© 2024 Altus Dental. All rights reserved.
Introducing
Altus Dental has partnered with PreViser, an industry leading oral health assessment tool, to bring you SmileMore. As a provider in the program, when you perform a risk assessment on a patient that is covered by the SmileMore program, you may submit an an assessment fee for reimbursement. With SmileMore's personalized oral health scores, high-risk patients can unlock additional benefits.
When your Altus Dental patients who are at risk for caries, periodontal disease and oral cancer are covered by the SmileMore program, they may be eligible for additional preventive benefits. To determine their risk level, perform an oral health risk assessment using the FREE web-based clinical risk assessment tool. A score will be delivered in real time that will help determine the additional benefits that your patient is eligible to receive. As a participating dentist in the SmileMore program, you may submit an assessment fee for reimbursement.
How does SmileMore work?
Assess
A patient that is covered by the SmileMore program goes to the dentist. The clinician performs a
risk assessment.
Behind the scenes, peer-reviewed and patented technology accurately
predicts the patient’s risk for oral diseases.
Predict
Based on oral health scores, the patient can unlock additional preventive benefits
from Altus Dental.
Unlock
Improve
- Approximately 91% of adults ages 20-64 have caries on at least 1 permanent tooth*
- 70% of adults age 65+ have some form of periodontal disease*
- 1 in every 5 cases of oral cancer occurs in patients younger than 55*
* “Periodontal Disease.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 10 July 2013, www.cdc.gov/oralhealth/conditions/periodontal-disease.html.
Why SmileMore?
| Oral Health Condition | Benefits | CDT Codes | Additional Frequency |
|---|---|---|---|
|
Carries Risk Score 3-5 |
Prophylaxis | D1110, D1120, D4346 | 2 additional per year1 |
| Periodontal maintenance | D4910 | 2 additional per year1 | |
| Fluoride varnish or topical fluoride | D1206, D1208 | 2 additional per year2 | |
| Sealants | D1351, D1353 | Once every 36 months3 | |
| Oral hygiene instruction or nutritional counseling | D1330, D1310 | Once every 36 months4 | |
| Drug or medicaments dispensed in the office for home use | D9630 | Up to 2 per year5 | |
|
Oral Cancer Risk Score 3-5 |
Tobacco cessation counseling | D1320 | Once every 12 months |
Step 2
Extra Benefits for your at-risk patients and increased revenue for you
*Additional preventive benefits may be available if the patient's group has the SmileMore program and are subject to the provision of your patient’s Altus Dental policy. Only the clinical risk assessment performed by you can determine your patient’s eligibility for additional preventive benefits. In order to continue to be eligible for benefits, the patient must have an assessment (complete or partial) once every 24 months. Note: All additional benefits are subject to the patient’s annual maximum, coinsurance levels and other limitations. 1. Combination of prophylaxis/perio maintenance, scaling in the presence of gingival inflammation, not to exceed 4 in a calendar year. 2. The 2 additional fluorides that are covered for those who qualify based on their score are covered at any age.3. Sealants are covered for unrestored primary molars and for unrestored permanent bicuspids and molars. One sealant per tooth every 3 years all ages. 4. Either one nutritional counseling OR one oral hygiene instruction once every 36 months. 5. Drug/medicaments not to exceed 2 in a calendar year. These are dispensed from the dental office (not Rx) and include items like: Peridex, prescription strength fluoride. No age restrictions.
Notice of Nondiscrimination and Accessibility Policy
Altus Dental does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-223-0588. Português (Portuguese): ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-877-223-0588.
Extra Benefits For Your At-Risk Patients
For more information, call 1-877-223-0588 or email.
