We heard you! A new processing policy makes it easier to remember your cleanings & exams

You asked, and we listened. As of June 1, 2017, we changed the way we process your annual cleanings and exams. Instead of two cleanings and exams in a rolling 12-month consecutive period you’ll now get two cleanings and exams in a calendar year.

How does this affect you? Instead of having to keep track of the month and day when you had your last cleaning, now all you have to do is track the year. The Enhanced TRICARE Retiree Dental Program (TRDP) will now pay for two cleanings and exams in a calendar year. Seeing your dentist twice in a calendar year encourages you to maintain a schedule that is convenient for you and your busy lifestyle.

The calendar year starts on January 1 and ends on December 31. For example, if you had your first covered cleaning and exam on March 2, 2017, and a second covered cleaning and exam on August 24, 2017, the TRDP will not pay for another cleaning until January 1, 2018.

Use the handy online Consumer Toolkit® to help you keep track of your covered cleanings so you’ll know when you’re eligible for your next one. Your TRDP network dentist can help you with scheduling your covered cleanings on a regular basis, too. And if you’re enrolled in the Basic TRDP (which only pays for one cleaning in a calendar year), you might consider upgrading your coverage so that you can get that second cleaning.

For specific updates on the codes affected by the time limitation change in policy check the list below:

D0120 Periodic oral evaluation - established patient
D0145 Oral evaluation for a patient under three years of age and counseling with primary caregiver
D0150 Comprehensive oral evaluation - new or established patient
D0160 Detailed and extensive oral evaluation - problem-focused, by report
D0180 Comprehensive periodontal evaluation - new or established patient
D0220 Intraoral - periapical first radiographic image
D0230 Intraoral - periapical each additional radiographic image
D0240 Intraoral - occlusal radiographic image
D0270 Bitewing - single radiographic image
D0272 Bitewings - two radiographic images
D0273 Bitewings - three radiographic images
D0274 Bitewings - four radiographic images
D0277 Vertical bitewings - 7 to 8 radiographic images
D1110 Prophylaxis - Adult
D1120 Prophylaxis - Child 
D1206 Topical application of fluoride varnish
D1208 Topical application of fluoride - excluding varnish 
D4346 Scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation
D4910 Periodontal maintenance

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