Dental reimbursement / TERM EXPLAINED

Contracted Fee Schedule

The schedule of reimbursable fees attached to or incorporated into a dental participation agreement.

A dental practice example

One group operates several offices under different regional schedules with the same payor brand.

Why it matters for reimbursement

The office-specific schedule forms the baseline for an apples-to-apples rate comparison.

What to verify

Request current schedules for each TIN and location, including later amendments.

FROM DEFINITION TO DECISION

Turn reimbursement questions into evidence.

PayorMap helps dental groups connect disclosed negotiated rates, provider and network context, and contract details to meaningful benchmarking questions. Coverage and mapping confidence vary by payor and market.