National Standardized Dental Claim Review Guidelines (UnitedHealthcare Standard Medicare Dental Plan)
Guidance for adjudication of dental claims for UnitedHealthcare Standard Medicare Dental Plan, listing CDT codes in scope, documentation requirements, and related policies; applies to providers submitting claims for Medicare Advantage and related Medicare products.
Title changed from 'National Standardized Dental Claim Review Guidelines (for Medicare Plans Only)' to reference the 'United Healthcare Standard Medicare Dental Plan'.
Instructional language updated to state that plan coverage, exclusions, limitations, or documentation requirements of specific Medicare products will supersede these criteria.
Added multiple CDT codes across categories (examples: D0426, D0461, D2393, D2394, D2410, D2420, D2430, D5914, D6940, D6950, D7920–D7955, D9224–D9247).
Removed CDT code D1352 from Other Preventive Services.
Revised descriptions for multiple removable prosthetic and anesthesia-related CDT codes (examples: D5863–D5866, D5876, D5982, D9222–D9243).
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.