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MAINE CRITERIA FOR MEDICALLY NECESSARY ORTHODONTIC SERVICES IN THE PEDIATRIC DENTAL BENEFIT Delta Dental Plan of Maine Medically Necessary Orthodontic Services, as defined by the States dental benchmark
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How to fill out medically necessary borthodonticsb
How to fill out medically necessary borthodonticsb:
01
Gather all relevant medical documentation, including reports and records from your dentist or orthodontist.
02
Complete the required forms accurately, providing personal information such as your name, date of birth, and contact details.
03
Provide a detailed explanation of the medical condition that necessitates the need for orthodontic treatment. Include any relevant medical history or previous treatments received.
04
Specify the specific type of orthodontic procedure required and the recommended duration of treatment.
05
If applicable, provide any supporting documentation such as X-rays, photographs, or diagnostic tests that demonstrate the urgency and medical necessity of the treatment.
06
Attach any additional documentation that may be required by your insurance provider or healthcare organization.
07
Review the completed form to ensure all information is accurate and legible before submitting it.
Who needs medically necessary borthodonticsb:
01
Individuals with severe malocclusions or misalignments of the teeth and jaws that affect their oral health, speech, or ability to chew properly.
02
Patients with craniofacial anomalies or genetic conditions that impact the development and alignment of the teeth and jaws.
03
People suffering from temporomandibular joint (TMJ) disorders that require orthodontic intervention to alleviate pain and improve function.
04
Individuals who have experienced dental trauma or injuries resulting in the misalignment or instability of the teeth, requiring orthodontic treatment for rehabilitation.
05
Patients with cleft palate or other oral-facial deformities that necessitate orthodontic therapy to improve their aesthetic appearance and overall oral function.
06
People with sleep apnea or breathing difficulties related to dental or skeletal abnormalities that can be addressed through orthodontic intervention.
07
Individuals with significant dental crowding or spacing issues that affect their oral hygiene or increase the risk of dental diseases such as tooth decay and gum problems.
08
Patients with bite problems such as overbite, underbite, crossbite, or open bite that require orthodontic correction to restore proper occlusion and prevent further complications.
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What is medically necessary orthodontics?
Medically necessary orthodontics refers to orthodontic treatment that is deemed essential for a patient's health or well-being, rather than for purely cosmetic reasons.
Who is required to file medically necessary orthodontics?
Medically necessary orthodontics can be prescribed by a dentist or orthodontist, and the patient or their guardian is required to file for it with their insurance provider.
How to fill out medically necessary orthodontics?
To fill out medically necessary orthodontics, the patient or their guardian must submit a claim to their insurance provider along with supporting documentation from their dental or orthodontic provider.
What is the purpose of medically necessary orthodontics?
The purpose of medically necessary orthodontics is to address oral health issues or structural abnormalities that can negatively impact a patient's overall health and well-being.
What information must be reported on medically necessary orthodontics?
The information that must be reported on medically necessary orthodontics includes the reason for treatment, the treatment plan recommended by the provider, and any supporting documentation such as X-rays or medical records.
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