluation for patient under three $34.69 D2792 crown - full cast noble metal $564.28 years of age and counseling D2794 crown - titanium $376.00 D0150 comprehensive oral evaluation $40.70 D2910 recement inlay $45.59 D0160 detailed and extensive oral evaluation$40.70 D2915 recement cast or prefabricated post and $45.59 problem focused core D0180 comprehensive periodontal evaluation $42.68 D2920 recement crown $45.59 - new or established patient D2930 prefab steel crown - prime tooth $133.86 D0210 intraoral-comp (inc bitewings) $72.38 D2931 prefab steel crown - perm tooth $155.66 D0220 intraoral-periapical - 1st film $14.85 D2932 prefabricated resin crown $131.88 D0230 intraoral-periapical - each film $11.94 D2933 prefab steel crown w/resin win $156.70 D0240 intraoral - occlusal film $14.85 D2934 prefab esthetic coated stainless steel $156.70 D0250 extraoral - first film $16.83 crown-pr D0260 extraoral - each additional film $12.88 D2940 sedative filling $50.57 D0270 bitewing - single film $11.94 D2950 core buildup, including pins $138.84 D0272 bitewings - two films $23.78 D2951 pin retention - per tooth $39.67 D0273 bitewings0three films $29.80 D2952 cast post and core plus crown $210.28 D0274 bitewings - four films $34.69 D2970 temporary crown (fracture) $104.15 D0277 vertical bitewings-7 to 8 films $34.69 D3110 pulp cap - direct $18.80 D0290 skull and facial bone film $36.66 D3120 pulp cap - indirect $18.80 D0310 $52.25 D3220 therapeutic pulpotomy $80.37 sialography D0320 temporomandibular joint arthrogram, $114.02 D3221 gross pupal debridement, primary and $80.37 incl permanent teeth D0321 other TMJ films, by report $54.52 D3230 pulpal therapy - anterior $103.40 D0330 panoramic film $61.48 D3240 pulpal therapy - posterior $103.40 D0340 cephalometric film $52.55 D3310 anterior (exc final rest) $366.98 D0350 oral/facial images (includes intra and $20.87 D3320 bicuspid (exc final restore) $443.30 extraoral images) D3330 molar (excluding final restore) $556.39 D0470 diagnostic casts $51.61 D3331 treatment of root canal obstruction; $103.12 D0502 other oral pathology procedures, by $24.82 non-surgical access repo D3332 incomplete endodontic therapy; $211.22 D1110 prophylaxis - adult $49.63 inoperable or fractured tooth D1120 prophylaxis - child $42.68 D3333 internal root repair or perforation $117.03 D1203 fluoride w/o prophy - child $19.74 defects D1204 fluoride w/o prophy - adult $19.74 D3346 retreat prior root canal - anterior $471.03 D1206 topical fluoride varnish, theraputic appl $19.74 D3347 retreat prior root canal - bicuspid $495.85 D1351 sealant - per tooth $26.79 D3348 retreatment root canal - molar $590.04 D1510 space maintainer - fixed-uni $147.77 D3351 apexification/recalc - 1st visit $88.27 D1515 space maintainer - fixed-bilateral $211.22 D3352 apexification/recalcification $74.35 D1520 space maintainer - removable-uni $147.77 D3353 apexification/recalcification $238.01 D1525 space maintainer - removable-bi $211.22 D3410 apicoectomy/periradicular - ant $337.18 D1550 recementation space maintainer $33.75 D3421 apicoectomy surgery - bicuspid $337.18 D1555 removal of fixed space maintainer $33.75 D3425 apicoectomy surgery - molar 1st $390.76 D2140 amalgam - 1 surface, permanent $72.38 D3426 apicoectomy surgery (each root) $168.64 D2150 amalgam - 2 surfaces, permanent $87.23 D3430 retrograde filling - per root $117.97 D2160 amalgam - 3 surfaces, permanent $105.09 D3450 root amputation - per root $194.39 D2161 amalgam - 4+ surfaces, permanent $125.96 D3470 intentional replantation $423.47 D2330 resin - 1 surface, anterior, primary $86.29 D3920 hemisection $194.39 D2331 resin - 2 surfaces, anterior $109.13 D4210 gingivectomy - gingivoplast/quad $269.78 D2332 resin - 3 surfaces, anterior $136.86 D4211 gingivectomy(plasty) per tooth $105.09 D2335 resin - 4+ surfaces, anterior $164.59 D4240 gingival flap w/root plan/quad $307.47 D2390 composite crown - anterior $198.34 D4241 gingival flap w/root plan 1-3/quad $184.43 D2391 composite - 1 surface, post- permanent $72.38 D4249 crown lengthening - hard tissue $396.68 D2392 composite - 2 surfaces, post$87.23 D4260 osseous surgery - per quadrant $491.90 permanent D4261 osseous surgery -1-3 teeth/quad $321.29 D2393 composite - 3 surfaces, post-permanent $105.09 D4263 bone replacement graft; first site in $272.69 D2394 composite - 4+ surfaces, post-primary $125.96 quadrant D2750 crown - porce fused to high noble $564.28 D4264 bone replacement graft; each $257.84 D2751 crown - porcelain fused to metal $564.28 additional site in quadrant D2752 crown - porce fused to noble metal $564.28 D4265 biologic material to aid in soft and $292.53 osseous tissue regeneration D4266 guided tissue regeneration; resorbable $280.68 barrier; per site 121001 AZ Maricopa & UFC MA MC A-3-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Code D4267 D4270 D4271 D4273 D4274 D4275 D4276 D4320 D4321 D4341 D4342 D4355 D4910 D4920 D5110 D5120 D5130 D5140 D5211 D5212 D5213 D5214 D5281 D5410 D5411 D5421 D5422 D5510 D5520 D5610 D5620 D5630 D5640 D5650 D5660 D5710 D5711 D5720 D5721 D5730 D5731 D5740 D5741 D5750 D5751 D5760 D5761 D5820 D5821 D5850 D5851 D6930 D7111 D7140 D7210 D7220 D7230 D7240 D7241 Description guided tissue regeneration; nonresorbable barrier; per site pedicle soft tissue graft proc free soft tissue graft proc subepithelial connective tissue graft procedure (including donor site surgery) distal or proximal wedge procedure (when not performed in conjunction with surgical procedures in the same anatomical area) soft tissue allograft combined connective tissue and double pedicle graft provision splint - intracoronal provision splint - extracoronal perio scaling & root plan/quad perio scaling & root plan 1-3 teeth/quad full mouth debridement periodontal maintenance proc unscheduled dressing change complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular maxillary part denture - resin mandibular part denture - resin maxillar part denture - cst mtl mandibular part denture - mtl removable unti partial denture adjust comp dent - maxillary adjust comp dent - mandibular adj partial denture - maxillary adj partial denture - mandibular repair broken comp dent base replace teeth - dent/per tooth repair resin denture base repair cast framework repair or replace broken clasp replace broken teeth - per tooth add tooth to partial denture add clasp to partial denture rebase comp maxillary denture rebase comp mandibular denture rebase maxillary partial denture rebase mandibular partial denture reline comp max dent (chair) reline mandibular dent (chair) reline max part denture (chair) reline partial dent (chair) reline comp maxillary denture reline comp mandibular denture reline maxillary partial denture reline mandibular partial denture interim part denture - maxillary interim part denture - mandibular tissue conditioning - maxillary tissue conditioning - mandibular recement fixed partial denture coronal remnants-primary tooth extraction - erupted tooth/exposed root surgical removal erupted tooth removal impacted tooth - soft remove impacted tooth - part bony remove impact tooth - comp bony removal of impacted tooth - bony Fee $302.49 $301.46 $358.99 $510.70 $316.31 Code D7250 D7260 D7261 D7270 D7280 D7281 D7282 D7283 $397.71 $515.68 $174.56 $133.86 $143.82 $85.26 $74.35 $71.44 $29.80 $731.88 $731.88 $821.09 $821.09 $684.32 $684.32 $803.32 $803.32 $357.01 $39.67 $39.67 $39.67 $39.67 $105.09 $80.37 $73.41 $84.32 $86.29 $80.37 $95.22 $126.90 $305.41 $305.41 $305.41 $305.41 $168.64 $168.64 $154.72 $154.72 $236.03 $236.03 $200.31 $200.31 $337.18 $337.18 $84.32 $84.32 $45.59 $56.40 $82.72 $126.90 $155.66 $198.34 $232.09 $287.64 D7285 D7286 D7310 D7311 D7320 D7321 D7410 D7411 D7412 D7413 D7414 D7415 D7440 D7441 D7450 D7451 D7460 D7461 D7465 D7471 D7472 D7473 D7485 D7490 D7510 D7511 D7520 D7521 D7530 D7540 D7550 D7560 D7610 D7620 D7630 D7640 D7650 D7660 D7670 D7671 D7680 D7710 D7720 D7730 D7740 Description surg remove residual roots oroantral fistula closure primary closure of a sinus perforation tooth reimplantation - accident surg exp impacted tooth - ortho surg exposure of impacted or unerupted tooth mobilization of erupted or malpositioned tooth to aid eruption placement of device to facilitate eruption of impacted tooth biopsy of oral tissue - hard biopsy of oral tissue - soft alveoloplasty w/ extract/quad alveoloplasty in conjunction with extractions- one to three teeth or tooth spaces alveoloplasty - per quadrant alveoloplasty not in conjunction with extractions-one excision benign lesion - 1.25 cm excision benign lesion ->1.25 cm excision of benign lesion, complicated excision malignant lesion-1.25 cm excision malignant lesion- >1.25 cm excision of malignant lesion, complicated excision malignant tumor-1.25 cm excision malignant tumor->1.25 cm removal odontogenic cyst-1.25 cm removal odontogenic cyst->1.25 cm removal nonodontogenic cyst-1.25 cm removal nonodontogenic cyst->1.25 cm destruction of lesion(s) by physical or chemical method removal of lateral exotosis-(maxilla of mandible) removal of torus palatinus removal of torus mandibulars surgical reduction of osseous tuberosity radical resection of mand w/ graft incision/drain abscess - intraoral incision and drainage of abscessintraoral soft tissue-complicated incision/drain abscess - extraoral incision and drainage of abscessextraoral soft tissue-complicated removal or foreign body removal of foreign bodies partial ostectomy/sequestrectomy maxillary sinusotomy max-open reduction - immobilized max- closed reduction - immobilized mand-open reduction immobilized mand-closed reduction-immobilized malar/zygo arch -open reduction malar/zygo arch -closed reduction alveolus-closed reduction alveolus- open reduction facial bones-complicated reduction max-open reduction-compound max-closed reduction - compound mand - open reduction-compound mand- closed reduction-compound 121001 AZ Maricopa & UFC MA MC A-3-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $126.90 $297.51 $297.51 $287.64 $214.23 $128.97 $128.97 $52.55 $151.75 $151.72 $150.78 $95.22 $198.34 $131.88 $105.09 $233.03 $272.69 $208.30 $307.47 $322.33 $203.32 $302.49 $150.78 $193.36 $110.07 $145.70 $70.50 $235.00 $329.00 $517.00 $267.90 $3,243.00 $70.50 $235.00 $126.90 $258.50 $87.42 $108.10 $178.60 $343.10 $1,645.00 $1,175.00 $2,004.08 $1,034.00 $1,175.00 $799.00 $322.42 $1,621.50 $2,679.00 $1,833.00 $1,123.30 $1,927.00 $1,212.60 Code D7750 D7760 D7770 D7771 D7780 D7810 D7820 D7830 D7840 D7850 D7854 D7856 D7858 D7860 D7865 D7870 D7871 D7872 D7873 D7874 D7875 D7876 D7877 D7880 D7899 D7910 D7911 D7912 D7940 D7941 D7943 D7944 D7945 D7946 D7947 D7948 D7949 D7950 D7955 D7960 D7963 D7970 D7971 D7972 D7980 D7981 Description malar/zygo-open reductioncompound malar/zygo-closed reductioncompound alveolus-open reduction-stablization alveolus-closed reduction-stabliztion facial bones-complicated reduction open reduction-dislocation closed reduction-dislocation manipulation under anesthesia condylectomy surgical disectomy-w/ or w/o implant synovectomy myotomy joint reconstruction arthrotomy arthroplasty arthrocentesis non-arthroscopic lysis and lavage arthroscopy-diagnosis, with or without biopsy arthroscopy-surgical: lavage and lysis o arthroscopy-surgical: disc repositioning arthroscopy-surgical: synovectomy arthroscopy-surgical: discectomy arthroscopy-surgical: debridement occlusal orthotic appliance unspecified tmd therapy, by report suture small wounds up to 5 cm complicated suture up to 5 cm complex suture - more than 5 cm osteoplasty-orthognathic osteotomy-ramus, closed osteotomy-mandibular rami with bone graft, includes obtaining the graft osteotomy-segmented or subapicalper sex osteotomy-body of mandible lefort I (maxilla-total) lefort I (maxilla-segmented) lefort II or III (osteoplasty of lefort II or III -with bone graft osseous, osteoperiosteal, periosteal, or repair soft/hard tissue defect frenulectomy - separate proc frenuloplasty excise hyperplastic tiss/arch excision pericoronal gingiva surgical reduction of fibous tuberosity sialolithotomy excision of salivary gland-by report Fee $1,762.50 $1,217.30 $1,175.00 $681.50 $3,374.60 $1,682.60 $145.70 $220.90 $2,138.50 $1,950.50 $2,434.60 $1,276.52 $2,553.98 $502.90 $2,553.98 $155.10 $282.00 $437.10 Code D7982 D7983 D7990 D7991 D8010 D8020 D8030 D8040 D8050 D8060 D8070 D8080 D8090 $1,142.10 $1,142.10 $1,543.48 $1,543.48 $2,553.98 $313.02 $234.06 $65.80 $110.95 $258.50 $1,175.00 $3,243.00 $3,243.00 $2,721.30 $2,937.50 $3,280.60 $3,003.30 $3,759.06 $3,901.00 $841.30 $850.70 $137.24 $137.24 $142.88 $69.56 $117.50 $183.30 $709.70 D8210 D8220 D8660 D8670 D8680 D8690 D8692 D8693 D9110 D9120 D9210 D9220 D9221 D9230 D9241 D9242 D9248 D9310 D9410 D9420 D9430 D9440 D9610 D9612 D9920 D9930 D9940 D9951 Description sialodochoplasty closure of salivary fistula emergency tracheotomy coronoidectomy limited orthodontic treatment or the primary dentition limited orthodontic treatment or the transitional dentition limited orthodontic treatment or the adolescent dentition limited orthodontic treatment or the adult dentition interceptive orthodontic treatment of the primary dentition interceptive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the adolescent dentition comprehensive orthodontic treatment of the adult dentition removable appliance therapy fixed appliance therapy pre-orthodontic visit periodic orthodontic treatment visit orthodontic retention (removal of appliances, construction, and placement of retainers) orthodontic treatment (alternative billing to contracted fee) replacement of lost or broken retainer rebonding or recementing and/or repair of fixed retainer palliative (emergency) treat fixed partial denture sectioning local anesthesia non-surgical gen anesthesia - first 30 minutes gen anesthesia - each add'l 15 min analgesia intravenous conscious sedation/analgesia; first 30 minutes intravenous conscious sedation/analgesia; each additional 15 minutes non-intavenous conscious sedation consultation house call hospital call office visit for observation office visit - after hours therapeutic drug injection theraputic parenteral drugs behavior management-by report treat complication (post-surg) occlusal guard - by report occlusal adjustment -limited 121001 AZ Maricopa & UFC MA MC A-3-3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $517.00 $192.70 $343.10 $1,198.50 $277.68 $277.68 $277.68 $277.68 $1,289.21 $1,289.21 $2,578.42 $2,899.71 $3,000.86 $302.49 $332.20 $44.65 $130.94 $198.34 $64.48 $128.97 $45.59 $56.49 $51.61 $9.96 $137.24 $63.92 $24.82 $131.88 $37.69 $59.50 $38.63 $44.65 $79.34 $27.73 $62.51 $18.80 $29.80 $34.69 $27.73 $178.51 $48.60 THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC A-3-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT A-4 DENTAQUEST OF ARIZONA, LLC SCHEDULE OF ALLOWABLE FEES-GENERAL AND PEDIATRIC DENTISTS-PIMA & YAVAPAI COUNTY ** PLEASE REFER TO OFFICE REFERENCE MANUAL ON DENTAQUEST’S WEBSITE FOR COVERED SERVICES ** Code Description Fee Code Description Fee D0120 periodic oral evaluation $26.55 D2792 crown - full cast noble metal $540.27 D0140 limited oral evaluation $35.10 D2794 crown - titanium $360.00 D0145 oral evaluation for patient under three $33.21 D2910 recement inlay $43.65 years of age and counseling D2915 recement cast or prefabricated post and $43.65 D0150 comprehensive oral evaluation $38.97 core D0160 detailed and extensive oral evaluation$38.97 D2920 recement crown $43.65 problem focused D2930 prefab steel crown - prime tooth $128.16 D0180 comprehensive periodontal evaluation $40.86 D2931 prefab steel crown - perm tooth $149.04 new or established patient D2932 prefabricated resin crown $126.27 D0210 intraoral-comp (inc bitewings) $69.30 D2933 prefab steel crown w/resin win $150.03 D0220 intraoral-periapical - 1st film $14.22 D2934 prefab esthetic coated stainless steel $150.03 D0230 intraoral-periapical - each film $11.43 crown-pr D0240 intraoral - occlusal film $14.22 D2940 sedative filling $48.42 D0250 extraoral - first film $16.11 D2950 core buildup, including pins $132.93 D0260 extraoral - each additional film $12.33 D2951 pin retention - per tooth $37.98 D0270 bitewing - single film $11.43 D2952 cast post and core plus crown $201.33 D0272 bitewings - two films $22.77 D2954 prefab post & core $134.00 D0273 bitewings0three films $28.53 D2970 temporary crown (fracture) $99.72 D0274 bitewings - four films $32.21 D3110 pulp cap - direct $18.00 D0277 vertical bitewings-7 to 8 films $32.21 D3120 pulp cap - indirect $18.00 D0290 skull and facial bone film $35.10 D3220 therapeutic pulpotomy $76.95 D0310 $49.50 D3221 gross pupal debridement, primary and $76.95 sialography D0320 temporomandibular joint arthrogram, $109.17 permanent teeth incl D3230 pulpal therapy - anterior $99.00 D0321 other TMJ films, by report $52.20 D3240 pulpal therapy - posterior $99.00 D0330 panoramic film $58.86 D3310 anterior (exc final rest) $351.36 D0340 cephalometric film $50.31 D3320 bicuspid (exc final restore) $424.44 D0350 oral/facial images (includes intra and $19.98 D3330 molar (excluding final restore) $532.71 extraoral images) D3331 treatment of root canal obstruction; $98.73 D0470 diagnostic casts $49.41 non-surgical access D0502 other oral pathology procedures, by $23.76 D3332 incomplete endodontic therapy; $202.23 repo inoperable or fractured tooth D1110 prophylaxis - adult $47.52 D3333 internal root repair or perforation $112.05 D1120 prophylaxis - child $40.86 defects D1203 fluoride w/o prophy - child $18.90 D3346 retreat prior root canal - anterior $450.99 D1204 fluoride w/o prophy - adult $18.90 D3347 retreat prior root canal - bicuspid $474.75 D1206 topical fluoride varnish, theraputic appl $18.90 D3348 retreatment root canal - molar $564.93 D1351 sealant - per tooth $25.65 D3351 apexification/recalc - 1st visit $84.51 D1510 space maintainer - fixed-uni $141.48 D3352 apexification/recalcification $71.19 D1515 space maintainer - fixed-bilateral $202.23 D3353 apexification/recalcification $227.88 D1520 space maintainer - removable-uni $141.48 D3410 apicoectomy/periradicular - ant $322.83 D1525 space maintainer - removable-bi $202.23 D3421 apicoectomy surgery - bicuspid $322.83 D1550 recementation space maintainer $32.31 D3425 apicoectomy surgery - molar 1st $374.13 D1555 removal of fixed space maintainer $32.31 D3426 apicoectomy surgery (each root) $161.46 D2140 amalgam - 1 surface, permanent $69.30 D3430 retrograde filling - per root $112.95 D2150 amalgam - 2 surfaces, permanent $83.52 D3450 root amputation - per root $186.12 D2160 amalgam - 3 surfaces, permanent $100.62 D3470 intentional replantation $405.45 D2161 amalgam - 4+ surfaces, permanent $120.60 D3920 hemisection $186.12 D2330 resin - 1 surface, anterior, primary $82.62 D4210 gingivectomy - gingivoplast/quad $258.30 D2331 resin - 2 surfaces, anterior $104.49 D4211 gingivectomy(plasty) per tooth $100.62 D2332 resin - 3 surfaces, anterior $131.04 D4240 gingival flap w/root plan/quad $294.39 D2335 resin - 4+ surfaces, anterior $157.59 D4241 gingival flap w/root plan 1-3/quad $176.58 D2390 composite crown – anterior $189.90 D4249 crown lengthening - hard tissue $379.80 D2391 composite - 1 surface, post- permanent $69.30 D4260 osseous surgery - per quadrant $470.97 D2392 composite - 2 surfaces, post$83.52 D4261 osseous surgery –1-3 teeth/quad $307.62 permanent D4263 bone replacement graft; first site in $261.09 D2393 composite – 3 surfaces, post-permanent $100.62 quadrant D2394 composite – 4+ surfaces, post-primary $120.60 D4264 bone replacement graft; each additional $246.87 D2750 crown - porce fused to high noble $540.27 site in quadrant D2751 crown - porcelain fused to metal $540.27 D4265 biologic material to aid in soft and $280.08 D2752 crown - porce fused to noble metal $540.27 osseous tissue regeneration D2790 crown - full cast high noble $540.27 D4266 guided tissue regeneration; resorbable $268.74 D2791 crown - full cast base metal $540.27 barrier; per site 121001 AZ Maricopa & UFC MA MC A-4-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Code D4267 D4270 D4271 D4273 D4274 D4275 D4276 D4320 D4321 D4341 D4342 D4355 D4910 D4920 D5110 D5120 D5130 D5140 D5211 D5212 D5213 D5214 D5281 D5410 D5411 D5421 D5422 D5510 D5520 D5610 D5620 D5630 D5640 D5650 D5660 D5710 D5711 D5720 D5721 D5730 D5731 D5740 D5741 D5750 D5751 D5760 D5761 D5820 D5821 D5850 D5851 D6930 D7111 D7140 D7210 D7220 D7230 D7240 D7241 D7250 D7260 Description guided tissue regeneration; nonresorbable barrier; per site pedicle soft tissue graft proc free soft tissue graft proc subepithelial connective tissue graft procedure (including donor site surgery) distal or proximal wedge procedure (when not performed in conjunction with surgical procedures in the same anatomical area) soft tissue allograft combined connective tissue and double pedicle graft provision splint - intracoronal provision splint - extracoronal perio scaling & root plan/quad perio scaling & root plan 1-3 teeth/quad full mouth debridement periodontal maintenance proc unscheduled dressing change complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular maxillary part denture - resin mandibular part denture - resin maxillar part denture - cst mtl mandibular part denture - mtl removable unti partial denture adjust comp dent - maxillary adjust comp dent - mandibular adj partial denture - maxillary adj partial denture - mandibular repair broken comp dent base replace teeth - dent/per tooth repair resin denture base repair cast framework repair or replace broken clasp replace broken teeth - per tooth add tooth to partial denture add clasp to partial denture rebase comp maxillary denture rebase comp mandibular denture rebase maxillary partial denture rebase mandibular partial denture reline comp max dent (chair) reline mandibular dent (chair) reline max part denture (chair) reline partial dent (chair) reline comp maxillary denture reline comp mandibular denture reline maxillary partial denture reline mandibular partial denture interim part denture - maxillary interim part denture - mandibular tissue conditioning - maxillary tissue conditioning - mandibular recement fixed partial denture coronal remnants-primary tooth extraction – erupted tooth/exposed root surgical removal erupted tooth removal impacted tooth - soft remove impacted tooth - part bony remove impact tooth - comp bony removal of impacted tooth - bony surg remove residual roots oroantral fistula closure Fee $289.62 $288.63 $343.71 $488.97 Code D7261 D7270 D7280 D7281 D7282 $302.85 D7283 $380.79 $493.74 D7285 D7286 D7310 D7311 $167.13 $128.16 $137.70 $81.63 $71.19 $68.40 $28.53 $700.74 $700.74 $786.15 $786.15 $655.20 $655.20 $769.14 $769.14 $341.82 $37.98 $37.98 $37.98 $37.98 $100.62 $76.95 $70.29 $80.73 $82.62 $76.95 $91.17 $121.50 $292.41 $292.41 $292.41 $292.41 $161.46 $161.46 $148.14 $148.14 $225.99 $225.99 $191.79 $191.79 $322.83 $322.83 $80.73 $80.73 $43.65 $54.00 $79.20 $121.50 $149.04 $189.90 $222.21 $275.40 $121.50 $284.85 D7320 D7321 D7410 D7411 D7412 D7413 D7414 D7415 D7440 D7441 D7450 D7451 D7460 D7461 D7465 D7471 D7472 D7473 D7485 D7490 D7510 D7511 D7520 D7521 D7530 D7540 D7550 D7560 D7610 D7620 D7630 D7640 D7650 D7660 D7670 D7671 D7680 D7710 D7720 D7730 D7740 D7750 D7760 D7770 D7771 D7780 Description primary closure of a sinus perforation tooth reimplantation - accident surg exp impacted tooth - ortho surg exposure of impacted or unerupted tooth mobilization of erupted or malpositioned tooth to aid eruption placement of device to facilitate eruption of impacted tooth biopsy of oral tissue - hard biopsy of oral tissue - soft alveoloplasty w/ extract/quad alveoloplasty in conjunction with extractions- one to three teeth or tooth spaces alveoloplasty - per quadrant alveoloplasty not in conjunction with extractions-one excision benign lesion – 1.25 cm excision benign lesion ->1.25 cm excision of benign lesion, complicated excision malignant lesion-1.25 cm excision malignant lesion- >1.25 cm excision of malignant lesion, complicated excision malignant tumor-1.25 cm excision malignant tumor->1.25 cm removal odontogenic cyst-1.25 cm removal odontogenic cyst->1.25 cm removal nonodontogenic cyst-1.25 cm removal nonodontogenic cyst->1.25 cm destruction of lesion(s) by physical or chemical method removal of lateral exotosis-(maxilla of mandible) removal of torus palatinus removal of torus mandibulars surgical reduction of osseous tuberosity radical resection of mand w/ graft incision/drain abscess - intraoral incision and drainage of abscessintraoral soft tissue-complicated incision/drain abscess - extraoral incision and drainage of abscessextraoral soft tissue-complicated removal or foreign body removal of foreign bodies partial ostectomy/sequestrectomy maxillary sinusotomy max-open reduction – immobilized max- closed reduction – immobilized mand-open reduction immobilized mand-closed reduction-immobilized malar/zygo arch –open reduction malar/zygo arch –closed reduction alveolus-closed reduction alveolus- open reduction facial bones-complicated reduction max-open reduction-compound max-closed reduction – compound mand – open reduction-compound mand- closed reduction-compound malar/zygo-open reduction- compound malar/zygo-closed reductioncompound alveolus-open reduction-stablization alveolus-closed reduction-stabliztion facial bones-complicated reduction 121001 AZ Maricopa & UFC MA MC A-4-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $284.85 $275.40 $205.11 $123.48 $123.48 $50.31 $145.26 $145.26 $144.36 $91.17 $189.90 $126.27 $100.62 $223.11 $261.09 $199.44 $294.39 $308.61 $194.67 $289.62 $144.36 $185.13 $105.39 $139.50 $67.50 $225.00 $315.00 $495.00 $256.50 $3,105.00 $67.50 $225.00 $121.50 $247.50 $83.70 $103.50 $171.00 $328.50 $1,575.00 $1,125.00 $1,918.80 $990.00 $1,125.00 $765.00 $308.70 $1,552.50 $2,565.00 $1,755.00 $1,075.50 $1,845.00 $1,161.00 $1,687.50 $1,165.50 $1,125.00 $652.50 $3,231.00 Code D7810 D7820 D7830 D7840 D7850 D7854 D7856 D7858 D7860 D7865 D7870 D7871 D7872 D7873 D7874 D7875 D7876 D7877 D7880 D7899 D7910 D7911 D7912 D7940 D7941 D7943 D7944 D7945 D7946 D7947 D7948 D7949 D7950 D7955 D7960 D7963 D7970 D7971 D7972 D7980 D7981 D7982 D7983 D7990 D7991 D8010 D8020 D8030 D8040 D8050 D8060 D8070 D8080 D8090 D8210 D8220 D8660 Description open reduction-dislocation closed reduction-dislocation manipulation under anesthesia condylectomy surgical disectomy-w/ or w/o implant synovectomy myotomy joint reconstruction arthrotomy arthroplasty arthrocentesis non-arthroscopic lysis and lavage arthroscopy-diagnosis, with or without biopsy arthroscopy-surgical: lavage and lysis o arthroscopy-surgical: disc repositioning arthroscopy-surgical: synovectomy arthroscopy-surgical: discectomy arthroscopy-surgical: debridement occlusal orthotic appliance unspecified tmd therapy, by report suture small wounds up to 5 cm complicated suture up to 5 cm complex suture - more than 5 cm osteoplasty-orthognathic osteotomy-ramus, closed osteotomy-mandibular rami with bone graft, includes obtaining the graft osteotomy-segmented or subapical-per sex osteotomy-body of mandible lefort I (maxilla-total) lefort I (maxilla-segmented) lefort II or III (osteoplasty of lefort II or III -with bone graft osseous, osteoperiosteal, periosteal, or repair soft/hard tissue defect frenulectomy - separate proc frenuloplasty excise hyperplastic tiss/arch excision pericoronal gingiva surgical reduction of fibous tuberosity sialolithotomy excision of salivary gland-by report sialodochoplasty closure of salivary fistula emergency tracheotomy coronoidectomy limited orthodontic treatment or the primary dentition limited orthodontic treatment or the transitional dentition limited orthodontic treatment or the adolescent dentition limited orthodontic treatment or the adult dentition interceptive orthodontic treatment of the primary dentition interceptive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the adolescent dentition comprehensive orthodontic treatment of the adult dentition removable appliance therapy fixed appliance therapy pre-orthodontic visit Fee $1,611.00 $139.50 $211.50 $2,047.50 $1,867.50 $2,331.00 $1,222.20 $2,445.30 $481.50 $2,445.30 $148.50 $270.00 $418.50 $1,093.50 $1,093.50 $1,477.80 $1,477.80 $2,445.30 $299.70 $224.10 $63.00 $106.20 $247.50 $1,125.00 $3,105.00 $3,105.00 $2,605.50 $2,812.50 $3,141.00 $2,875.50 $3,599.10 $3,735.00 $805.50 $814.50 $131.40 $131.40 $136.80 $66.60 $112.50 $175.50 $679.50 $495.00 $184.50 $328.50 $1,147.50 $265.86 Code D8670 D8680 D8690 D8692 D8693 D9110 D9120 D9210 D9220 D9221 D9230 D9241 D9242 D9248 D9310 D9410 D9420 D9430 D9440 D9610 D9612 D9920 D9930 D9940 D9951 Description periodic orthodontic treatment visit orthodontic retention (removal of appliances, construction, and placement of retainers) orthodontic treatment (alternative billing to contracted fee) replacement of lost or broken retainer rebonding or recementing and/or repair of fixed retainer palliative (emergency) treat fixed partial denture sectioning local anesthesia non-surgical gen anesthesia - first 30 minutes gen anesthesia – each add’l 15 min analgesia intravenous conscious sedation/analgesia; first 30 minutes intravenous conscious sedation/analgesia; each additional 15 minutes non-intavenous conscious sedation consultation house call hospital call office visit for observation office visit - after hours therapeutic drug injection theraputic parenteral drugs behavior management-by report treat complication (post-surg) occlusal guard – by report occlusal adjustment –limited $265.86 $265.86 $265.86 $1,234.35 $1,234.35 $2,468.70 $2,776.32 $2,873.16 $289.62 $318.06 $42.75. 121001 AZ Maricopa & UFC MA MC A-4-3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $125.37 $189.90 $61.74 $123.48 $43.65 $54.09 $49.41 $9.54 $131.40 $61.20 $23.76 $126.27 $36.09 $56.97 $36.99 $42.75 $75.96 $26.55 $59.85 $18.00 $28.53 $33.21 $26.55 $170.91 $46.53 THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC A-4-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT A-5 DENTAQUEST OF ARIZONA, LLC SCHEDULE OF ALLOWABLE FEES-SPECIALISTS-PIMA & YAVAPAI COUNTY ** PLEASE REFER TO OFFICE REFERENCE MANUAL ON DENTAQUEST’S WEBSITE FOR COVERED SERVICES** Code Description Fee Code Description Fee D0120 periodic oral evaluation $28.03 D2752 crown - porce fused to noble metal $570.28 D0140 limited oral evaluation $37.05 D2790 crown - full cast high noble $570.28 D0145 oral evaluation for patient under three $35.06 D2791 crown - full cast base metal $570.28 years of age and counseling D2792 crown - full cast noble metal $570.28 D0150 comprehensive oral evaluation $41.13 D2794 crown - titanium $380.00 D0160 detailed and extensive oral $41.13 D2910 recement inlay $46.08 evaluation-problem focused D2915 recement cast or prefabricated post $46.08 D0180 comprehensive periodontal $43.13 and core evaluation - new or established D2920 recement crown $46.08 patient D2930 prefab steel crown - prime tooth $135.28 D0210 intraoral-comp (inc bitewings) $73.15 D2931 prefab steel crown - perm tooth $157.32 D0220 intraoral-periapical - 1st film $15.01 D2932 prefabricated resin crown $133.28 D0230 intraoral-periapical - each film $12.07 D2933 prefab steel crown w/resin win $158.37 D0240 intraoral - occlusal film $15.01 D2934 prefab esthetic coated stainless steel $158.37 D0250 extraoral - first film $17.01 crown-pr D0260 extraoral - each additional film $13.02 D2940 sedative filling $51.11 D0270 bitewing - single film $12.07 D2950 core buildup, including pins $140.32 D0272 bitewings - two films $24.03 D2951 pin retention - per tooth $40.09 D0273 bitewings0three films $30.12 D2952 cast post and core plus crown $212.52 D0274 bitewings - four films $35.06 D2970 temporary crown (fracture) $105.26 D0277 vertical bitewings-7 to 8 films $35.06 D3110 pulp cap - direct $19.00 D0290 skull and facial bone film $37.05 D3120 pulp cap - indirect $19.00 D0310 $52.25 D3220 therapeutic pulpotomy $81.23 Sialography D0320 temporomandibular joint arthrogram, $115.23 D3221 gross pupal debridement, primary and $81.23 incl permanent teeth D0321 other TMJ films, by report $55.10 D3230 pulpal therapy - anterior $104.50 D0330 panoramic film $62.13 D3240 pulpal therapy - posterior $104.50 D0340 cephalometric film $53.11 D3310 anterior (exc final rest) $370.88 D0350 oral/facial images (includes intra and $21.09 D3320 bicuspid (exc final restore) $448.02 extraoral images) D3330 molar (excluding final restore) $562.31 D0470 diagnostic casts $52.16 D3331 treatment of root canal obstruction; $104.22 D0502 other oral pathology procedures, by $25.08 non-surgical access repo D3332 incomplete endodontic therapy; $213.47 D1110 prophylaxis - adult $50.16 inoperable or fractured tooth D1120 prophylaxis - child $43.13 D3333 internal root repair or perforation $118.28 D1203 fluoride w/o prophy - child $19.95 defects D1204 fluoride w/o prophy - adult $19.95 D3346 retreat prior root canal - anterior $476.04 D1206 topical fluoride varnish, theraputic $19.95 D3347 retreat prior root canal - bicuspid $501.13 appl D3348 retreatment root canal - molar $596.32 D1351 sealant - per tooth $27.08 D3351 apexification/recalc - 1st visit $89.21 D1510 space maintainer - fixed-uni $149.34 D3352 apexification/recalcification $75.14 D1515 space maintainer - fixed-bilateral $213.47 D3353 apexification/recalcification $240.54 D1520 space maintainer - removable-uni $149.34 D3410 apicoectomy/periradicular - ant $340.77 D1525 space maintainer - removable-bi $213.47 D3421 apicoectomy surgery - bicuspid $340.77 D1550 recementation space maintainer $34.11 D3425 apicoectomy surgery - molar 1st $394.92 D1555 removal of fixed space maintainer $34.11 D3426 apicoectomy surgery (each root) $170.43 D2140 amalgam - 1 surface, permanent $73.15 D3430 retrograde filling - per root $119.23 D2150 amalgam - 2 surfaces, permanent $88.16 D3450 root amputation - per root $196.46 D2160 amalgam - 3 surfaces, permanent $106.21 D3470 intentional replantation $427.98 D2161 amalgam - 4+ surfaces, permanent $127.30 D3920 hemisection $196.46 D2330 resin - 1 surface, anterior, primary $87.21 D4210 gingivectomy - gingivoplast/quad $272.65 D2331 resin - 2 surfaces, anterior $110.29 D4211 gingivectomy(plasty) per tooth $106.21 D2332 resin - 3 surfaces, anterior $138.32 D4240 gingival flap w/root plan/quad $310.74 D2335 resin - 4+ surfaces, anterior $166.34 D4241 gingival flap w/root plan 1-3/quad $186.39 D2390 composite crown - anterior $200.45 D4249 crown lengthening - hard tissue $400.90 D2391 composite - 1 surface, post$73.15 D4260 osseous surgery - per quadrant $497.13 permanent D4261 osseous surgery -1-3 teeth/quad $324.71 D2392 composite - 2 surfaces, post$88.16 D4263 bone replacement graft; first site in $275.59 permanent quadrant D2393 composite - 3 surfaces, post$106.21 permanent D2394 composite - 4+ surfaces, post-primary $127.30 D2750 crown - porce fused to high noble $570.28 D2751 crown - porcelain fused to metal $570.28 121001 AZ Maricopa & UFC MA MC A-5-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Code D4264 D4265 D4266 D4267 D4270 D4271 D4273 D4274 D4275 D4276 D4320 D4321 D4341 D4342 D4355 D4910 D4920 D5110 D5120 D5130 D5140 D5211 D5212 D5213 D5214 D5281 D5410 D5411 D5421 D5422 D5510 D5520 D5610 D5620 D5630 D5640 D5650 D5660 D5710 D5711 D5720 D5721 D5730 D5731 D5740 D5741 D5750 D5751 D5760 D5761 D5820 D5821 D5850 D5851 D6930 D7111 D7140 Description bone replacement graft; each additional site in quadrant biologic material to aid in soft and osseous tissue regeneration guided tissue regeneration; resorbable barrier; per site guided tissue regeneration; nonresorbable barrier; per site pedicle soft tissue graft proc free soft tissue graft proc subepithelial connective tissue graft procedure (including donor site surgery) distal or proximal wedge procedure (when not performed in conjunction with surgical procedures in the same anatomical area) soft tissue allograft combined connective tissue and double pedicle graft provision splint - intracoronal provision splint - extracoronal perio scaling & root plan/quad perio scaling & root plan 1-3 teeth/quad full mouth debridement periodontal maintenance proc unscheduled dressing change complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular maxillary part denture - resin mandibular part denture - resin maxillar part denture - cst mtl mandibular part denture - mtl removable unti partial denture adjust comp dent - maxillary adjust comp dent - mandibular adj partial denture - maxillary adj partial denture - mandibular repair broken comp dent base replace teeth - dent/per tooth repair resin denture base repair cast framework repair or replace broken clasp replace broken teeth - per tooth add tooth to partial denture add clasp to partial denture rebase comp maxillary denture rebase comp mandibular denture rebase maxillary partial denture rebase mandibular partial denture reline comp max dent (chair) reline mandibular dent (chair) reline max part denture (chair) reline partial dent (chair) reline comp maxillary denture reline comp mandibular denture reline maxillary partial denture reline mandibular partial denture interim part denture - maxillary interim part denture - mandibular tissue conditioning - maxillary tissue conditioning - mandibular recement fixed partial denture coronal remnants-primary tooth extraction - erupted tooth/exposed root Fee $260.58 $295.64 $283.67 $305.71 $304.67 $362.81 $516.13 Code D7210 D7220 D7230 D7240 D7241 D7250 D7260 D7261 D7270 D7280 D7281 D7282 $319.68 D7283 $401.94 $521.17 $176.42 $135.28 $145.35 $86.17 $75.14 $72.20 $30.12 $739.67 $739.67 $829.83 $829.83 $691.60 $691.60 $811.87 $811.84 $360.81 $40.09 $40.09 $40.09 $40.09 $106.21 $81.23 $74.19 $85.22 $87.21 $81.23 $96.23 $128.25 $308.66 $308.66 $308.66 $308.66 $170.43 $170.43 $156.37 $156.37 $238.54 $238.54 $202.44 $204.44 $340.77 $340.77 $85.22 $85.22 $46.08 $57.00 $83.60 D7285 D7286 D7310 D7311 D7320 D7321 D7410 D7411 D7412 D7413 D7414 D7415 D7440 D7441 D7450 D7451 D7460 D7461 D7465 D7471 D7472 D7473 D7485 D7490 D7510 D7511 D7520 D7521 D7530 D7540 D7550 D7560 D7610 D7620 D7630 D7640 D7650 D7660 D7670 D7671 Description surgical removal erupted tooth removal impacted tooth - soft remove impacted tooth - part bony remove impact tooth - comp bony removal of impacted tooth - bony surg remove residual roots oroantral fistula closure primary closure of a sinus perforation tooth reimplantation - accident surg exp impacted tooth - ortho surg exposure of impacted or unerupted tooth mobilization of erupted or malpositioned tooth to aid eruption placement of device to facilitate eruption of impacted tooth biopsy of oral tissue - hard biopsy of oral tissue - soft alveoloplasty w/ extract/quad alveoloplasty in conjunction with extractions- one to three teeth or tooth spaces alveoloplasty - per quadrant alveoloplasty not in conjunction with extractions-one excision benign lesion - 1.25 cm excision benign lesion ->1.25 cm excision of benign lesion, complicated excision malignant lesion-1.25 cm excision malignant lesion- >1.25 cm excision of malignant lesion, complicated excision malignant tumor-1.25 cm excision malignant tumor->1.25 cm removal odontogenic cyst-1.25 cm removal odontogenic cyst->1.25 cm removal nonodontogenic cyst-1.25 cm removal nonodontogenic cyst->1.25 cm destruction of lesion(s) by physical or chemical method removal of lateral exotosis-(maxilla of mandible) removal of torus palatinus removal of torus mandibulars surgical reduction of osseous tuberosity radical resection of mand w/ graft incision/drain abscess - intraoral incision and drainage of abscessintraoral soft tissue-complicated incision/drain abscess - extraoral incision and drainage of abscessextraoral soft tissue-complicated removal or foreign body removal of foreign bodies partial ostectomy/sequestrectomy maxillary sinusotomy max-open reduction - immobilized max- closed reduction - immobilized mand-open reduction immobilized mand-closed reduction-immobilized malar/zygo arch -open reduction malar/zygo arch -closed reduction alveolus-closed reduction alveolus- open reduction 121001 AZ Maricopa & UFC MA MC A-5-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $128.25 $157.32 $200.45 $234.56 $290.70 $128.25 $300.68 $300.68 $290.70 $216.51 $130.34 $130.34 $53.11 $153.36 $153.33 $152.38 $96.23 $200.45 $133.28 $106.21 $235.51 $275.59 $210.52 $310.74 $325.76 $205.48 $305.71 $152.38 $195.42 $111.24 $147.25 $71.25 $237.50 $332.50 $522.50 $270.75 $3,277.50 $71.25 $237.50 $128.25 $261.25 $88.35 $109.25 $180.50 $346.75 $1,662.50 $1,187.50 $2,025.40 $1,045.00 $1,187.50 $807.50 $325.85 $1,638.75 Code D7680 D7710 D7720 D7730 D7740 D7750 D7760 D7770 D7771 D7780 D7810 D7820 D7830 D7840 D7850 D7854 D7856 D7858 D7860 D7865 D7870 D7871 D7872 D7873 D7874 D7875 D7876 D7877 D7880 D7899 D7910 D7911 D7912 D7940 D7941 D7943 D7944 D7945 D7946 D7947 D7948 D7949 D7950 D7955 D7960 D7963 D7970 D7971 D7972 D7980 D7981 D7982 D7983 D7990 D7991 D8010 D8020 Description facial bones-complicated reduction max-open reduction-compound max-closed reduction - compound mand - open reduction-compound mand- closed reduction-compound malar/zygo-open reductioncompound malar/zygo-closed reductioncompound alveolus-open reduction-stablization alveolus-closed reduction-stabliztion facial bones-complicated reduction open reduction-dislocation closed reduction-dislocation manipulation under anesthesia condylectomy surgical disectomy-w/ or w/o implant synovectomy myotomy joint reconstruction arthrotomy arthroplasty arthrocentesis non-arthroscopic lysis and lavage arthroscopy-diagnosis, with or without biopsy arthroscopy-surgical: lavage and lysis o arthroscopy-surgical: disc repositioning arthroscopy-surgical: synovectomy arthroscopy-surgical: discectomy arthroscopy-surgical: debridement occlusal orthotic appliance unspecified tmd therapy, by report suture small wounds up to 5 cm complicated suture up to 5 cm complex suture - more than 5 cm osteoplasty-orthognathic osteotomy-ramus, closed osteotomy-mandibular rami with bone graft, includes obtaining the graft osteotomy-segmented or subapicalper sex osteotomy-body of mandible lefort I (maxilla-total) lefort I (maxilla-segmented) lefort II or III (osteoplasty of lefort II or III -with bone graft osseous, osteoperiosteal, periosteal, repair soft/hard tissue defect frenulectomy - separate proc frenuloplasty excise hyperplastic tiss/arch excision pericoronal gingiva surgical reduction of fibous tuberosity sialolithotomy excision of salivary gland-by report sialodochoplasty closure of salivary fistula emergency tracheotomy coronoidectomy limited orthodontic treatment or the primary dentition limited orthodontic treatment or the transitional dentition Fee $2,707.50 $1,852.50 $1,135.25 $1,947.50 $1,225.50 $1,781.25 Code D8030 D8040 D8050 D8060 $1,230.25 D8070 $1,187.50 $688.75 $3,410.50 $1,700.50 $147.25 $223.25 $2,161.25 $1,971.25 $2,460.50 $1,290.10 $2,581.15 $508.25 $2,581.15 $156.75 $285.00 $441.75 $1,154.25 $1,154.25 $1,559.90 $1,559.90 $2,581.15 $316.35 $236.55 $66.50 $112.13 $261.25 $1,187.50 $3,277.50 $3,277.50 $2,750.25 $2,968.75 $3,315.50 $3,035.25 $3,799.05 $3,942.50 $850.25 $859.75 $138.70 $138.70 $144.40 $70.30 $118.75 D8080 D8090 D8210 D8220 D8660 D8670 D8680 D8690 D8692 D8693 D9110 D9120 D9210 D9220 D9221 D9230 D9241 D9242 D9248 D9310 D9410 D9420 D9430 D9440 D9610 D9612 D9920 D9930 D9940 D9951 Description limited orthodontic treatment or the adolescent dentition limited orthodontic treatment or the adult dentition interceptive orthodontic treatment of the primary dentition interceptive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the adolescent dentition comprehensive orthodontic treatment of the adult dentition removable appliance therapy fixed appliance therapy pre-orthodontic visit periodic orthodontic treatment visit orthodontic retention (removal of appliances, construction, and placement of retainers) orthodontic treatment (alternative billing to contracted fee) replacement of lost or broken retainer rebonding or recementing and/or repair of fixed retainer palliative (emergency) treat fixed partial denture sectioning local anesthesia non-surgical gen anesthesia - first 30 minutes gen anesthesia - each add'l 15 min analgesia intravenous conscious sedation/analgesia; first 30 minutes intravenous conscious sedation/analgesia; each additional 15 minutes non-intavenous conscious sedation consultation house call hospital call office visit for observation office visit - after hours therapeutic drug injection theraputic parenteral drugs behavior management-by report treat complication (post-surg) occlusal guard - by report occlusal adjustment -limited $185.25 $717.25 $522.50 $194.75 $346.75 $1,211.25 $280.63 $280.63 121001 AZ Maricopa & UFC MA MC A-5-3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $280.63 $280.63 $1,302.93 $1,302.93 $2,605.85 $2,930.56 $3,032.78 $305.71 $335.73 $45.13 $132.33 $200.45 $65.17 $130.34 $46.08 $57.09 $52.16 $10.07 $138.70 $64.60 $25.08 $133.28 $38.09 $60.13 $39.04 $45.13 $80.18 $28.03 $63.18 $19.00 $30.12 $35.06 $28.03 $180.41 $49.12 THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC A-5-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT B AHCCCS STANDARD SUBCONTRACT TERMS AND CONDITIONS ("Subcontract") (The provisions of this Subcontract are incorporated in the Agreement by reference). 1. EVALUATION OF QUALITY, APPROPRIATENESS, OR TIMELINESS OF SERVICES The Arizona Health Care Cost Containment System Administration (AHCCCSA) or the U.S. Department of Health and Human Services may evaluate, through inspection or other means, the quality, appropriateness or timeliness of services performed under this subcontract. 2. RECORDS AND REPORTS The Subcontractor shall maintain all forms, records, reports, and working papers used in the preparation of reports, files, correspondence, financial statements, records relating to quality of care, medical records, prescription files, statistical information and other records specified by AHCCCSA, for purposes of audit and program management. The Subcontractor shall comply with all specifications for record-keeping established by AHCCCSA. All books and records shall be maintained to the extent and in such detail as shall properly reflect each service provided and all net costs, direct and indirect, of labor, materials, equipment, supplies and services, and other costs and expenses of whatever nature for which payment is made to the Subcontractor. Such material shall be subject to inspection and copying by the state, AHCCCSA and the U.S. Department of Health and Human Services during normal business hours at the place of business of the person or organization maintaining the records. The Subcontractor agrees to make available at the office of the Subcontractor at all reasonable times any of its records for inspection, audit or reproduction, by any authorized representative of the state or federal governments. The Subcontractor shall preserve and make available all records for a period of five years from the date of final payment under this subcontract except as provided in paragraphs a. and b. below: a. If this subcontract is completely or partially terminated, the records relating to the work terminated shall be preserved and made available for a period of five years from the date of any such termination. b. Records which relate to disputes, litigation or the settlement of claims arising out of the performance of this subcontract, or costs and expenses of this subcontract to which exception has been taken by the state, shall be retained by the Subcontractor until such disputes, litigation, claims or exceptions have been disposed of. The Subcontractor shall provide all reports requested by AHCCCSA, and all information from records relating to the performance of the Subcontractor which AHCCCSA may reasonably require. The Subcontractor reporting requirements may include, but are not limited to, timely and detailed utilization statistics, information and reports. Social Security Act (42 USC 1320a-7b). 3. LIMITATIONS ON BILLING AND COLLECTION PRACTICES The Subcontractor shall not bill nor attempt to collect payment directly or through a collection agency from a person claiming to be AHCCCS eligible without first receiving verification from AHCCCSA that the person was ineligible for AHCCCS on the date of service, or that services provided were not AHCCCS covered services. This provision shall not apply to patient contributions to the cost of services delivered by nursing homes. 4. ASSIGNMENT AND DELEGATION OF RIGHTS AND RESPONSIBILITIES No payment due the Subcontractor under this subcontract may be assigned without the prior approval of AHCCCSA. No assignment or delegation of the duties of this subcontract shall be valid unless prior written approval is received from AHCCCSA. 5. APPROVAL OF SUBCONTRACTS, AMENDMENTS OR TERMINATIONS This subcontract is subject to prior approval by AHCCCSA. The Contractor shall notify AHCCCSA in the event of any proposed amendment or termination during the term hereof. Any such amendment or termination is subject to the 121001 AZ Maricopa & UFC MA MC B-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. prior approval by AHCCCSA. Approval of the subcontract may be rescinded by the Director of AHCCCSA for violation of federal or state laws or rules. 6. WARRANTY OF SERVICES The Subcontractor, by execution of this subcontract, warrants that it has the ability, authority, skill, expertise and capacity to perform the services specified in this contract. 7. SUBJECTION OF SUBCONTRACT The terms of this subcontract shall be subject to the applicable material terms and conditions of the contract existing between the Contractor and AHCCCSA for the provision of covered services. 8. AWARDS OF OTHER SUBCONTRACTS AHCCCSA and/or the Contractor may undertake or award other contracts for additional or related work to the work performed by the Subcontractor and the Subcontractor shall fully cooperate with such other contractors, subcontractors or state employees. The Subcontractor shall not commit or permit any act which will interfere with the performance of work by any other contractor, subcontractor or state employee. 9. INDEMNIFICATION BY SUBCONTRACTOR The Subcontractor agrees to hold harmless the state, all state officers and employees, AHCCCSA and other appropriate state agencies, and all officers and employees of AHCCCSA and all AHCCCS eligible persons in the event of nonpayment to the Subcontractor. The Subcontractor shall further indemnify and hold harmless the state, AHCCCSA, other appropriate state agencies, AHCCCS contractors, and their agents, officers and employees against all injuries, deaths, losses, damages, claims, suits, liabilities, judgments, costs and expenses which may, in any manner, accrue against the state, AHCCCSA, or its agents, officers or employees, or AHCCCS contractors, through the intentional conduct, negligence or omission of the Subcontractor, its agent, officers or employees. 10. MAINTENANCE OF REQUIREMENTS TO DO BUSINESS AND PROVIDE SERVICES The Subcontractor shall be registered with AHCCCSA and shall obtain and maintain all licenses, permits and authority necessary to do business and render service under this subcontract and, where applicable, shall comply with all laws regarding safety, unemployment insurance, disability insurance and worker's compensation. 11. COMPLIANCE WITH LAWS AND OTHER REQUIREMENTS The Subcontractor shall comply with all federal, state and local laws, rules, regulations, standards and executive orders governing performance of duties under this subcontract, without limitation to those designated within this subcontract. 12. SEVERABILITY If any provision of these standard subcontract terms and conditions is held invalid or unenforceable, the remaining provisions shall continue valid and enforceable to the full extent permitted by law. 13. VOIDABILITY OF SUBCONTRACT This subcontract is voidable and subject to immediate termination by AHCCCSA upon the Subcontractor becoming insolvent or filing proceedings in bankruptcy or reorganization under the United States Code, or upon assignment or delegation of the subcontract without AHCCCSA's prior written approval. 14. CONFIDENTIALITY REQUIREMENT -107, 36-2903, 411959 and 46-135, and AHCCCS and/or ALTCS Rules. 121001 AZ Maricopa & UFC MA MC B-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 15. GRIEVANCE PROCEDURES Any grievances filed by the Subcontractor shall be adjudicated in accordance with AHCCCS Rules. 16. TERMINATION OF SUBCONTRACT AHCCCSA may, by written notice to the Subcontractor, terminate this subcontract if it is found, after notice and hearing by the state, that gratuities in the form of entertainment, gifts, or otherwise were offered or given by the Subcontractor, or any agent or representative of the Subcontractor, to any officer or employee of the state with a view towards securing a contract or securing favorable treatment with respect to the awarding, amending or the making of any determinations with respect to the performance of the Subcontractor; provided, that the existence of the facts upon which the state makes such findings shall be in issue and may be reviewed in any competent court. If the subcontract is terminated under this section, unless the Contractor is a governmental agency, instrumentality or subdivision thereof, AHCCCSA shall be entitled to a penalty, in addition to any other damages to which it may be entitled by law, and to exemplary damages in the amount of three times the cost incurred by the Subcontractor in providing any such gratuities to any such officer or employee. 17. PRIOR AUTHORIZATION AND UTILIZATION REVIEW The Contractor and Subcontractor shall develop, maintain and use a system for Prior Authorization and Utilization Review which is consistent with AHCCCS Rules and the Contractor's policies. 18. NON-DISCRIMINATION REQUIREMENTS If applicable, the Subcontractor shall comply with: 19. a. The Equal Pay Act of 1963, as amended, which prohibits sex discrimination in the payment of wages to men and women performing substantially equal work under similar working conditions in the same establishment. b. Title VI of the Civil Rights Act of 1964, as amended, which prohibits the denial of benefits of, or participation in, contract services on the basis of race, color, or national origin. c. Title VII of the Civil Rights Act of 1964, as amended, which prohibits private employers, state and local governments, and educational institutions from discriminating against their employees and job applicants on the basis of race, religion, color, sex, or national origin. d. Title I of the Americans with Disabilities Act of 1990, as amended, which prohibits private employers and state and local governments from discriminating against job applicants and employees on the basis of disability. e. The Civil Rights Act of 1991, which reverses in whole or in part, several recent Supreme Court decisions interpreting Title VII. f. The Age Discrimination in Employment Act (ARS Title 41-1461, et seq.); which prohibits discrimination based on age. g. State Executive Order 75-5 and Federal Order 11246 which mandates that all persons, regardless of race, color, religion, sex, age, national origin or political affiliation, shall have equal access to employment opportunities. h. Section 503 of the Rehabilitation Act of 1973, as amended, which prohibits discrimination in the employment or advancement of the employment of qualified persons because of physical or mental handicap. i. Section 504 of the Rehabilitation Act of 1973, as amended, which prohibits discrimination on the basis of handicap in delivering contract services. COMPLIANCE WITH AHCCCS RULES RELATING TO AUDIT AND INSPECTION The Subcontractor shall comply with all applicable AHCCCS Rules and Audit Guide relating to the audit of the Subcontractor's records and the inspection of the Subcontractor's facilities. If the Subcontractor is an inpatient facility, the Subcontractor shall file uniform reports and Title XVIII and Title XIX cost reports with AHCCCSA. 121001 AZ Maricopa & UFC MA MC B-3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 20. CERTIFICATION OF TRUTHFULNESS OF REPRESENTATION By signing this subcontract, the Subcontractor certifies that all representations set forth herein are true to the best of its knowledge. 21. CERTIFICATION OF COMPLIANCE - ANTI-KICKBACK AND LABORATORY TESTING By signing this subcontract, the Subcontractor certifies that it has not engaged in any violation of the Medicare AntiKickback statute (42 USC 1320a-7b) or the "Stark I" and "Stark II" laws governing related-entity referrals (PL 101-239 and PL 101-432) and compensation therefrom. If the Subcontractor provides laboratory testing, it certifies that it has complied with 42 CFR 411.361 and has sent to AHCCCSA simultaneous copies of the information required by that rule to be sent to the Health Care Financing Administration. 22. CONFLICT IN INTERPRETATION OF PROVISIONS In the event of any conflict in interpretation between provisions of this subcontract and the AHCCCS Minimum Subcontract Provisions, the latter shall take precedence. 23. ENCOUNTER DATA REQUIREMENT If Subcontractor does not bill the Contractor (e.g., Subcontractor is capitated), the Subcontractor shall submit encounter data to the Contractor in a form acceptable to AHCCCSA. 24. CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988 The Clinical Laboratory Improvement Amendment (CLIA) of 1988 requires laboratories and other facilities that test human specimens to obtain either a CLIA Waiver or CLIA Certificate in order to obtain reimbursement from the Medicare and Medicaid (AHCCCS) programs. In addition, they must meet all the requirements of 42 CFR 493, Subpart A. To comply with these requirements, AHCCCSA requires all clinical laboratories to provide verification of CLIA Licensure or Certificate of Waiver during the provider registration process. Failure to do so shall result in either a termination of an active provider ID number or denial of initial registration. These requirements apply to all clinical laboratories. Pass-through billing or other similar activities with the intent of avoiding the above requirements are prohibited. Contractor may not reimburse providers who do not comply with the above requirements. 25. INSURANCE The Subcontractor shall maintain for the duration of this subcontract a policy or policies of professional liability insurance, comprehensive general liability insurance and automobile liability insurance. The Subcontractor agrees that any insurance protection required by this subcontract, or otherwise obtained by the Subcontractor, shall not limit the responsibility of Subcontractor to indemnify, keep and save harmless and defend the state and AHCCCSA, their agents, officers and employees as provided herein. Furthermore, the Subcontractor shall be fully responsible for all tax obligations, Worker's Compensation Insurance, and all other applicable insurance coverage, for itself and its employees, and AHCCCSA shall have no responsibility or liability for any such taxes or insurance coverage. 26. FRAUD AND ABUSE If the Subcontractor discovers, or is made aware, that an incident of potential fraud or abuse has occurred, the Subcontractor shall report the incident to the Contractor, who shall proceed in accordance with the AHCCCS Health Plans and Program Contractors Policy for Prevention, Detection and Reporting of Fraud and Abuse. Incidents involving potential member eligibility fraud should be reported to AHCCCSA, Office of Managed Care, Member Fraud Unit. All other incidents of potential fraud should be reported to AHCCCSA, Office of the Director, Office of Program Integrity. (See AHCCCS Rule R9-22-511. 121001 AZ Maricopa & UFC MA MC B-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT C MARICOPA CARE ADVANTAGE PLAN DENTAL REIMBURSEMENT SCHEDULE Provider Reimbursement 1.0 Provider shall be paid the lesser of billed charges or 100% of the fee schedule attached hereto as Maricopa Care Advantage Fee Schedule Attachment for the provision of Medically Necessary Covered Services as determined by DentaQuest to eligible Maricopa Care Advantage Members. 2.0 Provider agrees to practice cost effective dentistry. Provider acknowledges that improper billing or the rendering of dental care that is determined to be unnecessary or inappropriate by the DentaQuest Dental Director, shall not be compensated and will constitute sufficient basis for termination of this agreement or other measures as described in paragraph 3.0. 3.0 Provider acknowledges that “fee-for-service” dental reimbursement can only be maintained with the cooperation and commitment of all dental panel members to practice cost effective, quality dentistry. DentaQuest shall compile an internal “practice profile” for each member of the DentaQuest dental panel on a periodic basis. This profile will compute averages for total cost per patient. Providers, whose practice patterns deviate in a statistically significant way from the norms of the DentaQuest dental panel, may be subject to notice of probationary status and/or possible termination, subject to the appropriate notice and appeal procedures as stated herein. 4.0 DentaQuest shall pay Provider within thirty (30) calendar days of receipt of clean claims for dental services rendered to Members. Provider agrees to accept electronic payment and electronic remittances if/when available. Provider reimbursement requires receipt of a clean claim. A claim shall be considered clean only if the claim requires no further information, documentation, adjustment or alteration by Provider to be adjudicated by DentaQuest. Any dispute regarding payment shall be deemed waived unless Provider submits written notification of the reasons for the dispute within sixty (60) days of receipt of the payment, statement of denial or adjustment. 121001 AZ Maricopa & UFC MA MC C-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC C-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT C-1 MARICOPA ADVANTAGE PLAN SCHEDULE OF MAXIMUM ALLOWABLE FEES ** PLEASE REFER TO OFFICE REFERENCE MANUAL ON DENTAQUEST’S WEBSITE FOR COVERED SERVICES** Code Description Fee D0120 periodic oral evaluation $27.02 D0150 comprehensive oral evaluation $29.52 D0270 bitewing - single film $11.92 D0272 bitewings - two films $20.29 D0274 bitewings - four films $28.62 D1110 prophylaxis - adult $48.81 D1120 prophylaxis - child $42.49 D1203 fluoride w/o prophy - child $19.84 D1204 fluoride w/o prophy - adult $16.02 121001 AZ Maricopa & UFC MA MC C-1-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC C-1-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT D DENTAQUEST OF ARIZONA, LLC UNIVERSITY FAMILY CARE DENTAL PANEL REIMBURSEMENT Provider Reimbursement 1.0 Provider shall be paid the lesser of billed charges, or 100% of the fee schedule attached hereto as Attachment D-1 for the provision of Medically Necessary Covered Services as determined by DentaQuest to eligible University Family Care Members. 2.0 Provider agrees to practice cost effective dentistry. Provider acknowledges that improper billing or the rendering of dental care that is determined to be unnecessary or inappropriate by the DentaQuest Dental Director, shall not be compensated and will constitute sufficient basis for termination of this agreement or other measures as described in paragraph 3.0. 3.0 Provider acknowledges that “fee-for-service” dental reimbursement can only be maintained with the cooperation and commitment of all dental panel members to practice cost effective, quality dentistry. DentaQuest shall compile an internal “practice profile” for each member of the DentaQuest dental panel on a periodic basis. This profile will compute averages for total cost per patient. Providers, whose practice patterns deviate in a statistically significant way from the norms of the DentaQuest dental panel, may be subject to notice of probationary status and/or possible termination, subject to the appropriate notice and appeal procedures as stated herein. 4.0 DentaQuest shall pay Provider within thirty (30) calendar days of receipt of clean claims for dental services rendered to Members. Provider agrees to accept electronic payment and electronic remittances if/when available. Provider reimbursement requires receipt of a clean claim. A claim shall be considered clean only if the claim requires no further information, documentation, adjustment or alteration by Provider to be adjudicated by DentaQuest. Any dispute regarding payment shall be deemed waived unless Provider submits written notification of the reasons for the dispute within sixty (60) days of receipt of the payment, statement of denial or adjustment. 121001 AZ Maricopa & UFC MA MC D-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC D-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. ATTACHMENT D-1 DENTAQUEST OF ARIZONA, LLC UNIVERSITY FAMILY CARE SCHEDULE OF ALLOWABLE FEES ** PLEASE REFER TO OFFICE REFERENCE MANUAL ON DENTAQUEST’S WEBSITE FOR COVERED SERVICES** Code Description Fee Code Description Fee D0120 periodic oral evaluation $23.77 D2792 crown - full cast noble metal $483.81 D0140 limited oral evaluation $31.44 D2794 crown - titanium $322.37 D0145 oral evaluation for patient under three years D2910 recement inlay $39.08 of age and counseling $29.74 D2915 recement cast or prefabricated post & core $39.08 D0150 comprehensive oral evaluation $34.90 D2920 recement crown $39.08 D0160 detailed and extensive oral evaluationD2930 prefab steel crown - prime tooth $114.77 problem focused $34.90 D2931 prefab steel crown - perm tooth $133.47 D0180 comprehensive periodontal evaluation D2932 prefabricated resin crown $113.08 new or established patient $36.59 D2933 prefab steel crown w/resin win $134.36 D0210 intraoral-comp (inc bitewings) $62.05 D2934 prefab esthetic coated stainless steel crownD0220 intraoral-periapical - 1st film $12.73 pr $134.36 D0230 intraoral-periapical - each film $10.23 D2940 sedative filling $43.36 D0240 intraoral - occlusal film $12.73 D2950 core buildup, including pins $119.04 D0250 extraoral - first film $14.43 D2951 pin retention - per tooth $34.02 D0260 extraoral - each additional film $11.05 D2952 cast post and core plus crown $180.29 D0270 bitewing - single film $10.23 D2954 prefab post & core $112.83 D0272 bitewings - two films $20.39 D2970 temporary crown (fracture) $89.29 D0273 bitewings0three films $25.55 D3110 pulp cap - direct $16.12 D0274 bitewings - four films $29.74 D3120 pulp cap - indirect $16.12 D0277 vertical bitewings-7 to 8 films $29.74 D3220 therapeutic pulpotomy $68.90 D0290 skull and facial bone film $31.44 D3221 gross pupal debridement, primary and D0310 sialography $49.72 permanent teeth $68.90 D0320 temporomandibular joint arthrogram, incl $97.76 D3230 pulpal therapy - anterior $88.65 D0321 other TMJ films, by report $46.74 D3240 pulpal therapy - posterior $88.65 D0330 panoramic film $52.72 D3310 anterior (exc final rest) $314.64 D0340 cephalometric film $45.05 D3320 bicuspid (exc final restore) $380.08 D0350 oral/facial images (includes intra and D3330 molar (excluding final restore) $477.03 extraoral images) $17.90 D3331 treatment of root canal obstruction; nonD0470 diagnostic casts $44.25 surgical access $88.41 D0502 other oral pathology procedures, by repo $21.28 D3332 incomplete endodontic therapy; inoperable D1110 prophylaxis - adult $42.55 or fractured tooth $181.10 D1120 prophylaxis - child $36.59 D3333 internal root repair or perforation defects $100.34 D1203 fluoride w/o prophy - child $16.92 D3346 retreat prior root canal - anterior $403.85 D1204 fluoride w/o prophy - adult $16.92 D3347 retreat prior root canal - bicuspid $425.13 D1206 topical fluoride varnish, theraputic appl $16.92 D3348 retreatment root canal - molar $505.88 D1310 nutritional counseling for control of dental D3351 apexification/recalc - 1st visit $75.69 disease $21.68 D3352 apexification/recalcification $63.75 D1351 sealant - per tooth $22.97 D3353 apexification/recalcification $204.06 D1510 space maintainer - fixed-uni $126.69 D3410 apicoectomy/periradicular - ant $289.09 D1515 space maintainer - fixed-bilateral $181.10 D3421 apicoectomy surgery - bicuspid $289.09 D1520 space maintainer - removable-uni $126.69 D3425 apicoectomy surgery - molar 1st $335.03 D1525 space maintainer - removable-bi $181.10 D3426 apicoectomy surgery (each root) $144.59 D1550 recementation space maintainer $28.94 D3430 retrograde filling - per root $101.15 D1555 removal of fixed space maintainer $28.94 D3450 root amputation - per root $166.67 D2140 amalgam - 1 surface, permanent $62.05 D3470 intentional replantation $363.08 D2150 amalgam - 2 surfaces, permanent $74.79 D3920 hemisection $166.67 D2160 amalgam - 3 surfaces, permanent $90.11 D4210 gingivectomy - gingivoplast/quad $231.31 D2161 amalgam - 4+ surfaces, permanent $108.00 D4211 gingivectomy(plasty) per tooth $90.88 D2330 resin - 1 surface, anterior, primary $73.99 D4240 gingival flap w/root plan/quad $263.63 D2331 resin - 2 surfaces, anterior $93.57 D4241 gingival flap w/root plan 1-3/quad $158.13 D2332 resin - 3 surfaces, anterior $117.34 D4249 crown lengthening - hard tissue $340.11 D2335 resin - 4+ surfaces, anterior $141.11 D4260 osseous surgery - per quadrant $421.74 D2390 composite crown – anterior $170.05 D4261 osseous surgery –1-3 teeth/quad $275.47 D2391 composite - 1 surface, post- permanent $62.05 D4263 bone replacement graft; first site in D2392 composite - 2 surfaces, post- permanent $74.79 quadrant $233.80 D2393 composite – 3 surfaces, post-permanent $90.11 D4264 bone replacement graft; each additional site D2394 composite – 4+ surfaces, post-primary $108.00 in quadrant $221.07 D2712 crown-3/4 resin based composite-indirect $178.08 D4265 biologic material to aid in soft and osseous D2750 crown - porce fused to high noble $483.81 tissue regeneration $250.81 D2751 crown - porcelain fused to metal $483.81 D4266 guided tissue regeneration; resorbable D2752 crown - porce fused to noble metal $483.81 barrier; per site $240.65 D2790 crown - full cast high noble $483.81 D4267 guided tissue regeneration; non-resorbable D2791 crown - full cast base metal $483.81 barrier; per site $259.35 121001 AZ Maricopa & UFC MA MC D-1-1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Code D4270 D4271 D4273 D4274 D4275 D4276 D4320 D4321 D4341 D4342 D4355 D4910 D4920 D5110 D5120 D5130 D5140 D5211 D5212 D5213 D5214 D5281 D5410 D5411 D5421 D5422 D5510 D5520 D5610 D5620 D5630 D5640 D5650 D5660 D5710 D5711 D5720 D5721 D5730 D5731 D5740 D5741 D5750 D5751 D5760 D5761 D5811 D5820 D5821 D5850 D5851 D5862 D6930 D7110 D7111 D7120 D7130 D7140 D7210 D7220 D7230 D7240 D7241 D7250 D7260 Description pedicle soft tissue graft proc free soft tissue graft proc subepithelial connective tissue graft procedure (including donor site surgery) distal or proximal wedge procedure (when not performed in conjunction with surgical procedures in the same anatomical area) soft tissue allograft combined connective tissue and double pedicle graft provision splint - intracoronal provision splint - extracoronal perio scaling & root plan/quad perio scaling & root plan 1-3 teeth/quad full mouth debridement periodontal maintenance proc unscheduled dressing change complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular maxillary part denture - resin mandibular part denture - resin maxillar part denture - cst mtl mandibular part denture - mtl removable unti partial denture adjust comp dent - maxillary adjust comp dent - mandibular adj partial denture - maxillary adj partial denture - mandibular repair broken comp dent base replace teeth - dent/per tooth repair resin denture base repair cast framework repair or replace broken clasp replace broken teeth - per tooth add tooth to partial denture add clasp to partial denture rebase comp maxillary denture rebase comp mandibular denture rebase maxillary partial denture rebase mandibular partial denture reline comp max dent (chair) reline mandibular dent (chair) reline max part denture (chair) reline partial dent (chair) reline comp maxillary denture reline comp mandibular denture reline maxillary partial denture reline mandibular partial denture interim comp dent - mandibular interim part denture - maxillary interim part denture - mandibular tissue conditioning - maxillary tissue conditioning - mandibular precision attachment by report recement fixed partial denture extraction single tooth coronal remnants-primary tooth extraction each additional tooth root removal-exposed roots extraction – erupted tooth/exposed root surgical removal erupted tooth removal impacted tooth - soft remove impacted tooth - part bony remove impact tooth - comp bony removal of impacted tooth - bony surg remove residual roots oroantral fistula closure Fee $258.47 $307.79 $437.86 Code D7261 D7270 D7280 D7281 D7282 $271.20 $340.98 $442.14 $149.66 $114.77 $123.31 $73.10 $63.75 $61.26 $25.55 $627.50 $627.50 $703.99 $703.99 $586.72 $586.72 $688.74 $688.74 $306.09 $34.02 $34.02 $34.02 $34.02 $90.11 $68.90 $62.94 $72.30 $73.99 $68.90 $81.64 $108.80 $261.85 $261.85 $261.85 $261.85 $144.59 $144.59 $132.65 $132.65 $202.37 $202.37 $171.74 $171.74 $322.78 $289.09 $289.09 $72.30 $72.30 $14.80 $39.08 $60.70 $48.36 $54.00 $70.63 $70.92 $108.80 $133.47 $170.05 $199.00 $246.62 $108.80 $255.08 D7283 D7285 D7286 D7290 D7310 D7311 D7320 D7321 D7410 D7411 D7412 D7413 D7414 D7415 D7440 D7441 D7450 D7451 D7460 D7461 D7465 D7471 D7472 D7473 D7485 D7490 D7510 D7511 D7520 D7521 D7530 D7540 D7550 D7560 D7610 D7620 D7630 D7640 D7650 D7660 D7670 D7671 D7680 D7710 D7720 D7730 D7740 D7750 D7760 D7770 D7771 D7780 D7810 D7820 Description primary closure of a sinus perforation tooth reimplantation - accident surg exp impacted tooth - ortho surg exposure of impacted or unerupted tooth mobilization of erupted or malpositioned tooth to aid eruption placement of device to facilitate eruption of impacted tooth biopsy of oral tissue - hard biopsy of oral tissue - soft surgical reposition of teeth alveoloplasty w/ extract/quad alveoloplasty in conjunction with extractions- one to three teeth or tooth spaces alveoloplasty - per quadrant alveoloplasty not in conjunction with extractions-one excision benign lesion – 1.25 cm excision benign lesion ->1.25 cm excision of benign lesion, complicated excision malignant lesion-1.25 cm excision malignant lesion- >1.25 cm excision of malignant lesion, complicated excision malignant tumor-1.25 cm excision malignant tumor->1.25 cm removal odontogenic cyst-1.25 cm removal odontogenic cyst->1.25 cm removal nonodontogenic cyst-1.25 cm removal nonodontogenic cyst->1.25 cm destruction of lesion(s) by physical or chemical method removal of lateral exotosis-(maxilla of mandible) removal of torus palatinus removal of torus mandibulars surgical reduction of osseous tuberosity radical resection of mand w/ graft incision/drain abscess - intraoral incision and drainage of abscess-intraoral soft tissue-complicated incision/drain abscess - extraoral incision and drainage of abscess-extraoral soft tissue-complicated removal or foreign body removal of foreign bodies partial ostectomy/sequestrectomy maxillary sinusotomy max-open reduction – immobilized max- closed reduction – immobilized mand-open reduction immobilized mand-closed reduction-immobilized malar/zygo arch –open reduction malar/zygo arch –closed reduction alveolus-closed reduction alveolus- open reduction facial bones-complicated reduction max-open reduction-compound max-closed reduction – compound mand – open reduction-compound mand- closed reduction-compound malar/zygo-open reduction- compound malar/zygo-closed reduction-compound alveolus-open reduction-stablization alveolus-closed reduction-stabliztion facial bones-complicated reduction open reduction-dislocation closed reduction-dislocation 121001 AZ Maricopa & UFC MA MC D-1-2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $255.08 $246.62 $183.67 $110.57 $110.57 $45.05 $130.10 $130.07 $124.96 $129.28 $81.64 $170.05 $113.08 $90.11 $199.79 $233.80 $178.60 $263.63 $276.36 $174.32 $259.35 $129.28 $165.78 $94.37 $124.93 $60.45 $201.49 $282.07 $443.26 $229.69 $2,780.47 $60.45 $201.49 $108.80 $221.64 $74.96 $92.69 $153.13 $294.42 $1,410.38 $1,007.42 $1,718.26 $886.53 $1,007.42 $685.05 $276.44 $1,390.24 $2,296.91 $1,571.57 $963.09 $1,652.16 $1,039.65 $1,511.13 $1,043.69 $1,007.42 $584.31 $2,893.30 $1,442.62 $124.93 Code D7830 D7840 D7850 D7854 D7856 D7858 D7860 D7865 D7870 D7871 D7872 D7873 D7874 D7875 D7876 D7877 D7880 D7899 D7910 D7911 D7912 D7940 D7941 D7943 D7944 D7945 D7946 D7947 D7948 D7949 D7950 D7955 D7960 D7963 D7970 D7971 D7972 D7980 D7981 D7982 D7983 D7990 D7991 D8010 D8020 D8030 Description manipulation under anesthesia condylectomy surgical disectomy-w/ or w/o implant synovectomy myotomy joint reconstruction arthrotomy arthroplasty arthrocentesis non-arthroscopic lysis and lavage arthroscopy-diagnosis, with or without biopsy arthroscopy-surgical: lavage and lysis o arthroscopy-surgical: disc repositioning arthroscopy-surgical: synovectomy arthroscopy-surgical: discectomy arthroscopy-surgical: debridement occlusal orthotic appliance unspecified tmd therapy, by report suture small wounds up to 5 cm complicated suture up to 5 cm complex suture - more than 5 cm osteoplasty-orthognathic osteotomy-ramus, closed osteotomy-mandibular rami with bone graft, includes obtaining the graft osteotomy-segmented or subapical-per sex osteotomy-body of mandible lefort I (maxilla-total) lefort I (maxilla-segmented) lefort II or III (osteoplasty of lefort II or III -with bone graft osseous, osteoperiosteal, periosteal, or repair soft/hard tissue defect frenulectomy - separate proc frenuloplasty excise hyperplastic tiss/arch excision pericoronal gingiva surgical reduction of fibous tuberosity sialolithotomy excision of salivary gland-by report sialodochoplasty closure of salivary fistula emergency tracheotomy coronoidectomy limited orthodontic treatment or the primary dentition limited orthodontic treatment or the transitional dentition limited orthodontic treatment or the adolescent dentition Fee $189.40 $1,833.50 $1,672.31 $2,087.37 $1,094.46 $2,189.72 $431.18 $2,189.72 $132.98 $241.78 Code D8040 D8050 D8060 D8070 D8080 D8090 $374.77 $979.21 $979.21 $1,323.34 $1,323.34 $2,189.72 $268.38 $200.68 $56.41 $95.12 $221.64 $1,007.42 $2,780.47 $2,780.47 $2,333.18 $2,518.55 $2,812.70 $2,574.96 $3,222.92 $3,344.62 $721.32 $729.37 $117.67 $117.67 $122.50 $59.64 $100.75 $157.16 $608.48 $443.26 $165.22 $294.17 $1,027.57 D8210 D8220 D8660 D8670 D8680 D8690 D8692 D8693 D9110 D9120 D9210 D9220 D9221 D9230 D9241 D9242 D9248 D9310 D9410 D9420 D9430 D9440 D9610 D9612 $238.08 $238.08 D9920 D9930 D9940 D9951 Description limited orthodontic treatment or the adult dentition interceptive orthodontic treatment of the primary dentition interceptive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the transitional dentition comprehensive orthodontic treatment of the adolescent dentition comprehensive orthodontic treatment of the adult dentition removable appliance therapy fixed appliance therapy pre-orthodontic visit periodic orthodontic treatment visit orthodontic retention (removal of appliances, construction, and placement of retainers) orthodontic treatment (alternative billing to contracted fee) replacement of lost or broken retainer rebonding or recementing and/or repair of fixed retainer palliative treatment fixed partial denture sectioning local anesthesia w/o operative or surgical procedure deep sedation/general anesthesia - 1st 30 min deep sedation/general anesthesia - each 15 min analgesia/anxiolysis/inhalation of nitrous oxide iv conscious sedation/analgesia - 1st 30 min iv conscious sedation/analgesia - each 15 min non-intravenous conscious sedation/analgesia consultation house/extended care facility call hospital call office visit for observation office visit after regularly scheduled hours therapeutic drug injection - by report therapeutic parenteral drugs 2 + administrations, different medications behavior management - by report treatment of complications - post surgical by report occlusal guard - by report occlusal adjustment - limited $238.08 121001 AZ Maricopa & UFC MA MC D-1-3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. Fee $238.08 $1,105.33 $1,105.33 $2,210.68 $2,486.13 $2,572.87 $259.35 $284.82 $38.29 $112.26 $170.05 $55.29 $110.57 $39.08 $48.44 $44.25 $8.54 $117.67 $54.80 $21.28 $113.08 $32.32 $51.02 $33.13 $38.29 $68.02 $23.77 $53.59 $16.12 $25.55 $29.74 $23.77 $153.05 $41.67 THIS PAGE INTENTIONALLY LEFT BLANK 121001 AZ Maricopa & UFC MA MC D-1-4 Current Dental Terminology © 2012 American Dental Association. All rights reserved. MEDICARE REQUIREMENTS Provider agrees to the following terms and conditions as they pertain to services rendered to Members enrolled in an applicable Medicare Advantage Plan. Since the Agreement between Provider and DentaQuest, in whole or in part, relates to services provided to Medicare Advantage Members, you are required by Centers for Medicare and Medicaid Services (“CMS”), contracted Plan, and DentaQuest, to agree to and comply with the following requirements. For purposes of this Medicare Requirements Attachment, reference to “Provider” means the individual or entity identified as a named party to the Agreement, its employees, contractors and/or subcontractors and those individuals or entities performing administrative services for or on behalf of Provider and/or any of the above referenced individuals or entities performing services related to the Agreement. Provider acknowledges that the requirements contained in this Attachment shall apply equally to the above referenced individuals or entities and that Provider’s agreements with such individuals or entities shall contain the applicable Medicare requirements set forth in this Attachment. In the event of a conflict between any provision in this Attachment and such agreement, this Attachment will control. Except as specifically amended hereby, the terms and conditions of the Agreement remain the same. In the event of a conflict between the Agreement and this Attachment, this Attachment will control with respect to Members of Medicare Advantage Plans. 1. Compliance with Law. Provider acknowledges that payment received for providing Covered Services to Members under the Agreement, in whole or in part, are deemed to be federal funds subject to all laws and regulations applicable to recipients of federal funds. As such, Provider agrees to comply with all applicable Medicare laws, rules and regulations, reporting requirements, CMS instructions, and applicable requirements of the contract between Plan and CMS (the “Medicare Contract”) and with all other applicable state and federal laws and regulations, as may be amended from time to time, including, without limitation: (1) Federal laws and regulations designed to prevent or ameliorate fraud, waste, and abuse, including, but not limited to, applicable provisions of Federal criminal law, the False Claims Act (31 U.S.C. 3729 et. seq.), and the anti-kickback statute (section 1128B(b)) of the Act); and (2) the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) administrative simplification rules at 45 CFR parts 160, 162, and 164. [42 C.F.R. § 422.504(h)]. 2. Medicare Advantage Member Privacy and Confidentiality. Provider agrees to comply with all state and federal laws, rules and regulations, Medicare program requirements, and/or requirements in the Medicare Contract regarding privacy, security, confidentiality, accuracy and/or disclosure of records (including, but not limited to, medical records), personally identifiable information and/or protected health information and enrollment information including, without limitation: (1) HIPAA and the rules and regulations promulgated thereunder, (2) 42 C.F.R. § 422.504(a)(13), and (3) 42 C.F.R. § 422.118; (iv) 42 C.F.R. § 422.516 and 42 C.F.R. § 422.310 regarding certain reporting obligations to CMS. Provider also agrees to release such information only in accordance with applicable state and/or federal law or pursuant to court orders or subpoenas. 3. Audits; Access to and Maintenance of Records. Provider shall permit inspection, evaluation and audit directly by DentaQuest, Plan, the Department of Health and Human Services (DHHS), the Comptroller General, the Office of the Inspector General, the General Accounting Office, CMS and/or their designees, and as the Secretary of the DHHS may deem necessary to enforce the Medicare Contract, physical facilities and equipment and any pertinent information including books, contracts (including any agreements between Provider and its employees, contractors and/or subcontractors providing services related to the Agreement), documents, papers, medical records, patient care documentation and other records and information involving or relating to the provision of services under the Agreement, and any additional relevant information that CMS may require (collectively, “Books and Records”). All Books and Records shall be maintained in an accurate and timely manner and shall be made available for such inspection, evaluation or audit for a time period of not less than ten (10) years, or such longer period of time as may be required by law, from the end of the calendar year in which expiration or termination of this Agreement occurs or from completion of any audit or investigation, whichever is greater, unless CMS, an authorized federal agency, or such agency’s designee, determines there is a special need to retain records for a longer period of time, which may include but not be limited to: (i) up to an additional six (6) years from the date of final resolution of a dispute, allegation of fraud or similar fault; or (ii) completion of any audit should that date be later than the time frame(s) Medicare Requirements 1 Current Dental Terminology © 2012 American Dental Association. All rights reserved. indicated above; (iii) if CMS determines that there is a reasonable possibility of fraud or similar fault, in which case CMS may inspect, evaluate, and audit Books and Records at any time; or (iv) such greater period of time as provided for by law. Provider shall cooperate and assist with and provide such Books and Records to DentaQuest, Plan and/or CMS or its designee for purposes of the above inspections, evaluations, and/or audits, as requested by CMS or its designee and shall also ensure accuracy and timely access for Members to their medical, health and enrollment information and records. Provider agrees and shall require its employees, contractors and/or subcontractors and those individuals or entities performing administrative services for or on behalf of Provider and/or any of the above referenced individuals or entities: (i) to provide DentaQuest, Plan and/or CMS with timely access to records, information and data necessary for: (1) Plan to meets its obligations under its Medicare Contract(s); and/or (2) CMS to administer and evaluate the MA program; and (ii) to submit all reports and clinical information required by the Plan under the Medicare Contract. [42 C.F.R. § 422.504(e)(4), (h), (i)(2), and (i)(4)(v).] In accordance with applicable law: (1) nothing in this agreement or any other agreement shall be construed to limit: (a) the authority of DentaQuest or the Plan to ensure participation in and compliance with its quality assurance, utilization management, member grievance and other systems and procedures; (b) the DHHS’ authority to monitor the effectiveness of the Plan’s systems and procedures, or to require the Plan to take prompt corrective action regarding quality of care or Member appeals, grievances and complaints; (c) DentaQuest or Plan’s authority to sanction or terminate a provider found to be providing inadequate or poor quality care or failing to comply with DentaQuest or Plan’s systems, standards or procedures; and (2) Provider shall participate and abide by the decisions of DentaQuest and/or Plan’s medical policy, quality assurance, medical management, utilization review, member grievance and Medicare’s appeal system. Where applicable, Provider will participate in the collection and submission of data to CMS which includes, but is not limited to the following: (a) impatient hospital data for discharges; (b) physician, outpatient hospital skilled nursing facility and home health agency data; and (c) all other data CMS deems necessary. Provider shall certify the accuracy of he data that is collected and submitted to CMS where applicable. 4. Prompt Payment of Claims. DentaQuest and/or Plan and/or Provider, as applicable, agree to process and pay or deny claims for Covered Services within thirty (30) calendar days of receipt of such claims in accordance with the Agreement. [42 C.F.R. § 422.520(b).] 5. Hold Harmless of Members. Provider hereby agrees: (i) that in no event, including but not limited to, nonpayment by DentaQuest or Plan, DentaQuest or Plan’s determination that services were not Medically Necessary, DentaQuest or Plan insolvency, or breach of the Agreement, shall Provider bill, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against a Member for amounts that are the legal obligation of DentaQuest or Plan; and (ii) that Members shall be held harmless from and shall not be liable for payment of any such amounts. Provider further agrees that this provision (a) shall be construed for the benefit of Members; (b) shall survive the termination of this Agreement regardless of the cause giving rise to termination, and (c) supersedes any oral or written contrary agreement now existing or hereafter entered into between Provider and Members, or persons acting on behalf of a Member. [42 C.F.R. § 422.504(g)(1)(i) and (i)(3)(i).] Provider may notify a Member that certain medical services have been determined to be non-Covered Services according to the terms of the Plan and may, if the Member desires, make independent financial arrangements in advance, with written documentation thereof, and collect from such Member for such non-Covered Services. In the event that any charges for services which are determined to be non-Covered Services are billed by Provider to DentaQuest, Plan or to a Member who has not agreed in advance in writing to independent financial arrangements and payment is made by DentaQuest, Plan or Member, Provider shall immediately, upon request by DentaQuest, Plan and/or Member, refund to DentaQuest, Plan or Member the full amount collected by Provider attributable to non-Covered Service. As required by 42 C.F.R. § 1001.952(m)(1)(i), in the case of services furnished to Members, Provider shall not claim payment in any form from CMS or from any other agency of the United States or from any state for items and services furnished in accordance with the Agreement, except as may be approved by CMS or a State agency, nor shall Provider otherwise engage in any shifting of costs or seek increased payments from the Medicare Advantage Program or any State health care program as a result of furnishing such services to Members. Medicare Requirements 2 Current Dental Terminology © 2012 American Dental Association. All rights reserved. 6. Accountability. DentaQuest and Provider hereby acknowledge and agree that Plan shall oversee the provision of services by Provider and DentaQuest and shall be accountable under the Plan’s Medicare Contract for services provided to Members under the Agreement regardless of the provisions of the Agreement or any delegation of administrative activities or functions to Provider under the Agreement. [42 C.F.R. § 422.504(i)(1); (i)(4)(iii); and (i)(3)(ii).] 7. Delegated Activities. Provider acknowledges and agrees that to the extent DentaQuest, in its sole discretion, elects to delegate any administrative activities or functions to Provider, Provider understands and agrees that: (i) Provider may not delegate, transfer or assign any of Provider’s obligations under the Agreement and/or any separate delegation agreement without DentaQuest’s prior written consent; and (ii) Provider must demonstrate, to DentaQuest’s satisfaction, Provider’s ability to perform the activities to be delegated and the parties will set out in writing: (1) the specific activities or functions to be delegated and performed by Provider; (2) any reporting responsibilities and obligations pursuant to DentaQuest’s or Plan’s policies and procedures and/or the requirements of the Medicare Contract; (3) monitoring and oversight activities by DentaQuest or Plan including without limitation review and approval by DentaQuest or Plan of Provider’s credentialing process, as applicable, and audit of such process on an ongoing basis; and (4) corrective action measures, up to and including termination or revocation of the delegated activities or functions and reporting responsibilities if CMS or DentaQuest or Health Plan determines that such activities have not been performed satisfactorily. [42 C.F.R. § 422.504(i)(3)(iii); 422.504(i)(4)(i)-(v).] The parties agree, notwithstanding anything set forth in the Agreement, that the Plan oversees and is accountable to CMS for any functions or responsibilities that are described in the CMS regulations. 8. Compliance with DentaQuest and Health Plan Policies and Procedures. Provider shall comply with all policies and procedures of DentaQuest and Plan including, without limitation, written standards for the following: (a) timeliness of access to care and member services; (b) policies and procedures that allow for individual medical necessity determinations (e.g., coverage rules, practice guidelines, payment policies); (c) provider consideration of Member input into Provider’s proposed treatment plan; and (d) Plan’s compliance program which encourages effective communication between Provider and Plan’s Compliance Officer and participation by Provider in education and training programs regarding the prevention, correction and detection of fraud, waste and abuse and other initiatives identified by CMS. The aforementioned policies and procedures are identified in DentaQuest and Plan Provider Manuals which are incorporated herein by reference and may be amended from time to time by DentaQuest or Plan. [42 C.F.R. § 422.112; 422.504(i)(4)(v); 42 C.F.R. § 422.202(b); 42 C.F.R. § 422.504(a)(5); 42 C.F.R. § 422.503(b)(4)(vi)(C) & (D) & (G)(3).] Provider shall report in writing to Plan within thirty calendar days of Provider’s knowledge any and all civil judgments and “other adjudicated actions or decisions” against Provider related to the delivery of any health care item or service (regardless of whether the civil judgment or other adjudicated action or decision is the subject of a pending appeal). “Other adjudicated actions or decisions” means formal or official final actions taken against a health care provider by a federal or state governmental agency or a health plan, which include the availability of a due process mechanism, and are based on acts or omissions that affect or could affect the payment, provision, or delivery of a health care item or service. An action taken following adequate notice and hearing requirement that meets the standards of due process set out in section 412(b) of the Health Care Quality Improvement Act (42 U.S.C. § 11112(b)) also would qualify as a reportable action under this definition. The fact that Provider elects not to use the due process mechanism provided by the authority bringing the action is immaterial, as long as such a process is available to the subject before the adjudicated action or decision is made final. 9. Continuation of Benefits. Provider agrees that except in instances of immediate termination by DentaQuest or Plan for reasons related to professional competency or conduct and upon expiration or termination of the Agreement, Provider will continue to provide Covered Services to Members as indicated below and to cooperate with DentaQuest or Plan to transition Members to other participating Providers in a manner that ensures medically appropriate continuity of care. In accordance with the requirements of the Medicare Contract, DentaQuest’s or Plan’s accrediting bodies and applicable law and regulation, Provider will continue to provide Covered Services to Members after the expiration or termination of the Agreement, whether by virtue of insolvency or cessation of operations of DentaQuest or Health Plan, or otherwise: (i) for those Members who are confined in an inpatient facility on the date of termination until discharge; (ii) for all Members through the date of the applicable Medicare Contract for which payments have been made by CMS to DentaQuest or Plan; and (iii) for those Members Medicare Requirements 3 Current Dental Terminology © 2012 American Dental Association. All rights reserved. undergoing active treatment of chronic or acute medical conditions as of the date of expiration or termination through their current course of active treatment not to exceed ninety (90) days unless otherwise required by item (ii) above. [42 C.F.R. 422.504(g)(2) & (3).] 10. Physician Incentive Plans. The parties agree: (i) that nothing contained in the Agreement nor any payment made by DentaQuest or Plan to Provider is a financial incentive or inducement to reduce, limit or withhold Medically Necessary services to Members; and (ii) that any incentive plans between DentaQuest or Plan and Provider and/or between Provider and its employed or contracted physicians and other health care practitioners and/or providers shall be in compliance with applicable state and federal laws, rules and regulations and in accordance with the Medicare Contract. Upon request, Provider agrees to disclose to DentaQuest or Plan the terms and conditions of any “physician incentive plan” as defined by CMS and/or any state or federal law, rule or regulation. [42 C.F.R. § 422.208.] 11. Termination. Notwithstanding any provision regarding termination, no termination of this Agreement without cause or requested by Provider shall be effective unless made in advance in writing to DentaQuest, not less than ninety (90) days prior to the anniversary date of the Agreement. DentaQuest, the Plan or its designee may terminate Provider from this Product upon ninety (90) days advance written notice to Provider. If in DentaQuest or Plan’s judgment, Provider has failed to cooperate with and abide by the decisions of DentaQuest or Plan’s medical policy, quality assurance, medical management, utilization review, member grievance and Medicare’s appeal systems, or is found to be harming Members, or if the continuation or participation negatively effects patient care, Provider’s participation in this Product may be terminated. Nothing set forth herein shall limit the ability of the Plan to delegate all or a portion of these functions. DentaQuest or Plan hereby agrees to provide notice to Provider when DentaQuest or Plan denies, suspends, or terminates the Agreement with Provider and include: (a) the reason for the action, (b) the standards and profiling data DentaQuest or Plan used to evaluate Provider, (c) the numbers and mix of health care professionals needed for DentaQuest or Plan to provide adequate access to services, and (d) Provider’s right to appeal the action and the timing for requesting a hearing. 12. Treatment Standards. Provider agrees to provide, in a manner consistent with professionally recognized standards of health care, all benefits covered by the Plan. Provider shall provide Covered Services to Members in accordance with the same standards and within the same time frames as generally provided by Provider to other patients that are not Members and to not differentiate or discriminate in the treatment of or in the quality of services delivered to Members on the basis of age, race, color, national origin, religion, handicap, ancestry or marital status, any factor that is related to health status, or participation in the Medicare Program. Factors related to health status include, but are not limited to the following: (a) medical condition, including mental as well as physical illness; (b) claims experience; (c) receipt of health care; (d) medical history; (e) genetic information; (f) evidence of insurability, including conditions arising out of acts of domestic violence; and (g) disability. 14. Credentialing. To participate in any product offered to Medicare Members, Provider must meet the credentialing standard established by DentaQuest and Plan. 15. Exclusion. Provider shall not employ or contract for the provision of health care, utilization review, medical social work, or administrative services with any individual excluded from participation in Medicare under section 1128 and 1128A of the Social Security Act. Provider hereby certifies that no such excluded person currently is employed by or under contract with Provider relating to the furnishing of these services to Members. Providers that are facilities, including Participating Hospitals, must be Medicare certified. All other Providers must be Medicare participating providers. Participating Providers shall notify DentaQuest upon any change in such status. 16. Initial Assessment. As applicable, Provider shall cooperate with Plan in furnishing an initial assessment of new Members’ heath care needs within 90 days of their enrollment. Medicare Requirements 3 Current Dental Terminology © 2012 American Dental Association. All rights reserved.