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DPAP 210


Provider Administrative Policy

Policy Date
January 2012
New/January 2012
Provider Type(s)
All Providers  


Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts.

Blue Cross of Idaho works diligently on behalf of our members to develop contracting relationships with Idaho dental providers and Blue Cross Blue Shield dental affiliates (national Dental Grid).




  • Please bill the full banding fee or initial fee (CDT codes D8010-8090) with the date of service of the original banding.
  • Please bill adjustment fees with the actual date of service of the adjustment, using the appropriate CDT code for periodic orthodontic treatment visits (D8670).

Policy History

Date Action Reason

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