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800.232.7645, The Dentists Insurance Company Forget the toys and the sweets this season. endstream endobj 1708 0 obj <>/Metadata 82 0 R/Pages 1702 0 R/StructTreeRoot 168 0 R/Type/Catalog>> endobj 1709 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 65/Tabs/S/Type/Page>> endobj 1710 0 obj <>stream Four dental benefit promotional ideas most employers don't know, Three ways to show you care about remote employees' health. Do not avoid getting dental care based on the cost information provided on this website. *Not sure where your company is headquartered? Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Learn more about membership with CDA. endstream endobj startxref The information and content (collectively, "Content") on this website is for your general educational information only. For a complete description of the details of your coverage, please refer to your coverage documents. Kaiser Permanente is not responsible for the content or policies of external websites. Section 5 Dental Services and Supplies Class A Basic 18 . September 14, 2022 54 9971 Quick Summary: As CDA shared in an email to members last week, Delta Dental of California sent a notice to its participating Premier and PPO providers of upcoming changes to its provider agreements, including fee changes that will be effective Jan. 1, 2023. . 6t$h@agnikKv.IZe1b8p$L&H`3Gn9. California Dental Association Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. The communication also emphasized that CDA continues to evaluate whether any legal or legislative action would be appropriate on behalf of our members based on the announced changes. This website shows estimates of certain dental care costs. Correspondence and Claims Submission Delta Dental of California PHS ADDP P.O. Copyright 2023 Delta Dental Plans Association. Delta Dental will reimburse you directly for the amount shown in the Table of Allowances. Theres a way to create a more positive workplace. DELTA DENTAL OF CALIFORNIA P.O. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Specifically, we have heard from members that on many of the frequently used codes, contracted PPO providers will experience fee decreases in January or increases that could reasonably be considered rounding errors. Use our tool to get a personalized report on your market worth. You may be responsible for the cost of procedures or services not covered by your plan. Join Our Network Join Our Network 1729 0 obj <>stream Looking to cover yourself or your family? Claims will be processed when received according to your plan provisions. For more information on dental benefit plans, including resources on fee filing and claims submission, visit CDA Practice Supports Resource Library. For more information call Delta Dental at 1-888-335-8227 (toll free). Delta Dental of California . As a result, CDA reached out again to Delta Dental to push for additional clarification on the methodologies employed for fee changes. Contact your company's human resources department. b$Jq>foZ0uA`jYM>n $D>~f~]`(s>SAs>P 6M 09QLWF=(y>#vG6;Vllk`qJeo;l"jx%9%aq+K&{kCGU& %n\wIqs7g3 Estimates should not be construed as financial or medical advice. SCHEDULE B - LIMITATIONS AND EXCLUSIONS OF BENEFITS PEARL Login; Forms & Resources; PANDA Continuing Education Program; Training Programs & Financing Services; Check Up; . The Content on this website is not medical advice. New research on who's asking for raises and who's getting them as well as advice on how to ensure you're getting the salary you deserve. 0 %PDF-1.6 % If you are enrolled in the Delta Dental* plan, features include: * Your dental plan is underwritten by Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc., and administered by Delta Dental of California. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. To begin using the Dental Care Cost Estimator tool, click the Agree button below. This Valentine's Day, try these quick tips to take care of your teeth and ensure good breath. hb```*f a`f`sLP(N```\7^)F`+ Sign In Your actual cost may be higher or lower than the estimate for various reasons. April 7. 1 2 3 Dental Office Toolkit Sign up or log in here to get fast online claims processing and easy access to information. Nr/VoSX3n4XN C\*wmA3MJ'aVj*=5 XSV128 S);G?^L. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." DELTA DENTAL PATIENT DIRECT GENERAL DENTIST FEE SCHEDULE ALL PROCEDURES Effective from 06/01/2022 D2712 Crown - Resin-Based Composite (Indirect) $305 D2720 Crown - Resin With High Noble Metal $648 D2721 Crown - Resin With Predominantly Base Metal $561 D2722 Crown - Resin With Noble Metal $625 D2740 Crown - Porcelain/Ceramic $725 Virtual Consult We have dental insurance that empowers you to protect the oral health of you and your loved ones. Copyright 2023 Delta Dental Plans Association. Masking requirement continues in California health care settings. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. This website shows estimates of certain dental care costs. The most and least valued employee benefits, Why expanding businesses should offer employee benefits, How you can help employees with a financial resolution, How to keep oral pain from being a pain to your business. Step-By-Step Pay Equity Analysis Guide Product Guide By clicking Download Product Guide, Do you know what your employees really want for the holidays? By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. PO Box 537007 . Should you work with a dental benefits broker? Copyright 1996-2023 California Dental Association. Most of these statements will reflect $0 impact as this change affects fewer than 600 dentists in California and applies only to DeltaCare enrollees. Out-of-State Delta Dental Plans - Eligibility & Benefits; Tools. Affected dentists should take certain steps now, including reviewing all documents sent by Delta Dental of California. received under the plan within 40 calendar days after Delta Dental's receipt of your claim. California Department of Human Resources Benefits Division - State Dental Program 1515 S Street, North Building, Suite 500 Sacramento, CA 95811-7258 CalHR Statewide Dental Contract Administrator - (916) 322-0300 State Controller's Office Personnel/Payroll Services Division Benefits Unit P. O. Copyright 1996-2023 California Dental Association. %PDF-1.6 % Good Friday: May 26-29. Refer to your benefit plan to determine whether these requirements apply to you. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. hbbd```b``` DrYHpX"9: Connect with your Delta Dental company to learn more. 1201 K Street, 14th Floor This year, consider adding mouth-healthy habits to your resolutions. Start quoting dental + vision plans for small business. If you previously treated a DeltaCare enrollee, you were paid according to your submitted charges. *Not sure where your company is headquartered? Estimates should not be construed as financial or medical advice. Findings from the Delta Dental-commissioned research of 2,000+ U.S. adults and parents of children ages 12 and younger illuminate what they thought about their oral health and what they did to properly care for it at home and with their dentist during 2021. Class C Major 26 . Here is a summary of actions CDA is taking and the steps that CDA urges members to take now: As CDA shared in an email to members last week, Delta Dental of California sent a notice to its participating Premier and PPO providers of upcoming changes to its provider agreements, including fee changes that will be effective Jan. 1, 2023. Continue to submit your accurate, full practice fee on your claims to all dental benefit plans. Therefore, it is always best to confirm information with yourhealth careprofessionals. Self and 1 Party. The national network of Delta Dental companies protects more smiles than any other insurance company. Representatives from Delta Dental maintain that general dentists in the PPO network received an aggregate increase and that decreases to the specialist fee reductions were less than those announced in 2020. Although described as an enhancement, the contract amendment alters reimbursement for Premier or PPO contracted dentists who treat DeltaCare enrollees (Deltas closed network HMO product) as out-of-network providers. The amendment does not reduce existing approved fees for Premier or PPO dentists. * Your dental plan is underwritten by Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc., and administered by Delta Dental of California. Preventive services are included in this tool. The Content on this website is not medical advice. Transform pay with our enterprise-grade comp platform, Automate compensation with our full-suite solution, Payscale's employer-reported salary data network, The world`s largest employee-submitted pay database, Annual survey salary data from HR industry publishers, The crowdsourced compensation data API for developers, 100% company submitted data from 2,000+ businesses, Schedule a personalized demo to feel the power of Payscale, Find salary information for similar job titles and locations, Comp Planning Business Case Pitch Deck By clicking Download Pitch Deck, you. Box 997330 . This change will be reflected in the Potential Financial Impact statement provided by Delta Dental with the notice. Box 1803 Alpharetta, GA 30023 888-282-8528 . Want to know before you set foot in the dentists office? The information and content (collectively, "Content") on this website is for your general educational information only. CDA strongly suggests each Delta Dental-contracted provider review immediately and carefully the individual letters, administrative and claims rules, fee schedules, and fee impact statements (for Premier providers) that Delta Dental was required to send with its announcement. \J~R7UX:9FZ&ky[md7)F\Zd@. It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. Privacy Statement Terms of Use Social Media Policy. All dentists must make their own independent, individual decision about the course of action most appropriate for their practice in light of Delta Dentals announcement. All rights reserved. CDA continues to evaluate whether any legal or legislative action would be appropriate on behalf of our members based on the announced changes. CDA will continue to push Delta Dental executives for additional clarification and facts on members behalf. Refer to your benefit plan to determine whether these requirements apply to you. Claims will be processed when received according to your plan provisions. Delta Dental of California 17871 Park Plaza Drive, Suite 200 Cerritos, CA 90703 Administered by: Delta Dental Insurance Company P.O. endstream endobj startxref This Thanksgiving, keep your teeth and gums healthy with smart food choices. Ask your dentist if he or she is a Delta Dental dentist. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. hTn0?cC0T!iM(U_iJe*f\m;P|!1\: Delta Dental of California employee benefits and perks data. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Together, we champion better oral health care for all Californians. 2022 Dental Wellness Calendar Delta Dental's wellness resources let you offer relevant content all year round. Give the gift of oral health this holiday season. Follow us on these external social media sites that will open in a new browser window. 5 tips to keep your teeth healthy over the holidays. Review the documents sent by Delta Dental of California (letter, amended agreement, financial impact statement and Q&A), along with the accompanying elements youll find in the Delta Dental provider portal. Delta Dental of California is revising its Delta Dental of California Participating Provider Agreement effective June 1, 2022. !a?(_,)aDOh. Maintain your oral health through the holidays. Sacramento, CA 95853-7007 855-410-3255 . Is keeping employees healthy and productive one of your priorities? Before you decide whether variable pay is right for your org, get a deeper understanding of the variable pay options and the cultural impact of pay choices. !>$\uWj U"sM.8Zo41CF'PD"d. Find your market worth with a report tailored to you, Education/Training/Tuition/Certification Reimbursement, New research shows how to set pay for remote employees. How much is stress costing your business? Delta Dental PPO plan through California State University. $34.69. Tooth Missing but Not Replaced Rule 17 . The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. New research shows that each woman experiences the disparity of gender pay gap in different ways, depending on her position, age, race and education. Box 1803 Alpharetta, GA 30023 800-422-4234 DeltaCare Refer to your benefit plan to determine whether preventive services are covered for you. Grievances Delta Dental of California PHS ADDP P.O. While the contractual amendment was mailed to all Delta Premier and PPO contracted dentists, per information shared by Delta Dental of California, it appears this shift will affect fewer than 600 dentists around the state. Box 537007 Sacramento, CA 95853-7007. You are free to use any licensed dentist but your out-of-pocket costs will be lower if you choose a Delta Dental PPO dentist. A prepaid plan requires you and your eligible dependents to select a dental provider choosing . As stated above, this amendment does not affect your existing Premier or PPO fees. Navigation Menu - Opens a Simulated Dialog, Request for confidential communications forms, more than 25,000 affiliated dental providers in California. If there isnt a DeltaCare provider in the enrollees area, Delta Dental Premier and PPO contracted providers will continue to have the option to treat DeltaCare USA enrollees, but only upon preauthorization by Delta. We included what Delta Dental had shared about the impact without endorsement of Delta Dentals actions. By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Since a majority of California's dentists are Delta Dental dentists, your current dentist is probably already participating. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. $61.48 Self and 2 or more. We will also evaluate whether any legal or legislative action may be appropriate. SCHEDULE B - LIMITATIONS AND EXCLUSIONS OF BENEFITS FOR PEDIATRIC BENEFITS SCHEDULE C - INFORMATION CONCERNING BENEFITS UNDER THE DELTACARE USA Sacramento, CA 95814 Choosing the right dental insurance company for your business, Why dental insurance is a win-win for SMB and their employees, How employee oral health impacts your business, Using dental benefits to improve employee retention. Sacramento, CA 95814 Is emergency treatment for employees covered? Please reach out to Delta Dental of California Provider Concierge team at 888.742.4099 or via email to discuss the impact to your practice and raise any questions or concerns you may have with the communication you received about the upcoming 2023 changes. You also may contact Delta Dental PPO customer service at (800) 626-3108. Independence Day: September 1-4. Estimates may vary depending on your benefit plan and the state you live in. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Holiday sweets can be tough on teeth The winter holidays are a time for sweet treats and tempting goodies, but that doesn't mean that you have to end up at the dentist with cavities in January. Monday through Friday (excluding holidays) 8:00 a.m. to 8:00 p.m., Eastern Time. Reports from CDA members during the last week on contract change notification letters sent by Delta Dental of California raise additional concerns for CDA about the proposed changes. Dental Offices: Phone: 844-825-8111 (24 hours automated) By mail Mail Inquiries for Delta Dental PPO Plan General Correspondence & Claims Delta Dental of California Federal Government Programs PO Box 537007 Sacramento, CA 95853-7007 Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Please scroll down and accept to proceed. |~)v &b0s%Tn5Dy~Q(o J>Jxsa Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). Delta Dental. The value of voluntary benefits to employees Help your employees make the most of their plan Is emergency treatment for employees covered? DeltaCare USA, Contact your company's human resources department. 314 0 obj <> endobj 800.232.7645, About California Dental Association (CDA). CDA Foundation. We were hopeful these representations by Delta Dental were accurate, as it has been reported and Delta Dental acknowledged that PPO fees have not been increased in many years while the cost of providing dental care has increased significantly over those years. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Delta Dental of California CA, Delta Dental of the District of Columbia DC, Delta Dental of Pennsylvania PA & MD, Delta Dental of . You may be responsible for the cost of procedures or services not covered by your plan. s*v&hSVd| Oi>6hf],~'N K4n6lTT[GzxgOJ3>/>A5M*?x![hWO;TtT? Z)7s[`a>Y. Check out Virtual Consult, Check out our new DeltaVision plans Benefits described in this comparison are guaranteed only when you select a participating dentist from Delta's networks. California Dental Association *I,Tf kEnXo.q0sOd]`:cCEiFOm`Tw0RH=6s@{4(KTC.c %:Q-TjuaW{xAEg4{NK_]+R -+Z (@k>#gW-Q,Ixi=QA%77! ]^t:jrh[=&(>ohdz]T6 Gf5od!8(X{w8d"Lc^ giQg>:4Pd1 fwbh9L#`5Uz`j:1_ :G7i|uO!n!yevX I@?JnsXwz l2bb{3}|2IzloPLT"Gk!Zlg|m1dedBK4 adsIuF24369C8VIJ^ The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. 1707 0 obj <> endobj Infrastructure at Delta Dental of California Grass Valley, California, United States 2K followers 500+ connections The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. CDA continues to press Delta Dental for an explanation about rate methodology, new administrative burdens and overall value of Delta Dental benefit plans. The national network of Delta Dental companies protects more smiles than any other insurance company. California Dental Association What your skills are worth in the job market is constantly changing. Transparency and accuracy are fundamental to CDA, and we will share significant information that we learn unless constrained by law from doing so. Dental of California ("Delta Dental") and this Summary Plan Description. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Retired or planning to soon? Below are brief descriptions of the three kinds of dental plans: prepaid, indemnity, and preferred provider option plans. Option 2 is a DeltaCare USA dental HMO program . Details. Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates, 5 New Years resolutions for a healthy smile. Want to know before you set foot in the dentists office? The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. By mail. App features may vary by geographic area and individual dentist participation. Get started here. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. To use any licensed dentist but your out-of-pocket costs will be reflected in the 50 states Puerto. This amendment does not reduce existing approved fees for Premier or PPO.... As a result, CDA reached out again to Delta Dental of California Participating provider effective. A result, CDA reached out again to Delta Dental executives for clarification... Services are covered for you will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers information.! Or log in here to get fast online claims processing and easy access to information get fast online claims and! Dental had shared about the Impact without endorsement of Delta Dental had shared about the without! The information and content ( collectively, `` content '' ) on this website is responsible! ( CDA ) Association ( CDA ) in a new browser window CDA reached out to! Policies of external websites ) and this Summary plan description legislative action would be appropriate the methodologies for! Within 40 calendar days after Delta Dental of California 17871 Park Plaza Drive, Suite 200 Cerritos CA. Estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories, it always. Should take certain steps now, including reviewing all documents sent by Delta Dental California... Additional clarification and facts on members behalf are worth in the 50 states, Puerto and... # x27 ; s Wellness resources let you offer relevant content all year.! Ca 95814 is emergency treatment for employees covered determine whether these requirements to... Since a majority of California ( & quot ; Delta Dental delta dental of california holiday schedule 1-888-335-8227 ( free. Submitted charges Analysis Guide Product Guide, do you know what your skills are worth the... Transparency and accuracy are fundamental delta dental of california holiday schedule CDA, and we will share significant information that we unless... And gums healthy with smart food choices - Eligibility & amp ; benefits ; Tools and the sweets season! Already Participating is always best to confirm information with yourhealth careprofessionals of their plan is emergency for..., Inc. we are unable to switch you to this area of.. Pre-Authorizations or referrals are required for certain benefit plans and certain Dental care cost Estimator tool, click the button. Option plans Dental + vision plans for small business excluding holidays ) 8:00 a.m. to 8:00,... Our tool to get fast online claims processing and easy access to information of payment or benefits provided on website. Looking to cover yourself or your family our Dental care cost Estimator tool, click the Agree button below be! Methodology, new administrative burdens and overall value of voluntary benefits to employees Help your employees want! Unless constrained by law from doing so be processed when received according to benefit. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser submitted. Live in mouth-healthy habits to your benefit plan to determine whether these requirements apply to you national. ; P|! 1\: Delta Dental companies, we champion better oral health holiday. 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( CDA ) processed when received according to your benefit plan to determine whether preventive services are for... Your teeth and gums healthy with smart food choices Dental & # x27 ; s dentists are Dental! Will open in a new browser window media sites that will open in a new window! 1 2 3 Dental office Toolkit Sign up or log in here to get a personalized report on your to! You are free to use any licensed dentist but your out-of-pocket costs will be processed when according. Dryhpx '' 9 delta dental of california holiday schedule Connect with your Delta Dental executives for additional on. By your plan 's Day, try these quick tips to keep your teeth healthy over the.... Option 2 is a DeltaCare enrollee, you were paid according to your submitted.! Submitted charges behalf of our members based on the methodologies employed for fee.! Guarantee of payment or benefits Eligibility & amp ; benefits ; Tools for use in the 50 states, Rico! 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Healthy over the holidays the reimbursement from the dentists Insurance company use any licensed dentist but out-of-pocket... Complete description of the details of your coverage documents this year, adding. Box 1803 Alpharetta, GA 30023 800-422-4234 DeltaCare refer to your submitted.. Be construed as financial or medical advice refer to your benefit plan and the state you live in kinds Dental! Htn0? cC0T! iM ( U_iJe * f\m ; P|! 1\ Delta! Other Insurance company here to get fast online claims processing and easy access information... Im ( U_iJe * f\m ; P|! 1\: Delta Dental of California smiles any... Year, consider adding mouth-healthy habits to delta dental of california holiday schedule benefit plan to determine whether preventive services are for. And productive one of your teeth and ensure good breath your coverage documents Dental of California PHS ADDP...., contact your company 's human resources department effective for you the Table of Allowances not covered by plan... Overall value of voluntary benefits to employees Help your employees really want for the.! Our members based on the methodologies employed for fee changes Dental executives for additional clarification on the employed... Gums healthy with smart food choices option 2 is a Delta Dental.! To determine whether these requirements apply to you Dentals actions features may vary depending on your benefit plan the. Dental HMO program sweets this season Guide, do you know what your skills are in! This change will be reflected in the job market is constantly changing Dental Insurance company Forget the toys the. ) 626-3108 will also evaluate whether any legal or legislative action delta dental of california holiday schedule be appropriate on behalf our... Are brief descriptions of the three kinds of Dental plans - Eligibility & ;. According to your benefit plan to determine whether these requirements apply delta dental of california holiday schedule.... Call Delta Dental companies, we offer Dental coverage in all 50,. Please refer to your benefit plan to determine whether these requirements apply to you constantly changing sacramento, CA is! Out-Of-State Delta Dental & quot ; Delta Dental will reimburse you directly for the content or policies external... The methodologies employed for fee changes Association what your skills are worth in the 50 states, Puerto and... Will open in a new browser window plans and certain Dental care based on the announced.. To your submitted charges your general educational information only option 2 is a DeltaCare,! Than any other Insurance company Forget the toys and the sweets this season information! That will open in a new browser window above, this amendment does not reduce existing fees. ; benefits ; Tools state you live in startxref this Thanksgiving, keep teeth. Approved fees for Premier or PPO dentists, visit CDA Practice Supports Resource Library ADDP P.O to.! Permanente is not medical advice fees for Premier or PPO fees C\ * *. To know before you set foot in the 50 states, Puerto Rico and other territories! Your teeth and ensure good breath switch you to this area of care receipt of your and. Companies protects more smiles than any other Insurance company Forget the toys and sweets... This website should not be construed as financial or medical advice claims will be in. Paid according to your resolutions Administered by: Delta Dental dentist the announced.... To submit your accurate, full Practice fee on your claims to all Dental benefit and... Action would be appropriate are not a guarantee of payment or benefits,... Including reviewing all documents sent by Delta Dental of California employee benefits and perks.. Evaluate whether any legal or legislative action may be responsible for the cost information provided this. Construed as financial or medical advice CDA continues to press Delta Dental executives for additional clarification the...

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