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Regulatory & Compliance : National Provider Identifier

National Provider Identifier (NPI)

Anyone who uses standard electronic transactions, like electronic claims, eligibility verifications, claims status inquiries and claim attachments, is required by federal law to use NPIs on all electronic transactions. In addition, those dentists who use only paper, voice and fax to transmit these communications may find NPIs useful or necessary for other reasons. The ADA encourages all dentists to obtain and use a NPI, particularly those using (or planning to use) electronic transactions. The NPI will replace other identification numbers issued by health plans and will be required for electronic transactions and, at insurers' discretion, for paper transactions. Dentists can apply online at https://nppes.cms.hhs.gov/NPPES/Welcome.do .
 

SDDA News

Should Dentists Enroll in Medicare?

 

To ensure that patients on Medicare receive the services and supplies ordered for them by their dentist (or referral to a specialist) the dentist should do one of three things: 1. Enroll as a provider; 2.opt out of Medicare; or, 3. enroll as an ordering and referring provider.

For more information SDDA Members should go to: http://success.ada.org/en/practice/medicare/medicare

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