Policies & Procedures Manual for Dental Providers
Easily find and download forms, documents, and information from our Policies and Procedures Manual for Dental Providers.
For UPMC Dental Advantage Group Commercial Plans
- Commercial Adjunctive General Services - DP.035
- Commercial Dental Diagnostic Services - DP.026
- Commercial Dental Implant Services - DP.032
- Commercial Dental Periodontal Services - DP.030
- Commercial Dental Prosthodontics Services - DP.031
- Commercial Endodontic Service - DP.029
- Commercial Orthodontic Services - DP.034
- Commercial Preventive Dental Service - DP.027
- Commercial Restorative Dental Services - DP.028
Medicare Dental Policies
UPMC Dental Advantage Medicare Individual and Group (excluding University of Pittsburgh Retirees)
- Medicare Adjunctive General Services - DP.022
- Medicare Dental Diagnostic Services - DP.018
- Medicare Endodontic Services - DP.021
- Medicare Oral and Maxillofacial Surgery Services - DP.025
- Medicare Periodontal Dental Services - DP.023
- Medicare Dental Prosthodontics and Implants - DP.024
- Medicare Preventive Dental Services - DP.019
- Medicare Restorative Dental Services - DP.020