Dental reimbursement / TERM EXPLAINED

Fee Schedule Increase

An agreed upward change to one or more contracted fees, potentially applied uniformly or code by code.

A dental practice example

A payor offers five percent across a list while the DSO prioritizes specific high-volume codes.

Why it matters for reimbursement

An equal percentage can have very different economic effects depending on utilization.

What to verify

Model the actual CDT distribution and verify which codes, products and TINs are included.

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.