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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

2016 Legislative Session 
 

House Bill 1104 would allow more flexibility in the way dentists supervise dental hygienists working under collaborative supervision and strikes the special exemption given to Delta Dental two years ago for their pilot project on the Reservations.    

The bill adds the term “oral health review” to the Dental Practice Act defining it as a “limited assessment of a person's oral health through a dentist's review of dental and medical history following a limited clinical inspection by a dental hygienist working under collaborative supervision.”