CDA was notified by Delta Dental of California that it will reduce fees for periodontists, endodontists and oral surgeons in its Premier provider network effective July 1, 2020. Delta Dental sent letters to Premier providers on Friday to explain changes to its fee structure, which will affect approximately 2,200 specialists statewide. This change will only reduce contracted fees that are greater than the new maximum amounts allowed. In its notification, Delta Dental cited the need to align its contracted fees for these specialties with those generally accepted as network reimbursement levels in the broader market. These shifts in the dental marketplace are occurring as purchasers become more cost-conscious of dental claims costs and premiums.
As part of its class-action settlement agreement with CDA, Delta Dental is providing affected Premier providers with 120 days’ advance notice and an individualized illustration of how these reductions potentially affect each dentist’s practice based on the dentist’s prior 12 months’ claims submissions. Dentists with questions about the fee reduction or the impact on their practices are urged to contact Delta Dental at 888.742.4099 or email@example.com.
Additionally, CDA Practice Support developed an FAQ with a checklist to assist members with enhancing their understanding of the potential effects of this change to their practices. Members with questions may reach the CDA Contact Center at 800-232-7645 and request to speak with a Practice Support analyst.