Arizona Administrative Code › Title 20 - COMMERCE, FINANCIAL INSTITUTIONS, AND INSURANCE › Chapter 06 - DEPARTMENT OF INSURANCE AND FINANCIAL INSTITUTIONS - INSURANCE DIVISION › Article 18 - PREPAID DENTAL PLAN ORGANIZATIONS › Section R20-6-1801 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article the following definitions apply:
"Appointment" means a first-available, initial, non-emergent,
				  diagnostic visit to a dentist.
"Board certified" means a dentist who is recognized by the
				  appropriate specialty board of the Commission on Accreditation of Dental
				  Education of the American Dental Association.
"Board eligible" means a dentist who successfully completes
				  an approved training program in a specialty field recognized by the American
				  Dental Association.
"BODEX' means the Arizona State Board of Dental
				  Examiners.
"Chief executive officer" means the person who has the
				  authority and responsibility for the operation of an Organization according to
				  applicable legal requirements and policies approved by the governing
				  authority.
"Dental hygienist" means a person who is licensed to practice
				  dental hygiene under A.R.S. §
									32-1281
				  et seq.
"Dentist" means a person who is licensed to practice
				  dentistry under A.R.S. §
									32-1201 et
				  seq.
"Department" means the Arizona Department of Insurance and
				  Financial Institutions.
"Diagnostic service" means a dental service intended to
				  identify a dental abnormality, and includes a radiograph and a clinical
				  exam.
"Director" has the meaning prescribed at A.R.S. §
									20-102.
"Emergency dental service" means a dental service intended to
				  evaluate and stabilize a dental condition of recent onset, control bleeding,
				  and relieve pain, and includes the provision of local anesthesia, and
				  elimination of acute infection, but does not mean a medication that is
				  prescribed by the dentist.
"General dentist" means a dentist whose practice is not
				  limited to a specific area and who is not board certified.
"Governing authority" means the persons, including a board of
				  trustees or board of directors, who have the ultimate authority and
				  responsibility for the direction of a prepaid dental plan Organization.
"Organization" means a prepaid dental plan organization as
				  defined in A.R.S. §
									20-1001.
"Patient" means a person who is being attended by a dentist
				  or dental hygienist to receive an examination, diagnosis, or dental treatment,
				  or a combination of an examination, diagnosis, and dental treatment.
"Preventive service" means dental care intended to maintain
				  dental health and prevent dental disease, including any combination of oral
				  hygiene education, routine prophylaxis, and application of fluorides.
"Prophylaxis" means cleaning the teeth of a patient with
				  healthy tissue using mild abrasives and dental instruments to remove plaque,
				  calculus, and stains above the gum line.
"Provider directory" means an Organization's published
				  listing of all contracted network dentists.
"Radiograph" means a picture produced on a sensitive surface
				  by a form of radiation other than light, including x-ray.
"Restorative service" means the use of a metal or composite
				  filling or crown.
"Specialist" means a dentist whose practice is limited to one
				  of the nine specialty categories recognized by the American Dental Association:
				  endodontics, oral and maxillofacial surgery, oral and maxillofacial radiology,
				  orthodontics and dentofacial orthopedics, pediatric dentistry, periodontics,
				  prosthodontics, oral pathology, or dental public health.
"Treatment plan" means a statement of the services to be
				  performed to eliminate or alleviate a patient's symptoms or disease, based on a
				  dentist's assessment of the patient's dental history, the clinical examination,
				  and the dentist's diagnosis.