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— STATEMENT OF DENTAL REMUNERATION 2012 2013 1 April 2012 — STATEMENT OF DENTAL REMUNERATION CONTENTS DETERMINATION I: SCALE OF FEES APRIL 2012 2013-Page Section I: Interpretation......................................................................................................................................................
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How to fill out a statement of dental remuneration:

01
Begin by gathering all relevant information, such as the patient's name, date of service, and insurance provider details.
02
Identify the specific dental procedures performed and list them in the statement. Include the date of each procedure and any corresponding codes or descriptions.
03
Indicate the total amount charged for each procedure and calculate the subtotal for all services provided.
04
If applicable, include any insurance adjustments or discounts applied, as well as the insurance payment received for each procedure.
05
Calculate the patient's portion or the remaining balance owed after insurance coverage. This may include deductibles, co-pays, or any out-of-pocket expenses.
06
Clearly state the total amount payable by the patient and provide instructions on how and when to make the payment.
07
Include contact information for the dental office in case the patient has any questions or concerns regarding the statement.

Who needs a statement of dental remuneration:

01
Patients: This statement is crucial for patients wishing to keep track of their dental procedures, costs, and payments. It provides them with a detailed breakdown of the services received and allows them to understand their financial responsibilities.
02
Insurance Providers: A statement of dental remuneration helps insurance companies accurately process claims. It provides them with the necessary information to determine coverage, calculate payments, and ensure proper billing practices.
03
Dental Offices: Creating a statement of dental remuneration is essential for dental practices to maintain accurate records of services rendered and payments received. It helps with bookkeeping, patient management, and overall financial tracking. Additionally, it ensures transparency and builds trust between the dental office and the patient.
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The statement of dental remuneration is a document that reports the payments made to dental professionals for their services.
Dental practices and clinics are required to file statement of dental remuneration to report the payments made to dental professionals.
To fill out statement of dental remuneration, you need to gather information about the payments made to dental professionals and report it accurately on the form.
The purpose of statement of dental remuneration is to report the payments made to dental professionals for tax and regulatory compliance purposes.
The statement of dental remuneration must report the name of the dental professional, the total amount paid to them, and any other relevant payment details.
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