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Apr 12 2024
Based on calls the Ohio Dental Association is receiving from ODA member dental offices, it appears that some patients are attempting to lower their financial obligations to their dentist by citing the No Surprises Act. In each instance, however, the patient’s contention that the dentist had to waive some of their outstanding balance because of ... [continue reading]
Mar 5 2024
Last month, I wrote my column on the ODA membership survey conducted in the fall of 2023. To review, we commission an independent survey research firm to conduct a broad, comprehensive survey of the entire ODA membership periodically. We did such surveys in 1988, 1991, 1994, 1998, 2002, 2007, 2012, 2018 and again in 2023. While the surveys have ... [continue reading]
Mar 5 2024
Early in the year, the Ohio Dental Association and Ohio Academy of Pediatric Dentistry penned a joint letter to Maureen Corcoran, Director of the Ohio Department of Medicaid, concerning coding practices and reimbursement levels for dental treatment that must be provided in hospital or ambulatory surgical center operating room settings for patients ... [continue reading]
Feb 14 2024
For many dentists, terminating a participating provider agreement with a preferred provider organization (PPO), dental health maintenance organization (DHMO) or other type of third-party payer can be a nerve-wracking experience, largely attributable to a fear of losing patients who are covered by the plan the dentist is terminating with. If these ... [continue reading]
Jan 24 2024
The American Dental Association has released the CDT 2024, which took effect Jan. 1, 2024. The new CDT 2024 is the HIPAA-recognized code set for dentistry. The ADA offers several CDT coding products, including books, training tools and an app, which can be found at ... [continue reading]
Jan 24 2024
The new Ohio Medicad Fees are now finalized and effective January 1, 2024. They represent the culmination of a significant amount of work performed by grassroots Ohio Dental Association member dentists, the ODA lobbying team, Ohio Department of Medicaid (ODM), Gov. Mike DeWine, the Ohio General Assembly and other oral health care advocates. The ... [continue reading]
Jan 24 2024
Before I was ever in leadership with organized dentistry, before I was a dentist, and before I even knew what my life’s work would look like, I was part of a community – a group of individuals existing together through residential, familial and relational proximity. They were there when I was born; they were in my school and in my church. No ... [continue reading]
Dec 12 2023
The number of people covered by Medicare Advantage Plans in the U.S. has increased significantly in recent years. In fact, enrollment in publicly funded dental benefit plans, namely Medicaid and Medicare Advantage Plans, represent the segments of the dental benefits marketplace that have seen the most significant growth in recent years as ... [continue reading]
Nov 13 2023
Last year we provided an update on what appeared to be a relatively small trend that has been seen over the years of insurance companies and third-party administrators (TPAs) using virtual stored value cards as a means of reimbursing dentists for care they provided to covered patients. Virtual stored value cards are virtual credit or debit ... [continue reading]
Oct 16 2023
Efforts by the Ohio Dental Association, Ohio Department of Medicaid (ODM), Gov. Mike DeWine, Ohio General Assembly and other advocates to increase fees paid to dentists who treat patients covered by Ohio Medicaid will soon pay off as a new Medicaid dental fee schedule is slated to take effect on Jan. 1, 2024. The fee increase will be the first of ... [continue reading]
The views expressed in the articles and columns on are solely those of the author(s) and do not necessarily represent the view of the Ohio Dental Association (ODA). The columns are intended to offer opinions, information and general guidance and should not be construed as legal advice or as an endorsement by the ODA. Further, information posted on is not an endorsement by the ODA and should be viewed on an informational basis by users of the website. Dentists should always seek the advice of their own legal counsel regarding specific circumstances.