It is not necessary to send the entire chart notes, only the requested information that is pertinent to the treatment review. If the procedure code is on the 100 percent review list, you may send the requested information with the initial submission of the claim. To view this list, you may access your Dentist Handbook.

In 2010, The Children's Program (TCP) was created by Delta Dental of Oregon, Oregon Educators Benefits Board (OEBB), Kaiser Permanente and Willamette Dental to provide basic dental care for children ages 5 to 18 who live in Oregon who don't have dental insurance.

 

Since the program's inception, more than $3 million in free care has been delivered to over 7,800 children. That's a lot of kids to care for and we're thankful for your support! Without such dedicated and caring dentists, this program would not be possible. We appreciate everyone who has participated in this much-needed dental program.

 

We also have some exciting program updates to share with you! Effective June 1, 2016, we are expanding the program to include children ages 0 to 18 and increasing the annual maximum to $800!

 

To learn how you can become a TCP provider, check out our provider guide. This guide provides a list of covered codes and details on enrollment and the referral process.

 

We're here to help! Please contact our Dental Professional Relations team toll-free at 888-374-8905.

• Stainless steel crowns will now be a covered benefit for all members for molars.
• We will no longer require you to advise us of the final restoration when planning for root canal treatment. 
• Full dentures will be a covered benefit once every 10 years instead of once per lifetime, regardless of when the last tooth was extracted.
• Periodontal maintenance will be a covered benefit once every six months.
• Periodontal scaling and root planing will be a covered benefit once every two years.

The American Dental Association, the Academy of Pediatric Dentistry and the American Academy of Pediatrics all advocate for a child to have his or her first visit within six months of the first tooth, or by age one. First dental visits provide a great opportunity for you to establish rapport and trust with the caregiver and child. It's a perfect time to educate the caregiver on the benefits of preventive oral health, nutrition and home care. It's also important to perform a knee-to-knee exam, caries risk assessment, and discuss caries prevention and fluoride interventions, as appropriate.

 

But performing an exam on a one year old is no small task. There are many online resources for how to accomplish this. If you're looking for hands-on instruction for you and your office staff, the Oregon Oral Health Coalition provides just what you're looking for through their First Tooth Training program. Please visit the OROHC website for more information.

 

Other helpful resources include: