What is Dentistat-Certified?1
Dentistat-Certified dentists are a select group of third-party dentists who have been independently reviewed and certified by Dentistat and found to have:
- Proper credentials, and
- Appropriate utilization patterns, and
- Subject to ongoing utilization monitoring and re-credentialing.
The following differences may exist between dentists
|
Dental Health Alliance (DHA)
PPO Network |
Dentistat-Certified
Non-Participating Providers |
Non-Dentistat Certified
Non-Participating Providers |
|
DHA PPO
|
Non-PPO |
Non-PPO |
Negotiated Fees |
YES |
NO |
NO |
No Balance Billing on
Covered Services |
YES |
NO |
NO |
Discounts on Non-Covered Services |
YES* |
NO |
NO |
Approved Treatment Patterns |
YES* |
YES* |
NO |
Approved Credentials |
YES** |
YES** |
NO |
* Not applicable to all DHA dentists
**As determined by various credentialing organizations
1Dentistat-Certified dentists are independent third-party providers certified by Dentistat, Inc. The Dentistat-Certified dentists are not affiliated with or part of the DHA PPO networks. |