Dental Program
Keystone First is committed to offering a dental benefit program that ensures access to high quality oral health care. To realize our commitment to our members, providers and stakeholders, Keystone First is contracting directly with dental providers to foster closer relationships between the health plan, our participating dentists, and our members.
This program will:
- Engage a closer relationship with dental providers by offering three different reimbursement methods.
- Encourage a closer relationship between members and their dental providers by developing a dental home concept for all members.
- Evaluate care patterns for consistently high quality and utilization of services.
Dental Provider Communications
Already a dental provider with Keystone First?
Provider Resources
- Electronic funds transfer authorization (PDF)
- Pediatric dental pay-for-performance (P4P) program (PDF)
- Benefits of being a dental provider (PDF)
- Dental benefit limit exception request form (PDF)
- Dental Check® program booklet (PDF)
- Dental cultural competency (PDF)
- 2024 dental provider supplement (PDF)
- 2024 dental provider supplement updates (PDF)
- Member benefits grid (PDF)
- Member co-pay schedule (PDF)
- Orthodontic Continuation of Care (PDF)
- Silver diamine fluoride flyer (PDF)
Dental Medical Assistance Bulletins
Promoting Smoking and Tobacco Cessation
- Tobacco Cessation Counseling — Pennsylvania certification required for reimbursement (PDF)
- Promoting Smoking and Tobacco Cessation Within Your Dental Practice (PDF)