Dental Claims Quality Assurance: Dental Claims Financial Accuracy

Percent of dollars accurately paid for dental claims during the measurement period by dental category of service: A. Diagnostic; B. Preventive; C. Restorative; D. Prosthodontics, Removable; E. Oral and Maxillofacial Surgery; F. Adjunctive; G. Periodontics; H. Maxillofacial Prosthetics; I. Implant Services

Note:

  • Percent is derived from the sampled dental claims.
  • It is measured by evaluating dollars overpaid and underpaid in relation to total paid amounts taking into account the dollar stratification of claims.

Measure Identifier: DENTAL_CLAIM.05

Please see Report Details below for more information on selected subgroups, organizations, and aggregation.

Tables

Data