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Usual and Customary dental fees are market-determined and based on an analysis of recent dental claims data from our plan participants. These fees are based on recent claims data from actual marketplace billings of Alberta Blue Cross® group dental plan participants by Alberta dental offices, and are calculated based on an analysis of over 1,800 dental procedure codes.
Alberta Blue Cross® dental plans pay in excess of $555 million annually for dental services to Alberta dentists.This market share places us in the unique position of being able to accurately assess marketplace billing rates for dental services in Alberta.
By choosing Usual and Customary dental fees as your plan's basis of payment, you and your employees can feel confident that plan coverage levels will match the fees accepted by most dental offices, most of the time, across Alberta today.