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Click ‘Get Form’ to open the orthodontic contract in the editor.
Begin by entering the date and office name at the top of the form. This sets the context for your agreement.
Fill in the patient's name, approval number, and amount approved. These details are crucial for processing your treatment under Medicaid.
Review each condition outlined in the contract carefully. Ensure you understand eligibility requirements and payment obligations.
In sections regarding fees, check off any applicable items that pertain to your treatment plan. Be aware of what is included and excluded from your fee.
Sign and print your name at the bottom of the document, along with a witness or staff signature if required. This finalizes your agreement.
Start using our platform today to streamline your orthodontic contract process for free!
A way to break an orthodontic treatment contract might also be claiming to be moving out of state. Another option is to discuss with your orthodontist and agree on a termination and the costs you pay.
What is the highest salary for an Orthodontist?
Consultant Orthodontists are Specialist Orthodontists who undergo a further 2 years of training, following the attainment of a Membership in Orthodontics and CCST.
What is an orthodontic contract?
A lump sum contract includes all of the treatments, services and products that actually go into an orthodontic care plan, such as diagnostic records, the cost of braces, the cost of appliances, and all office visits during what we call the active phase of treatment.
What is the difference between an Orthodontist and a consultant Orthodontist?
Consultant Salary in California Annual SalaryMonthly Pay Top Earners $189,979 $15,831 75th Percentile $128,300 $10,691 Average $102,071 $8,505 25th Percentile $49,800 $4,150
How much do most consultants make?
The average Orthodontic Sales salary ranges from approximately $38,310 per year for Customer Service Representative to $90,606 per year for Automation Engineer. Average Orthodontic Sales hourly pay ranges from approximately $13.65 per hour for Production Assembler to $36.33 per hour for Senior Human Resources Manager.
new york state medicaid program dental procedure codes
Apr 1, 2010 D8670 Periodic orthodontic treatment visit (as part of contract). This code can be billed quarterly for a maximum of 3 years and can only be
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