MyDentalPlan

Be at the forefront of the Indian dental industry

MyDentalPlan Healthcare is not only enabling quality and standardized dental services in India but is at the forefront of enabling preventive and affordable dental care for all. Transforming the dental healthcare market by seamlessly bringing together health sciences and technology, we offer you the opportunity to build a countrywide presence, offer integrated dental benefits to your patients, ensure a steady patient footfall, and more.

Join India’s Largest Dental Network

Provider Details

Full Name*

Date Of Birth*

Mobile Number*

Email ID*

State Dental Council Registration Number*

Years of Experience*

Message:

State Dental Council Registration Photo

Clinic Details

Name of the Clinic*

Speciality*

State Dental Council Registration Number

Clinic's Address*

City*

State*

Clinic PIN Code*

Clinic Contact Number

Clinic Google Map Location URL*

Clinic Working Hrs

No. of Dental Chairs*

Clinic Board

Bank Details

PAN Number*^*

NAME OF THE BANK

ACCOUNT HOLDER NAME

ACCOUNT NUMBER

BRANCH ADDRESS

IFSC CODE

MICR CODE

Highlights of the Provider Agreement:

MyDentalPlan has entered into a new exciting phase where multiple insurance companies are designing insurance plans and sending patients to avail cashless and reimbursement claims through our Provider network.
Provider Management Software (PMS) developed by M/s MyDentalPlan Healthcare Pvt. Ltd. (MDP) will be given free to the provider to maintain the entire patient’s data/record and to do billings and online payment gateway to collect the amount for the treated procedures.
For all Dental Insurance patients coming through MDP, the provider will first take prior Authorization from MDP through PMS. Accordingly, the approved procedures can be performed as cashless, and the payments will be settled by MDP within 45 working days of submission of the bills.
There is an introductory administration fee of 10 - 30% (which is inclusive of transaction fees, Discounts, service charges, Platform charges,referral charges, GST, and TDS) on the total amount charged for the procedures for all MDP patients undergoing treatments.
The Provider has to collect all the payments only through the online payment gateway provided by the MDP in the PMS and shall not receive any cash payments for MDP allotted patients.
The provider has to charge co-payments from the concerned patient for the treated procedures as per the co-payments of specified Dental plans as communicated by MDP from time to time or as per the co-payments reflected on PMS in the treatment billing system.
Dentist have to mandatorily upload the Prescription along with findings, diagnosis & Treatment plan with sign, seal and Registration number to prevent misuse of reimbursement facilities or fraud and same physical prescription copy to be given to patient.

I agree to the terms and conditions

Be at the forefront of the Indian dental industry

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