Previously, Delta Dental allowed Delta Premier providers to “up-bill” any Delta PPO or DPO patients to their premium fee schedule and have the patient elect to pay the difference.  This is no longer the case.  Delta Dental has implemented a policy that all new Delta Premier providers must be providers for their PPO or DPO plan also and accept PPO fee schedule as full payment.  We don’t believe that the value of the practice is diminished, unless there is a significant portion of the patient base who have been joyfully paying the difference between the fee schedules.