Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

Standard dental plan risk criteria

The ODS standard dental plan will cover fluoride for members 19 and over if the member is at high risk of decay due to the following medical reasons or has recent history of periodontal surgery:

  • Genetic abnormality of teeth
  • Chemotherapy
  • Radiation therapy
  • Patients in active orthodontic treatment
  • Xerostomia
  • Suboptimal fluoride exposure
  • History of three or more smooth surface caries within the last three years
  • History of three or more root caries within the last three years
  • History of three or more fillings within the last three years

If you have a patient that meets any of the specified criteria above, document the reason in the chart notes and indicate "high risk for decay" in the Remarks section of your claim form to ensure consideration for payment.

For questions about this benefit change, please review our Summer 2010 Dental Office Update newsletter or contact our Dental Customer Service department at 800-452-1058.

We're sorry, we don't currently offer dental plans in Washington. Use the dropdown at the top of the page to view dental plans in Oregon or Alaska.

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We have exciting news to share. ODS is changing its name to Moda Health.

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