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Get MN Delta Dental Confidential Filed Fee Schedule 2010-2024

Tor: _________________________________ Confidential Filed Fee Schedule Notes: ____________________________________ For Delta Dental Use Only (Updated to include CDT 2011/2012 code terminology) Statement of Intent: I agree that each fee submitted to Delta Dental on a claim for dental services I provide to any Delta Dental patient will be these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the rules and regulations of Delta Dent.

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