Attached please find your copy of the new NIHB Dental Benefit Grid for Denturists in Nunavut.
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1 April 1, 2009 TO: Registered NIHB Denturists in Nunavut Dear Provider: Attached please find your copy of the new NIHB Dental Benefit Grid for Denturists in Nunavut. The NIHB Regional Dental Benefit Grid for Nunavut is effective April 1, The Health Information and Claims Processing System (HICPS) has been changed to reflect the new rates indicated in your copy of the grid. Should you have any questions, please contact the First Canadian Health NIHB Toll-Free Inquiry Centre at Sincerely, Dr. Ronald Kelly Regional Dental Officer, Northern Region Non-Insured Health Benefits Aussi disponible en français au numéro
2 NUNAVUT REGION NIHB REGIONAL DENTAL BENEFIT GRID Denturists EFFECTIVE DATE April 1, 2009 Dental services provided through the NIHB Dental Program will be reimbursed in accordance with the terms and conditions outlined herein. Predetermination is required for specific procedures identified in this document with a P, or procedures that are I.C. Please review carefully before treatment. Post treatment approval will be considered, except in those cases specified in the NIHB Dental Practitioner Information Kit.
3 NUNAVUT NIHB DENTURISTS DENTAL BENEFIT GRID Examinations Oral Exam $ /60 months Emergency/Specific Nature $ /12 month period Prosthodontics Removable The fee paid for dentures includes 3 months post-insertion care including adjustments and modifications. FNIHB does not cover any other denture procedures (e.g. adjustments) during this period. For immediate dentures, an additional reline is permitted. Complete Dentures c. maxillary $ P c. mandibular $ P c. maxillary and mandibular $1, P Complete Dentures - Immediate c. maxillary $ P c. mandibular $ P c. maxillary and mandibular $1, P c. maxillary $ P c. mandibular $ P c. maxillary and mandibular $1, P Partial Dentures Cast Frame Free end-standard p. maxillary $ L P p. mandibular $ L P p. maxillary and mandibular $1, L P Tooth borne-standard p. maxillary $ L P p. mandibular $ L P p. maxillary and mandibular $1, L P p. maxillary $ L P p. mandibular $ L P p. maxillary and mandibular $1, L P Partial Dentures Cast Frame - Immediate w/clasps Free end-standard p. maxillary $ L P p. mandibular $ L P Tooth borne-standard p. maxillary $ L P p. mandibular $ L P p. maxillary $1, L P p. mandibular $1, L P Effective Date: April 1, 2009 Nunavut - Denturists 1
4 Partial Dentures Acrylic Base - with clasps p. maxillary $ P p. mandibular $ P p. maxillary and mandibular $1, P Partial Dentures Acrylic Base - w/o clasps p. maxillary $ P p. mandibular $ P p. maxillary and mandibular $1, P Partial Dentures Acrylic Base - Immediate w/clasps p. maxillary $ P p. mandibular $ P Partial Dentures Acrylic Base - Immediate, w/o clasps p. maxillary $ P p. mandibular $ P Relines Processed c. maxillary $ c. mandibular $ c. maxillary and mandibular $ p. maxillary $ p. mandibular $ p. maxillary and mandibular $ Rebases Lab Processed c. maxillary $ c. mandibular $ p. mandibular $ p. maxillary and mandibular $ Repairs and Additions 1/prosthesis/12 months w/o impression c. maxillary $47.25 L c. mandibular $47.25 L p. maxillary $47.25 L p. mandibular $47.25 L w/ impression c. maxillary $85.05 L c. mandibular $85.05 L p. maxillary $85.05 L p. mandibular $85.05 L add./teeth/clasp p. maxillary $89.78 L p. mandibular $89.78 L Tissue Conditioning c. maxillary $ c. mandibular $47.25 Effective Date: April 1, 2009 Nunavut - Denturists 2
5 47110 p. maxillary $ p. mandibular $47.25 Adjustments (more than 3 months after insertion) c. maxillary $ c. mandibular $ p. maxillary $ p. mandibular $42.53 Adjunctive Service Office visit after hours $42.53 Laboratory Procedures In Office I.C Commercial I.C. Effective Date: April 1, 2009 Nunavut - Denturists 3
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