Fee Schedule Search

Fee Schedule

Select Member

{{item.memberProfile.personName.firstName}} {{item.memberProfile.personName.middleName}} {{item.memberProfile.personName.lastName}}

Member Information

Name: {{activeMemberInfo.memberProfile.personName.firstName | uppercase}} {{activeMemberInfo.memberProfile.personName.lastName | uppercase}}

Plan Description: {{activeMemberInfo.eligibility.plan.codeDesc }}

Relationship: {{activeMemberInfo.memberRelation.codeDesc | uppercase}}

Product ID: {{activeMemberInfo.eligibility.plan.codeValue}}

Select Dentist & Fee Schedule *Indicates a required field

1 Provide a date of service

*Date of Service:

2 Select a Dentist

*Select Dentist:

Note: Only providers who are participating in the network will be displayed.

Select	Last Name	First Name	Primary Address

	{{item.providerName.lastName}}	{{item.providerName.firstName}}	{{item.providerAddress.addressLine1}} {{item.providerAddress.city \| uppercase}}, {{item.providerAddress.state}} {{item.providerAddress.zip5}}

3 View Fee Schedule

Code	Description
{{item.dentalProcedureCode}}	{{item.dentalProcedureCodeDesc}}

Fee Schedules are available on-line for contracted providers only.

Don't miss the opportunity to join a dental program that offers tremendous potential for your practice. If you are interested in becoming a contracted provider, or believe that you have landed on this page in error, please call 1-800-822-5353 for more information.

You can get started by reviewing and completing the applications and forms here:

Join our Network!