Dental Practice Management Glossary

The total dollar amount an insurance plan will pay toward a covered individual's dental treatment within a defined benef...

An organisation contracted to manage and administer dental benefit plans on behalf of an insurance carrier or employer g...

Supporting documentation—such as radiographic images, periodontal charts, photographs, or narratives—submitted alongside...

The automated or manual review process that checks dental insurance claims for errors, missing data, and code-compatibil...

A third-party intermediary that receives electronic dental claims from providers, standardises them into the required fo...

A classification system for dental evaluations, including comprehensive, periodic, limited, and emergency examinations,...

The list of covered dental procedures, materials, and, in some managed-care plans, approved dental laboratories specifie...

The total revenue attributable specifically to services provided by dental hygienists, reported separately from dentist-...

A licensed oral health professional who provides preventive dental services, including prophylaxis, periodontal therapy,...

A titanium or zirconia fixture surgically placed into the jawbone to serve as an artificial tooth root upon which a crow...

Written explanations submitted with insurance claims to justify the clinical necessity of a dental procedure.

The integrated chair-side equipment assembly—comprising chair, delivery system, suction, light, and handpiece connection...

A fully equipped individual treatment room within a dental office where clinical procedures are performed on patients.

A Preferred Provider Organisation dental insurance plan in which patients receive maximum benefits when visiting in-netw...

The formal process by which dental insurers or institutions verify and approve a dentist's qualifications, licensure, an...

The administrative workflow and communication process used by a dental practice to schedule and confirm patients for the...

A corporate entity that provides non-clinical administrative and business support services to one or more affiliated den...

Acronym for Dental Health Maintenance Organisation; a managed-care dental plan in which patients receive services from a...

The insurer's practice of substituting a less complex or lower-cost procedure code than the one submitted by the dental...

Abbreviation for Dental Service Organisation, a corporate entity providing non-clinical administrative support to affili...

A single-tray dental impression technique that simultaneously captures both the preparation tooth and opposing arch occl...

A situation in which a dental patient is covered under two separate dental insurance plans, requiring the application of...

Describing a patient, arch, or quadrant that is completely without teeth.

A pre-printed or electronic form used during a dental visit to record procedures performed, enabling efficient charge en...