Dental

All dental providers practicing within the scope of practice for their licensure are eligible to provide services to PrimeWest Health members as long as they are willing to accept PrimeWest Health reimbursement as "payment in full" and agree not to balance bill our members.

For more information on dental services (including when to request a Service Authorization) please review the Dental Services chapter in the Provider Manual.

Dental providers may also find the following resources helpful:

• The current PrimeWest Health Fee Schedules for Dental Services have reimbursement information:
  • The Fee Schedule for Dental Services for children under age 21 and pregnant adults has reimbursement information and tells which dental codes are covered for these members
  • The Fee Schedule for Dental Services for non-pregnant adults age 21 and over has reimbursement information and tells which dental codes are covered for these members
    
• Our Dental Services Handout offers more information on PrimeWest Health dental services
• Our Early Dental Care booklet provides parents of young children with a dental activity book
• Recent information about Critical Access Dental Payment from the Department of Human Services
• Dental Coverage Limitations and Policy Changes from the Department of Human Services
• Collaborative Practice Dental Hygienist Enrollment and Reimbursement Changes from the Department of Human Services
• Dental C&TC Standards from the Department of Human Services