Liberty Dental Plan’s clinical criteria guidelines and practice parameters guide network dentists using ADA standards and evidence-based dental review processes.Liberty Dental Plan’s clinical criteria guidelines and practice parameters are developed by Liberty’s dental directors with input from a participating panel of general dentists and specialists.Liberty utilizes the American Dental Association’s “Dental Practice Parameters,” sound dental clinical principles, processes, and evidence to consistently evaluate the appropriateness of dental services that require review.

Specific plan or program guidelines supersede the information contained in Liberty’s clinical criteria guidelines and practice parameters.

Participating general dentists and specialists agree to comply with these clinical criteria guidelines and practice parameters by virtue of their signed Liberty contract agreement.