Frequently Asked Questions About Dental Care | Smile Place Dentistry
Questions about the Child Dental Benefits Schedule, dental hygiene & cosmetics.
- Child Dental Benefits
- General Dental
What is the Child Dental Benefits Schedule?
The Child Dental Benefits Schedule (Previously known as Grow Up Smiling), a new dental program for eligible 2-17 year olds that will provide up to $1,026 in benefits to the patient for basic dental services.
The Child Dental Benefits Schedule will replace the Medicare Teen Dental Plan on 1 January 2014 and will be administered by the Australian Government Department of Human Services.
Who can provide a service to an eligible Child Dental Benefits Schedule patient?
A patient can receive benefits under the Child Dental Benefits Schedule for services performed in a public or private clinic.
In order to provide services under the Child Dental Benefits Schedule, a dental provider must hold general or specialist registration with the Dental Board of Australia. The services may only be billed by a dentist or dental specialist (either a private provider or a representative public dentist) who has a Medicare provider number.
As with the Medicare Teen Dental Plan, services or part of a service may also be provided on behalf of a dentist or dental specialist by another dental practitioner. Dental practitioners able to provide services on behalf of a dentist or specialist include dental hygienists, dental therapists, oral health therapists and dental prostheses.
Smile Place?Dental can provide services under the Child Dental Benefits Schedule.
What makes a patient eligible for the Child Dental Benefits Schedule and how long does eligibility last?
A child is eligible for the Child Dental Benefits Schedule if:
- he or she is aged between 2-17 years old on any day in the calendar year; and
- is eligible for Medicare and receives or is part of a family receiving a relevant Australian government payment such as Family Tax Benefit Part A.
A patients eligibility lasts a whole calendar year and is reassessed from the beginning of each calendar year.
Total benefits are capped at $1,026 per patient over two consecutive calendar years. A patients benefit cap can only be used for eligible services provided to that patient: family members cannot share their entitlements.
A patients entire benefit cap can be used in the first year if needed. If the entire cap is not used in the first year, the balance can be used in the next year if the child is still eligible. Any balance remaining at the end of the two year period cannot be used to fund services that are provided outside that two year period.
Eligible children or their parents/guardian will be sent a notification letter from early 2014 notifying them of eligibility for the Child Dental Benefits Schedule.
The notification is not a voucher for services. Dentists should confirm the child’s eligibility before providing services, and remaining balance at each occasion of treatment. Claims for services provided to patients that are not eligible or who do not have any remaining cap balance, will not be paid.
How can I check a child?s eligibility and remaining balance?
Using your Public Key Infrastructure (PKI) Individual Certificate you can easily check a child?s eligibility and remaining benefit cap balance online through Health Professional Online Services at humanservices.gov.au/hpos
You can also phone 132 150 (call charges may apply ? calls from mobile phones may be charged at a higher rate) 24 hours a day 7 days a week. You will need the patient?s Medicare card details to access this service.
Which services receive benefits under the Child Dental Benefits Schedule?
A range of important dental care services will be available for eligible patients to the value of $1,026. These services may include the following:
A dental check-up will usually include an examination where the Dentist will assess your teeth, gums and appearance of your smile, scale and clean, fluoride treatment and x-rays (if required).
There are 3 types of x-rays that your Dentist may recommend
- Small dental x-ray ? for individual teeth
- OPG ? a full mouth x-ray
- 3D Cone Beam CT X-ray ? shows very fine detail of all structures of the jaw in a three dimensional view
e examinations, x-rays, cleaning, fissure sealing, fillings, root canals, extractions and partial dentures. Many of these services have claiming restrictions.
A professional clean, also known as a scale and clean, is designed to remove plaque and tartar that is unable to be removed with normal everyday brushing at home.
A fissure sealant is a tooth coloured sealer ?which is applied in the grooves on the chewing surface of adult molar teeth to prevent cavities from forming in early years.
A filling is a material that is placed into a tooth to replace missing tooth substance and/or structure which can be caused by tooth decay, cracked or broken teeth or teeth that are worn from unusual use such as nail biting, teeth grinding or using teeth to open things. They are usually tooth coloured.
Root canal treatment
Root Canal Treatment is a dental procedure that removes the nerve or dental pulp of the tooth. This is often required when the nerve of a tooth has been damaged by trauma or, more commonly, tooth decay. ?Often Root Canal Therapy is the alternative to tooth extraction and often required to retain/save a damaged tooth.
Extractions, or tooth removals, are performed for a wide variety of reasons, including decay that has destroyed enough tooth structure beyond being able to be restored. Orthodontic treatment occasionally involves the need for extractions.
The schedule of services that are included in the Child Dental Benefits Schedule and the benefit payable for each service are available from humanservices.gov.au/healthprofessionals > Other health care providers > Dentists.
Only those items listed in the schedule can be claimed under this scheme. Any additional services not covered by the Child Dental Benefits Schedule must be paid for by the patient. It is strongly recommended that you read the Guide to the Child Dental Benefits Schedule thoroughly so that you understand the scope of services and any restrictions that apply before providing services to patients under the scheme.
Benefits are not available for orthodontic or cosmetic dental work and cannot be paid for any services provided in a hospital.
A guide explaining program requirements and the list of eligible services, benefits and restrictions for each service, is available from the website below.
Will a quote need to be provided before services are provided?
Yes. It is a requirement that the responsible child or her or his parent/guardian consents to the treatment and associated costs before any services are provided under the Child Dental Benefits Schedule, including examinations and emergency treatment.
Your advice on treatment and associated costs and the patient?s or parent/guardian?s consent can be provided verbally, before treatment proceeds. If further treatment need is identified as a visit progresses, consent to any further treatment and costs must be sought at relevant points prior to the provision of those services. Consent to all services and costs must be documented in writing before the end of the visit.
For privately billed services, the patient or parent/guardian will need to document their consent by signing the relevant patient consent form at each visit. The paperwork must be completed on the day of the visit, but can take place after the provision of treatment, such as when the patient settles the bill. For bulk billed services, the relevant patient consent form is only required on the first visit in each calendar year.
What are the record keeping requirements for the Child Dental Benefits Schedule?
It is a requirement that dental providers must maintain adequate and up to date records for four years that clearly indicate that the claimed service was provided. To assist you, forms will be available at: humanservices.gov.au/healthprofessionals
Patient consent forms recording patient/guardian consent to the treatment and costs associated with the services must also be kept for four years.
Where can I find further information about Child Dental Benefits Schedule?
For further information on the program visit: http://www.medicareaustralia.gov.au/provider/other-healthcare/dentists.jsp
What if I have not received a letter from the Government?
You can contact Medicare and apply to be eligible. Until this is approved and reflected in the Medicare system, we cannot provide your child treatment under the scheme. We can still treat your child treatment but you will have to pay for treatment on the day and lodge a claim with Medicare directly. We have form available for you to complete and submit to Medicare for your claim.
What if my application with Medicare is still being processed?
Until your child’s status has been updated on the Medicare system, we cannot treat you under the scheme. We can still provide your child with treatment but you will have to pay for the treatment on the day and lodge a claim with Medicare directly. We have form available for you to complete and submit to Medicare for your claim.
What is a smile makeover?
At Smile Place Dental we offer smile makeovers which are treatments that combine cosmetic and restorative dental treatments to completely transform the aesthetics of your face and smile. Whether you suffer from missing, chipped, cracked, broken or discoloured teeth, our elite dental professionals are able to tailor a treatment plan specifically to your needs and wants.
Is teeth whitening a solution for me?
Discoloration or yellowing of teeth is common. Fortunately there is a simple solution to address this which can safely improve the appearance of your teeth. Teeth whitening is one of the smile makeover options at Smile Place Dental. Whether it is for your wedding, special occasion or you are trying to look and feel better, teeth whitening may be an option for you.
At Smile Place Dental we utilise a powerful tooth whitening solution that provides fast results during a one hour appointment. The solution is applied to your teeth and then activated by a specialised light. You will also be given a take-home whitening kit to maximise the effectiveness of this treatment.
What is the difference between professional and home whitening?
We recommend seeking professional treatment for teeth whitening to ensure the safety of your teeth and general health. When you purchase a home self teeth whitening treatment, you run the risk of harming your teeth enamel. The enamel is the hard, protective, outermost layer of your teeth and if this layer is damaged it can make your tooth more susceptible to bacteria and infection. At Smile Place?Dental we offer an in chair whitening treatment to suit your needs. Our dentists will be there every step of the way, you can rest assured knowing your whitening treatment is safe and effective.
What are the benefits of investing in dental treatment?
Dental treatment may provide patients with improved:
- Oral health and general well-being
- Confidence and self-esteem
- Facial appearance
- Dietary habits
How do I maintain a healthy smile?
Visiting a dentist every 6 months will ensure that you are protecting your teeth against decay and other harmful dental conditions. A thorough examination and clean will enable us to detect any dental problems early and limit the extent of the problem. As well as this you may also:
- Brush your teeth twice per day
- Floss before bed
- Use a mouth wash (optional or as recommended)
These key factors are required to prevent decay, gum disease and identify signs of oral cancer early.
Why is it important to maintain dental health?
We recommend you take steps to maintain your teeth and gums as this can improve your general health and prevent pain and dental disease. Regular visits to your dentist are just as important as visiting your doctor, as your dental health can directly affect your general health. In fact poor oral health has been linked to other diseases in the body such as diabetes, dementia and cardiovascular disease!
This is why maintaining optimal dental health, especially into older age, is vital to ensuring a long and happy life. At Smile Place?Dental we recognise this as an important issue and our friendly dentists spend time to educate you on the importance of dental health. Starting at a young age is vital to forming lasting habits and our dentists are excellent with educating young children.
How often should I visit a dentist?
We recommend visiting a dentist at least twice yearly or as you require attention. If you have any concerns in between appointments we advise visiting us as soon as possible. A small concern could become much larger if untreated, which is why we encourage our patients to let us know if they are worried about their teeth, mouth, gums or jaw.
Can I get the same treatment overseas?
Dental tourism is becoming increasingly popular; however we encourage those who are considering treatment overseas for dental work to bear in mind the different regulations in other countries.
At Smile Place?Dental we provide a clean and hygienic dental practice with treatments that are performed by our highly trained professionals. Overseas dental professionals are not always guaranteed to provide the same standards you will receive here in Australia and here at Smile Place?Dental. In our experience, if there are complications with a procedure, patients have had to fix or re-do the procedure back home.