Ralph Moss Ltd.

Canadian Government Benefits Facts

Canadian Dental Fee Guide Updates.

The following information is for reference only and should not be used without checking its accuracy with your Provincial Dental Association.

The following indicates the increases announced by various provinces for the 1996 & 1997 fee guide .
PROVINCE 1996 %INCREASE over 1995 EFFECTIVE DATE 1997 %INCREASE over 1996 EFFECTIVE DATE 1997 %INCREASE over 1997 EFFECTIVE DATE
Alberta   Scheduled for April 1996 +2.5%   See Alberta Note
British Columbia +1.91% February 1, 1996 +1.73% February 1, 1997 1.97% February 1, 1998
Manitoba +1.5% January 1, 1996 +3.6% January 1, 1997 3.34% January 1, 1998
New Brunswick +1.5% January 1, 1996 +2.0% January 1, 1997 +2.5% January 1, 1998
Newfoundland +2.0% January 1, 1996 +1.6% January 1, 1997 +2% January 1, 1998
Nova Scotia +1.15% January 1, 1996 +1.71% January 1, 1997 +2.37% January 1, 1998
Ontario +1.9% January 1, 1996 +2.18% January 1, 1997 3.2% January 1, 1998
Prince Edward Island 2.0% January 1, 1996 +1.5% January 1, 1997 2% January 1, 1998
Quebec 2.3% January 1, 1996 +2.6% January 1, 1997 +1.6% January 1, 1998
Saskatchewan 1.59% January 1,1996 +1.78% January 1, 1997 2.4% January 1, 1998
N.W.T.     +2.5% January 1, 1997 1.6% January 1, 1998
Yukon     Not Yet Available   Available April 1, 1998

Other Changes: Effective January 1, 1996 the term "Prophylaxis" will be eliminated from all Canadian Dental Association (C.D.A.) approved coding. The code for prophylaxis has been replaced with two new codes, one for polishing and one for scaling. The table below outlines the fee guide code changes that are taking place.

1996 DENTAL FEE GUIDES CODE CHANGES
Code Description Status
Prophylaxis
11101 Prophylaxis, Primary Dentition Eliminated
11102 Prophylaxis, Mixed Dentition Eliminated
11103 Prophylaxis, Permanent Dentition Eliminated
Polishing
11101 1 unit Replaces old 11101
11102 2 units Replaces old 11102
11107 1 half unit New Code
11109 Each additional unit New Code
Scaling
11111 1 unit New 01/01/96
11112 2 units New 01/01/96
11113 3 units New 01/01/96
11114 4 units New 01/01/96
11115 5 units New 01/01/96
11116 6 units New 01/01/96
11117 1 half unit New 01/01/96
11119 Each Additional unit New 01/01/96
43411 1 unit Eliminated 01/01/96
43412 2 units Eliminated 01/01/96
43413 3 units Eliminated 01/01/96
43414 4 units Eliminated 01/01/96
43415 5 units Eliminated 01/01/96
43416 6 units Eliminated 01/01/96
43417 1 half unit Eliminated 01/01/96
43419 Each Additional unit Eliminated 01/01/96

NOTE: Not all fee guides are effective January 1.. The above changes will only appear in the respective fee guides when each provincial fee guide is updated as per the first table at the top of this page.

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ALBERTA dental fee guide update

The Alberta Dental Association (ADA) has decided to discontinue its annual suggested provincial fee guide effective January 1, 1998.
The ADA sent a survey to its members to ascertain what fees they were charging for dental services. The result of this survey was that the ADA found most dentists were charging the fees listed in the 1997 ADA guide. The ADA will publish the survey of fees for 1998 and it is expected that dentists will vary their fees from the survey during the year.
In order to adjudicate dental claims and provide some degree of consistency to employee benefit plans most insurers will use the 1997 fee guide as the most current fee guide for 1998 and will monitor Alberta dental fees charged through the 1998 year.Back To Fee Guide Table

The preceding information is for reference only and should not be used without checking its accuracy with your Provincial Dental Association.

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Last Update: January 17, 1997
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