Frequently Asked Questions

Providers Dental Eligibility

What type of dental insurance plans does NCD offer?

NCD is a PPO plan that utilizes the MaximumCare PPO networks, including Careington, Connection Dental, and DenteMax. Our plans cover 100%* for covered preventative services, 80%* for covered basic services, and 50%* for covered major services after the 12-month waiting period. Some members may have the 12-month waiting period waived with qualifying proof of prior coverage.

*Percentage of Allowable Amount

Is there a direct faxback service available for verifying eligibility?

How can I review benefit information and coverage, confirm if a member’s waiting period has been waived, or review maximum remaining amounts?

Members Dental Claims

Is precertification required?

Precertification is not required; however, it is recommended for services expected to exceed $1000.00.

How do I file a claim?

How can I check claim status?

How can I verify benefit information for a specific CPT code?