Frequently Asked Questions

What is a negotiated fee?

A negotiated fee refers to the PPO fee schedule which participating agrees to accept as payment in full. The fee is typically 15% to 20% below the average fees of the dentists in your area. When you use a participating PPO dentist, you are responsible only for the difference between LIBERTY Dental Plan’s benefit payment amount for the approved service and the PPO fee for the services requested.

My dentist does not participate in the LIBERTY Dental Plan PPO Dental Network.

The LIBERTY Dental Plan PPO Dental Network is continually expanding, and new providers may be added if they meet LIBERTY Dental Plan’s credentialing standards. Please note there may be instances where a dentist chooses not to participate and others where LIBERTY Dental Plan does not accept the application under their stringent credentialing requirements.

Can I find out how much services will cost and obtain an estimate of when will be covered prior to treatment?

LIBERTY Dental Plan recommends that you have your dentist submit a request for a pre-treatment estimate for services in excess of $300.00. This often applies to major services such dentures. When your dentist suggests treatment, have him or her send an undated claim form, along with the proposed treatment plan, to LIBERTY Dental Plan. A pre-treatment estimate will be sent to your dentist detailing an estimate of what services your plan will cover and what payment level. Actual payments may vary depending on plan maximums, deductibles, plan frequency limits and other plan provisions at the time of payment.

How do I file a claim?

All LIBERTY Dental Plan PPO Dental Network dentists will file a claim for services you receive. They will have standard ADA claim forms in their office. If you receive services from a non-contracted dentist, the dentist may require you to pay the charges at the time the services are rendered and will also submit the claim to LIBERTY Dental Plan for your reimbursement. However, some dentists may require you to submit the claim to LIBERTY Dental Plan for reimbursement. In this case, you should obtain a detailed statement of services received, the amount per service, and a receipt showing payment. Please send these documents to LIBERTY Dental Plan. Liberty Dental Plan will mail you a concise explanation of benefits (EOB) after each claim submission. If you have a claim inquiry or benefit question, please call LIBERTY Dental Plan’s Member Services Department at (888) 704-9839.

Dental Claims Address:

LIBERTY Dental Plan
PO Box 26050
Santa Ana, CA 92799-6050