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TEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).HOME
Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. EDENTAL | DOMINION NATIONAL 2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).TEETHKEEPERS
A refreshing alternative to bureaucratic institutions, Dominion is a groundbreaker, bringing practical solutions, best practices and a new level of service to the benefits industry. DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: DENTAL PROGRAM 7000X ORTHODONTICS2 D8660 Pre-orthodontic treatment visit.. 413 D8070 Comp. ortho. treatment - transitional dentition.. 3304 SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 RECORD OF SERVICES PROVIDED 24. Procedure Date (MM/DD/CCYY) 25. Area of Oral Cavity 26. Tooth System 27. Tooth Number(s) or Letter(s) 28.Tooth Surface
SELECT PLAN BASIC KIDS 702XS (DC) DESCRIPTION OF SERVICES Select Plan Basic Kids Description of Services, Member Copayments, Exclusions The dental plan is underwritten by Dominion Dental Services, Inc. (hereinafter referred to as “Dominion”). DOMINION NATIONALELITE EPPOENROLL NOW DOMINION NATIONAL IS A LEADING INSURER AND ADMINISTRATOR OF DENTAL AND VISION BENEFITS. We seek a better way to serve you, so you can focuson
TEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).HOME
Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. EDENTAL | DOMINION NATIONAL 2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).TEETHKEEPERS
A refreshing alternative to bureaucratic institutions, Dominion is a groundbreaker, bringing practical solutions, best practices and a new level of service to the benefits industry. DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: DENTAL PROGRAM 7000X ORTHODONTICS2 D8660 Pre-orthodontic treatment visit.. 413 D8070 Comp. ortho. treatment - transitional dentition.. 3304 SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 RECORD OF SERVICES PROVIDED 24. Procedure Date (MM/DD/CCYY) 25. Area of Oral Cavity 26. Tooth System 27. Tooth Number(s) or Letter(s) 28.Tooth Surface
SELECT PLAN BASIC KIDS 702XS (DC) DESCRIPTION OF SERVICES Select Plan Basic Kids Description of Services, Member Copayments, Exclusions The dental plan is underwritten by Dominion Dental Services, Inc. (hereinafter referred to as “Dominion”). EDENTAL | DOMINION NATIONAL 2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI). A BETTER PATH TO BENEFITS DN.SB.HCR.071420 Dominion National recognizes that you’re a unique individual and we’ve designed plans and programs that work for you. We seek a better way to serve SELECT PLAN DENTIST DIRECTORY Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County SELECT PLAN1 DENTIST DIRECTORY Elrafei Mohamed 50372 Ulery Dental & Orthodontics 7067 Baltimore Annapolis SMILE FOR TOTAL HEALTH SMILE FOR TOTAL HEALTH A GUIDE TO YOUR DENTAL BENEFITS 2018 Adult $30 Preventive and Pediatric Dental HMO In the event of ambiguity, or a conlict between this summary and the Evidence ofTEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).TEETHKEEPERS
Dominion offers access to one of the country's leading vision networks through National Vision Administrators (NVA) with more than 82,000 provider listings including Target Optical, Pearle Vision, Sears Optical, J.C. Penney, For Eyes Optical, Hour Eyes and Wal-Mart. 1. Click here to search for a vision provider near you.Please be sure to select "Dominion National" under the "Select Group FEDVIP SELECT HIGH 710XS DESCRIPTION OF SERVICES, MEMBER FEDVIP Select High 710xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their TOTAL COSMETIC DENTAL SERVICES There are no deductibles or annual maximums. Choose which procedure you want at any participating provider. Click here to learn more about Total Cosmetic Dental Services. 1 Discounted rates for dental services are negotiated by the Program Administrator with participating providers. These negotiated rates are reflected in the fee schedule asfixed fees.
DENTAL & VISION BENEFITS FOR EVERYONE 2 1 Dominion National Internal Performance Report, 2018. Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia MarylandHOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
TEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: DENTAL PROGRAM 7000X ORTHODONTICS2 D8660 Pre-orthodontic treatment visit.. 413 D8070 Comp. ortho. treatment - transitional dentition.. 3304 J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
SELECT PLAN BASIC KIDS 702XS (DC) DESCRIPTION OF SERVICES Select Plan Basic Kids Description of Services, Member Copayments, Exclusions The dental plan is underwritten by Dominion Dental Services, Inc. (hereinafter referred to as “Dominion”). DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia MarylandHOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
TEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: DENTAL PROGRAM 7000X ORTHODONTICS2 D8660 Pre-orthodontic treatment visit.. 413 D8070 Comp. ortho. treatment - transitional dentition.. 3304 J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
SELECT PLAN BASIC KIDS 702XS (DC) DESCRIPTION OF SERVICES Select Plan Basic Kids Description of Services, Member Copayments, Exclusions The dental plan is underwritten by Dominion Dental Services, Inc. (hereinafter referred to as “Dominion”). EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
SELECT PLAN DENTIST DIRECTORY Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County SELECT PLAN1 DENTIST DIRECTORY Elrafei Mohamed 50372 Ulery Dental & Orthodontics 7067 Baltimore Annapolis A BETTER PATH TO BENEFITS DN.SB.HCR.071420 Dominion National recognizes that you’re a unique individual and we’ve designed plans and programs that work for you. We seek a better way to serveTEETHKEEPERS
Dental. Vision. About Us. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TEETHKEEPERS
Dominion offers access to one of the country's leading vision networks through National Vision Administrators (NVA) with more than 82,000 provider listings including Target Optical, Pearle Vision, Sears Optical, J.C. Penney, For Eyes Optical, Hour Eyes and Wal-Mart. 1. Click here to search for a vision provider near you.Please be sure to select "Dominion National" under the "Select Group SMILE FOR TOTAL HEALTH SMILE FOR TOTAL HEALTH A GUIDE TO YOUR DENTAL BENEFITS 2018 Adult $30 Preventive and Pediatric Dental HMO In the event of ambiguity, or a conlict between this summary and the Evidence ofTEETHKEEPERS
Dominion's office hours are 8:30 a.m. to 4:30 p.m. Eastern, Monday through Friday. Service Team Associates are available from 7:30 a.m. to 6:00 p.m. Eastern, Monday through Friday, at 888.518.5338. After business hours, members have access to certain functions via TOTAL COSMETIC DENTAL SERVICES These negotiated rates are reflected in the fee schedule as fixed fees. 2 For individual enrollment only. A one-time $18 processing fee will also apply. 3 When services are received from our contracted dental provider network. See Total Cosmetic Dental Services programdescription for
DENTAL & VISION BENEFITS FOR EVERYONE 2 1 Dominion National Internal Performance Report, 2018. Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, FEDVIP SELECT HIGH 710XS DESCRIPTION OF SERVICES, MEMBER FEDVIP Select High 710xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their DOMINION NATIONALELITE EPPOENROLL NOW DOMINION NATIONAL IS A LEADING INSURER AND ADMINISTRATOR OF DENTAL AND VISION BENEFITS. We seek a better way to serve you, so you can focuson
TEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI). EDENTAL | DOMINION NATIONAL 2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).HOME
Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees.TEETHKEEPERS
A refreshing alternative to bureaucratic institutions, Dominion is a groundbreaker, bringing practical solutions, best practices and a new level of service to the benefits industry. DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 RECORD OF SERVICES PROVIDED 24. Procedure Date (MM/DD/CCYY) 25. Area of Oral Cavity 26. Tooth System 27. Tooth Number(s) or Letter(s) 28.Tooth Surface
ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
SELECT PLAN BASIC KIDS 702XS (DC) DESCRIPTION OF SERVICES Select Plan Basic Kids Description of Services, Member Copayments, Exclusions The dental plan is underwritten by Dominion Dental Services, Inc. (hereinafter referred to as “Dominion”). DOMINION NATIONALELITE EPPOENROLL NOW DOMINION NATIONAL IS A LEADING INSURER AND ADMINISTRATOR OF DENTAL AND VISION BENEFITS. We seek a better way to serve you, so you can focuson
TEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI). EDENTAL | DOMINION NATIONAL 2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).HOME
Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees.TEETHKEEPERS
A refreshing alternative to bureaucratic institutions, Dominion is a groundbreaker, bringing practical solutions, best practices and a new level of service to the benefits industry. DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 RECORD OF SERVICES PROVIDED 24. Procedure Date (MM/DD/CCYY) 25. Area of Oral Cavity 26. Tooth System 27. Tooth Number(s) or Letter(s) 28.Tooth Surface
ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
SELECT PLAN BASIC KIDS 702XS (DC) DESCRIPTION OF SERVICES Select Plan Basic Kids Description of Services, Member Copayments, Exclusions The dental plan is underwritten by Dominion Dental Services, Inc. (hereinafter referred to as “Dominion”). EDENTAL | DOMINION NATIONAL 2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI). A BETTER PATH TO BENEFITS DN.SB.HCR.071420 Dominion National recognizes that you’re a unique individual and we’ve designed plans and programs that work for you. We seek a better way to serveTEETHKEEPERS
A refreshing alternative to bureaucratic institutions, Dominion is a groundbreaker, bringing practical solutions, best practices and a new level of service to the benefits industry. SELECT PLAN DENTIST DIRECTORY Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County SELECT PLAN1 DENTIST DIRECTORY Elrafei Mohamed 50372 Ulery Dental & Orthodontics 7067 Baltimore AnnapolisTEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).TEETHKEEPERS
Dominion offers access to one of the country's leading vision networks through National Vision Administrators (NVA) with more than 82,000 provider listings including Target Optical, Pearle Vision, Sears Optical, J.C. Penney, For Eyes Optical, Hour Eyes and Wal-Mart. 1. Click here to search for a vision provider near you.Please be sure to select "Dominion National" under the "Select Group TOTAL COSMETIC DENTAL SERVICES There are no deductibles or annual maximums. Choose which procedure you want at any participating provider. Click here to learn more about Total Cosmetic Dental Services. 1 Discounted rates for dental services are negotiated by the Program Administrator with participating providers. These negotiated rates are reflected in the fee schedule asfixed fees.
MEMBER DENTAL & VISION PROGRAM SMILE. WE'VE GOT YOU COVERED. 7 MONTHLY RATES - EFFECTIVE 1/1/20 - 12/1/20 Rates are valid through December 2020. You will receive a notice if there is a change to the plan rates or covered benefits prior to January 2021.SELECT PLAN PREMIUM
D6000-D6199 ALL IMPLANT SERVICES - 15% DISCOUNT D1310 Nutritional counseling for control of dental disease .. 0 FEDVIP SELECT HIGH 710XS DESCRIPTION OF SERVICES, MEMBER FEDVIP Select High 710xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia Maryland EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
HOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
TEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia Maryland EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
HOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
TEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
SELECT PLAN DENTIST DIRECTORY Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County SELECT PLAN1 DENTIST DIRECTORY Elrafei Mohamed 50372 Ulery Dental & Orthodontics 7067 Baltimore AnnapolisTEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
A BETTER PATH TO BENEFITS DN.SB.HCR.071420 Dominion National recognizes that you’re a unique individual and we’ve designed plans and programs that work for you. We seek a better way to serveTEETHKEEPERS
Dental. Vision. About Us. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).TEETHKEEPERS
Dominion offers access to one of the country's leading vision networks through National Vision Administrators (NVA) with more than 82,000 provider listings including Target Optical, Pearle Vision, Sears Optical, J.C. Penney, For Eyes Optical, Hour Eyes and Wal-Mart. 1. Click here to search for a vision provider near you.Please be sure to select "Dominion National" under the "Select GroupTEETHKEEPERS
Dominion's office hours are 8:30 a.m. to 4:30 p.m. Eastern, Monday through Friday. Service Team Associates are available from 7:30 a.m. to 6:00 p.m. Eastern, Monday through Friday, at 888.518.5338. After business hours, members have access to certain functions via TOTAL COSMETIC DENTAL SERVICES These negotiated rates are reflected in the fee schedule as fixed fees. 2 For individual enrollment only. A one-time $18 processing fee will also apply. 3 When services are received from our contracted dental provider network. See Total Cosmetic Dental Services programdescription for
: BLUECROSS BLUESHIELD OF ARIZONA Instructions. Please download the forms at the link below and once you have completed filling the entire form, click the “Submit” buttonon the form.
DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia Maryland EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
HOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
TEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia Maryland EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
HOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
TEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE 251 18th Street South, Suite 900 Arlington, VA 22202 888.471.3631 (toll free) DominionNational.com Dentist Application Dental Offi ce Profi le Please Include a Copy of: SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS AND • If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
SELECT PLAN DENTIST DIRECTORY Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County SELECT PLAN1 DENTIST DIRECTORY Elrafei Mohamed 50372 Ulery Dental & Orthodontics 7067 Baltimore AnnapolisTEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
A BETTER PATH TO BENEFITS DN.SB.HCR.071420 Dominion National recognizes that you’re a unique individual and we’ve designed plans and programs that work for you. We seek a better way to serveTEETHKEEPERS
Dental. Vision. About Us. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TEETHKEEPERS
2020 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI).TEETHKEEPERS
Dominion offers access to one of the country's leading vision networks through National Vision Administrators (NVA) with more than 82,000 provider listings including Target Optical, Pearle Vision, Sears Optical, J.C. Penney, For Eyes Optical, Hour Eyes and Wal-Mart. 1. Click here to search for a vision provider near you.Please be sure to select "Dominion National" under the "Select GroupTEETHKEEPERS
Dominion's office hours are 8:30 a.m. to 4:30 p.m. Eastern, Monday through Friday. Service Team Associates are available from 7:30 a.m. to 6:00 p.m. Eastern, Monday through Friday, at 888.518.5338. After business hours, members have access to certain functions via TOTAL COSMETIC DENTAL SERVICES These negotiated rates are reflected in the fee schedule as fixed fees. 2 For individual enrollment only. A one-time $18 processing fee will also apply. 3 When services are received from our contracted dental provider network. See Total Cosmetic Dental Services programdescription for
: BLUECROSS BLUESHIELD OF ARIZONA Instructions. Please download the forms at the link below and once you have completed filling the entire form, click the “Submit” buttonon the form.
DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia MarylandHOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TEETHKEEPERS
Dental. Vision. About Us. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TOTAL COSMETIC DENTAL SERVICES These negotiated rates are reflected in the fee schedule as fixed fees. 2 For individual enrollment only. A one-time $18 processing fee will also apply. 3 When services are received from our contracted dental provider network. See Total Cosmetic Dental Services programdescription for
FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS ANDAVERAGE DENTAL FEE SCHEDULEDOMINION DENTAL MEMBER SERVICESNATIONAL DENTAL ADVISORYFEE SCHEDULE
• If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia MarylandHOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TEETHKEEPERS
Dental. Vision. About Us. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TOTAL COSMETIC DENTAL SERVICES These negotiated rates are reflected in the fee schedule as fixed fees. 2 For individual enrollment only. A one-time $18 processing fee will also apply. 3 When services are received from our contracted dental provider network. See Total Cosmetic Dental Services programdescription for
FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS ANDAVERAGE DENTAL FEE SCHEDULEDOMINION DENTAL MEMBER SERVICESNATIONAL DENTAL ADVISORYFEE SCHEDULE
• If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
SELECT PLAN DENTIST DIRECTORY Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County SELECT PLAN1 DENTIST DIRECTORY Elrafei Mohamed 50372 Ulery Dental & Orthodontics 7067 Baltimore AnnapolisTEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
TEETHKEEPERS
Dominion offers access to one of the country's leading vision networks through National Vision Administrators (NVA) with more than 82,000 provider listings including Target Optical, Pearle Vision, Sears Optical, J.C. Penney, For Eyes Optical, Hour Eyes and Wal-Mart. 1. Click here to search for a vision provider near you.Please be sure to select "Dominion National" under the "Select Group SPECIALTY CARE GUIDELINES 2 be taken by the general dentist if panoramic equipment is available. If a panoramic x-ray cannot be taken by the referring general dentist, this must be noted on the Specialty CareDOMINION NATIONAL
Dominion National
TEETHKEEPERS
Dominion's office hours are 8:30 a.m. to 4:30 p.m. Eastern, Monday through Friday. Service Team Associates are available from 7:30 a.m. to 6:00 p.m. Eastern, Monday through Friday, at 888.518.5338. After business hours, members have access to certain functions via DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE WORK HISTORY REQUIRED: List all current and previous dentistry-related work and school experience for the last five years. Include residency or fellowship, as applicable. CV/Resume accepted. Gaps over six months require an explanation on the back of this application. LOGIN: BLUECROSS BLUESHIELD OF ARIZONA Sign In Now. User Name: Password : Forgot Password? Don't have an account? Create New Account. CREATE ACCOUNT: BLUECROSS BLUESHIELD OF ARIZONA Create New BlueDental Account. Complete all required fields and click Submit. You will receive a confirmation email from BlueDental within 24 hours, including your initial login information. Questions? Contact Provider Services at 1 (888) 271-7806. DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia MarylandHOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TEETHKEEPERS
Dental. Vision. About Us. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TOTAL COSMETIC DENTAL SERVICES These negotiated rates are reflected in the fee schedule as fixed fees. 2 For individual enrollment only. A one-time $18 processing fee will also apply. 3 When services are received from our contracted dental provider network. See Total Cosmetic Dental Services programdescription for
FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS ANDAVERAGE DENTAL FEE SCHEDULEDOMINION DENTAL MEMBER SERVICESNATIONAL DENTAL ADVISORYFEE SCHEDULE
• If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
DOMINION NATIONALELITE EPPOENROLL NOW Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirusand
TEETHKEEPERS
Teethkeepers is available to everyone and offers dental and vision benefits directly to individuals who are self-employed, do not have a dental or vision benefit offered by their employer or are looking for additional benefits. Choose the plan that best fits your needs. Select State: *. Please select state Connecticut Delaware Georgia MarylandHOME
View a video and online presentation about our plans. Learn about Dominion's Go mobile notification service Enroll Now. Enroll online at BENEFEDS. Or call 877.888.3337. DOMINION NATIONAL DENTAL PLANS ARE ONLY AVAILABLE TO FEDERAL EMPLOYEES LIVING IN DELAWARE, MARYLAND, PENNSYLVANIA, PARTS OF NEW JERSEY, PARTS OF VIRGINIA AND WASHINGTON,D.C.
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TEETHKEEPERS
Dental. Vision. About Us. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
TOTAL COSMETIC DENTAL SERVICES These negotiated rates are reflected in the fee schedule as fixed fees. 2 For individual enrollment only. A one-time $18 processing fee will also apply. 3 When services are received from our contracted dental provider network. See Total Cosmetic Dental Services programdescription for
FEDVIP SELECT STANDARD 704XS DESCRIPTION OF SERVICES FEDVIP Select Standard 704xs. Description of Services, Member Copayments, Exclusions and Limitations. Plan Highlights • Prevention Reward: Each family member enrolled with Dominion who receives cleanings during the plan year will be reimbursed for their SELECT PLAN BASIC 703XA (DC) DESCRIPTION OF SERVICES ADAMEMBER CODECOPAYMENT(S) DESCRIPTION ADAMEMBER CODECOPAYMENT(S) DESCRIPTION DMNMA21DOBINFAM - DCDEPAVA pid 2677 3 D6602 Retainer inlay - cast high noble metal, two J430D DENTAL CLAIM FORM 2012 The following information highlights certain form completion instructions. Comprehensive ADA Dental Claim Form completion instructions are printed in the CDT manual. ELITE PPO BASIC (DC) COVERAGE SCHEDULE, LIMITATIONS ANDAVERAGE DENTAL FEE SCHEDULEDOMINION DENTAL MEMBER SERVICESNATIONAL DENTAL ADVISORYFEE SCHEDULE
• If course of treatment is to exceed $300, prior review is recommended. Service Class Service Description In-Network Out-of-Network Waiting Period Coverage Schedule, Limitations andExclusions for
EDENTAL | DOMINION NATIONAL Dental. Vision. ABOUT US. Dominion National is actively monitoring the developments regarding the evolving Coronavirus (COVID-19) and potential impacts to our clients and employees. Click here for more information on the proactive measures we are taking to prevent the spread of coronavirus and ensure the continuity of our businessoperations.
SELECT PLAN DENTIST DIRECTORY Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County SELECT PLAN1 DENTIST DIRECTORY Elrafei Mohamed 50372 Ulery Dental & Orthodontics 7067 Baltimore AnnapolisTEETHKEEPERS
Dominion serves a multitude of clients with dental and vision benefits. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. We offer Select Plans, PPO plans, ePPO plans and dual-choice coverage. In addition, we also provide full administrative support for strategic partnerships,health
TEETHKEEPERS
Dominion offers access to one of the country's leading vision networks through National Vision Administrators (NVA) with more than 82,000 provider listings including Target Optical, Pearle Vision, Sears Optical, J.C. Penney, For Eyes Optical, Hour Eyes and Wal-Mart. 1. Click here to search for a vision provider near you.Please be sure to select "Dominion National" under the "Select Group SPECIALTY CARE GUIDELINES 2 be taken by the general dentist if panoramic equipment is available. If a panoramic x-ray cannot be taken by the referring general dentist, this must be noted on the Specialty CareDOMINION NATIONAL
Dominion National
TEETHKEEPERS
Dominion's office hours are 8:30 a.m. to 4:30 p.m. Eastern, Monday through Friday. Service Team Associates are available from 7:30 a.m. to 6:00 p.m. Eastern, Monday through Friday, at 888.518.5338. After business hours, members have access to certain functions via DN DENTAL OFFICE PROFILE FINAL 4.9.19 ELECTRONIC COVER PAGE WORK HISTORY REQUIRED: List all current and previous dentistry-related work and school experience for the last five years. Include residency or fellowship, as applicable. CV/Resume accepted. Gaps over six months require an explanation on the back of this application. LOGIN: BLUECROSS BLUESHIELD OF ARIZONA Sign In Now. User Name: Password : Forgot Password? Don't have an account? Create New Account. CREATE ACCOUNT: BLUECROSS BLUESHIELD OF ARIZONA Create New BlueDental Account. Complete all required fields and click Submit. You will receive a confirmation email from BlueDental within 24 hours, including your initial login information. Questions? Contact Provider Services at 1 (888) 271-7806. Skip to main contentLOGIN
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TRANSPARENCY CLAIM PAYMENT POLICIES 251 18th Street South | Suite 900 |Arlington, VA 22202
AFFILIATIONS AND RECOGNITION 2017 Dominion National Dental plans are underwritten by Dominion Dental Services, Inc. in DC, DE, MD, OR, PA and VA. Dental and vision plans are underwritten by Dominion National Insurance Company in GA and NJ. Dominion Dental Services USA, Inc. (DDSUSA) is a licensed administrator of dental and vision benefits. Vision plans are underwritten by Avalon Insurance Company, and administered by DDSUSA, in DC, DE, MD, PA and VA. The Discount Program is offered through DDSUSA in DC, DE, MD, NJ, PA andVA.
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