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Veterans Affairs Dental Insurance Program

News

We heard you! A new processing policy makes it easier to remember your cleanings & exams

You asked, and we listened. As of June 1, 2017, we changed the way we process your annual cleanings and exams. Instead of two cleanings and exams in a rolling 12-month consecutive period you’ll now get two cleanings and exams in a calendar year.

How does this affect you? Instead of having to keep track of the month and day when you had your last cleaning now all you have to do is track the year. Delta Dental’s Federal Employees Dental Program now pays for two cleanings and exams in a calendar year. Seeing your dentist twice in a calendar year encourages you to maintain a schedule that is convenient for you and your busy lifestyle.

The calendar year starts on January 1 and ends on December 31. For example, if you had your first covered cleaning and exam on March 2, 2017, and a second covered cleaning and exam on August 24, 2017, Delta Dental will not pay for another cleaning until January 1, 2018.

Use the handy online Consumer Toolkit® to help you keep track of your covered cleanings so you’ll know when you’re eligible for your next one. Your Delta Dental Federal Employees Dental Program network dentist can help you with scheduling your covered cleanings on a regular basis, too.

For specific updates on codes affected by the time limitation change in policy, check the list below:

D0120
Periodic oral evaluation — established patient
D0273
Bitewings — three radiographic images
D0145
Oral evaluation for a patient under three years of age and counseling with primary caregiver
D0274
Bitewings — four radiographic images
D0150
Comprehensive oral evaluation — new or established patient
D0277
Vertical bitewings — 7 to 8 radiographic images
D0160
Detailed and extensive oral evaluation — problem-focused, by report
D1110
Prophylaxis — Adult
D0180
Comprehensive periodontal evaluation — new or established patient
D1120
Prophylaxis — Child
D0220
Intraoral — periapical first radiographic image
D1206
Topical application of fluoride varnish
D0230
Intraoral — periapical each additional radiographic image
D1208
Topical application of fluoride — excluding varnish
D0240
Intraoral — occlusal radiographic image
D4346
Scaling in presence of generalized moderate or severe gingival inflammation — full mouth, after oral evaluation
D0270
Bitewing — single radiographic image
D4910
Periodontal maintenance
D0272
Bitewings — two radiographic images