Frequently Asked Questions
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What does UCR mean?
There is no one acceptable or "correct" UCR for any dental procedure. However...
Usual... the fee a dentist most frequently charges for a given service;
Customary... the fee level determined by a dental benefit plan administrator from actual submitted fees for a specific dental procedure to establish the maximum benefit payable under a given plan for that specific procedure; and
Reasonable... the fee charged by a dentist for a specific dental procedure that has been modified by the nature and severity of the condition being treated and by any medical or dental complications or unusual circumstances.
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