RFP_26_041-DJ_Appendix H_Dental DPPO Fee and UCR Schedule - draft.xlsx

This is a Dental DPPO (Dental Preferred Provider Organization) Fee and UCR (Usual, Customary, and Reasonable) Schedule document prepared as Appendix H for RFP 26-041 in Florida's Multiple Option Dental Program. The document establishes the fee structure and allowable charges that dental providers must adhere to when delivering services under the proposed dental program. The schedule outlines reimbursement rates for various dental procedures and services, including preventive, basic restorative, and major services. The fee schedule serves as the pricing mechanism for dental claims and provider payment throughout the contract term.

The UCR schedule provides the maximum allowable amounts that providers can charge for covered dental services, establishing a standardized payment structure across the network of participating dental providers. The document specifies rates that align with market standards while controlling program costs and ensuring equitable reimbursement across different service categories. This fee schedule is a critical component of the RFP that bidders must review and accept as part of their proposal submission, as it directly impacts provider participation, network adequacy, and the overall financial structure of the multiple option dental program.