Participating Dentists

A participating dentist has signed a contractual agreement with United Concordia to follow TDP rules for providing care and accepting payments. When using a participating dentist, you will never have to pay more than the applicable cost-share percentage for covered services, subject to stated limitations and maximums. Specifically, United Concordia participating dentists agree to:

• Accept United Concordia's allowance for covered services as payment in full, charging the enrollee only the applicable cost-share percentage. Balance billing by participating dentists is prohibited. Enrollees do not have to pay any part of the dentist's charge that exceeds United Concordia's allowance, except when alternate/optional services are provided.
• Accept direct payment from United Concordia for covered services. United Concordia sends the benefit payment directly to the dentist. The enrollee will receive a Dental Explanation of Benefits (DEOB) noting the payment amount and any cost-share.
• Complete the claim form at no extra charge and submit it to United Concordia on your behalf
• Participate in United Concordia's quality assurance programs
• Submit predetermination requests, as appropriate
• Provide any information needed by United Concordia to make coverage and payment determinations
• Complete the DD Form 2813, DoD Active Duty/Reserve Forces Dental Examination, for National Guard/Reserve members

To find a participating dentist, use our Find a Participating Dentist tool.