Dental
Dental benefits
Dental benefits are managed through Liberty Dental Plan . Benefits include but are not limited to:
- Dental exams
- X-rays
- Teeth cleaning
- Fluoride
- Sealants
- Extractions
- Fillings
- Crowns
- Root canal therapy
- Gum therapy (periodontics)
- Dentures (removable or partial)
- Orthodontics
Eligibility verification or claims
For questions about eligibility verification or claims, please contact Liberty Dental Plan at 1-888-352-7924 or visit Liberty Dental Plan's online provider portal .
Liberty Dental:
Dental claim submissions
Providers can submit anesthesia claims for emergency dental procedures to Wellpoint, as well as inpatient dental facility charges, outpatient dental facility charges and ambulatory surgical center charges for dental services, as part of the Wellpoint coverage.
For more information about Wellpoint coverage policies and claims submission, please contact Provider Services:
Medicaid:
Wellpoint (Medicare Advantage):
New Jersey Smiles Dental Program
New Jersey Smiles services are provided by a trained PCP or PCP medical staff (medical doctor, DO, nurse practitioner, or physician assistant) who refers children through age 5 to the program. The New Jersey Smiles Dental Program requires that children must have an established dental home by the age of 2.
Dental screening by a PCP includes monitoring of tooth eruption, occlusion pattern, presence of caries, oral infection, and referral to a primary care dentist (PCD) for a full exam and treatment. New Jersey Smiles PCPs provide dental risk assessments, fluoride varnish application, anticipatory guidance, and a referral to a PCD for a full exam and treatment.
Please contact Provider Services to be listed in the NJ Smiles Directory.
Related information
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Prior Authorization lookup tool
- Prior Authorization requirements
- Claims overview
- Member eligibility & pharmacy overview
- Provider manual and guides
- Referrals
- Forms
- Training Academy
- Pharmacy information
- Electronic Data Interchange (EDI)
Interested in becoming a provider in our network?
We look forward to working with you to provide quality services to our members.
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