Joining SDC’s Preferred and Choice Networks is as easy as completing a few simple forms. To access the Department of Insurance Provider Application and our plan agreements, visit our Dentist Support Center.
As a participating office, you will appreciate our fast, accurate service and fair payment structure. Here are a few key facts to understand when considering participation:
Payment Methodology: SDC’s Participation Agreement provides that SDC will pay to a participating dentist
the lesser of the dentist’s billed charge or the SDC fee maximum. In developing our fee maximums, SDC carefully considers claims submissions from all
participating dentists within each code in order to determine reasonable fee maximums for each coded procedure. A sampling of our fee maximums is available
upon request.
Prompt Payment of Claims: SDC has an excellent record of timely and prompt payment of claims. In fact,
SDC customarily pays claims within 15 days of submission - over 99% of claims have been paid within 15 days in each of the past 4 years. We reimburse
on a weekly basis. So, with our fast processing time and weekly reimbursement checks – you’re paid in record time!
Reserve: In the Preferred Network - a reserve, currently set at 5%, will be withheld from each claims
payment to a Preferred participating dentist. Aggregate reserves are evaluated by the SDC Board of Directors on an annual basis. Based on an evaluation
of financial data, the Board determines the portion of the reserve to be returned to participating dentists. Such amount remitted to each dentist in
proportion to the dentist’s contribution to the aggregate reserve is sent to participating dentists within 60 days after the end of each calendar year.
A reserve is not withheld from the Choice Network.
Availability of Fee Samples: Because SDC is owned by some of our participating dentists we cannot
distribute our entire fee schedule, however we are able to provide a sampling that adequately reflects our schedule. A sampling of our fees is available
upon request.
Can’t find what you’re looking for? Simply contact us by phone, email or fax. Our expertly-trained staff is guided by our belief in remaining accessible and ready to help with a smile.
