Document ID: chunk:federal_register_of_legislation:F2025C00056:front:0:p4
Version: federal_register_of_legislation:F2025C00056
Segment Type: other
Provision Reference: 
Character Range: 7837–11089

Act).

      (2) For the purposes of paragraph 6(2)(b) of the Act, a dental practitioner is not a dental provider in relation to a dental service if the dental practitioner has not been allocated a provider number by the Chief Executive Medicare.

7 Persons eligible to render services on behalf of dental providers

     Dental services rendered on behalf of registered dentists

      (1) For the purposes of paragraph 7(a) of the Act, a dental service may be rendered on behalf of a registered dentist who is not a public sector dental provider by a person who is included in one or more of the following classes of persons:
 (a) dental hygienists;
 (b) dental therapists;
 (c) dental prosthetists;
 (d) oral health therapists.

     Dental services rendered on behalf of public sector dental providers

      (2) For the purposes of paragraph 7(a) of the Act, a dental service may be rendered on behalf of a public sector dental provider who is a registered dentist by another public sector dental provider.

Part 2—Payment of dental benefits

8 Particulars to be recorded (Act, s 17(2))

     Patient billed services

      (1) For the payment of dental benefits listed in the Dental Benefits Schedule, the following particulars must be recorded on the account or receipt:
 (a) the patient's name;
 (b) the date of the service;
 (c) the item number in the Dental Benefits Schedule that corresponds to the service;
 (d) the dental provider's name and provider number;
 (e) the amount charged for the service, total amount paid, and any amount outstanding for the service.

     Bulk billed services

      (2) If there is an assignment of dental benefits for an item under the Dental Benefits Schedule, the following particulars must be recorded on the assignment of benefit form:
 (a) the patient's name;
 (b) the date of the service;
 (c) the item number in the Dental Benefits Schedule that corresponds to the service;
 (d) the dental provider's name and provider number;
 (e) the amount of the dental benefit being assigned to the dental provider.

8AA Dental benefit is not payable unless dental services rendered by appropriate dental providers

      For the purposes of subsection 18(1) of the Act, dental benefit is not payable for a dental service specified in an item mentioned in column 1 of an item of the following table unless the condition that the dental service is rendered by, or on behalf of, a dental provider of a kind mentioned in column 2 of that table item is satisfied.

Dental benefit payable for dental services rendered by kinds of dental providers
Item                                                                              Column 1                                                                                                                                                                                                                                       Column 2
                                                                                  Item in the Dental Benefits Schedule                                                                                                                                                                                                           Dental provider