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:
- Periodic oral evaluation — established patient
- Bitewings — three radiographic images
- Oral evaluation for a patient under three years of age and counseling with primary caregiver
- Bitewings — four radiographic images
- Comprehensive oral evaluation — new or established patient
- Vertical bitewings — 7 to 8 radiographic images
- Detailed and extensive oral evaluation — problem-focused, by report
- Prophylaxis — Adult
- Comprehensive periodontal evaluation — new or established patient
- Prophylaxis — Child
- Intraoral — periapical first radiographic image
- Topical application of fluoride varnish
- Intraoral — periapical each additional radiographic image
- Topical application of fluoride — excluding varnish
- Intraoral — occlusal radiographic image
- Scaling in presence of generalized moderate or severe gingival inflammation — full mouth, after oral evaluation
- Bitewing — single radiographic image
- Periodontal maintenance
- Bitewings — two radiographic images