The amount customarily charged for a services. It is the office's "cash fee" for treatment in the office-default fee schedule.
It is often employed by the insurance carrier when determining payment amounts for a contracted office/provider because it refers to the standard -- or most common -- charge for a particular service when rendered in a particular geographic area.
Per the ADA, on a claim form:
It is often employed by the insurance carrier when determining payment amounts for a contracted office/provider because it refers to the standard -- or most common -- charge for a particular service when rendered in a particular geographic area.
Per the ADA, on a claim form:
Report the dentist's full fee for the procedure. Resolution 44-2009 Statement on Reporting Fees on Dental Claims adopted by the ADA House of Delegates, as follows, provides guidance on the appropriate entry for this item.
Statement on Reporting Fees on Dental Claims
Statement on Reporting Fees on Dental Claims
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A full fee is the fee for a service that is set by the dentist, which reflects the costs of providing the procedure and the value of the dentist's professional judgment.
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A contractual relationship does not change the dentist's full fee.
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It is always appropriate to report the full fee for each service reported to a third-party payer