Health Cost Guidelines - Dental

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Determine claim costs for a wide variety of dental benefit plans provided through traditional and managed care programs.

The Dental Cost Guidelines provide flexibility and allow you to:

  • Evaluate utilization, average charges, and cost sharing for a variety of plan designs through a step-by-step approach. Includes specific pricing details for indemnity and managed care plans.
  • Access pricing details specific to orthodontia.
  • Reflect a fee schedule adjusted by dental procedure code, using a fee level worksheet.
  • Evaluate many cost sharing alternatives or benefit-specific limits, using claim probability distributions for several combinations.
  • Simplify plan rating and further claim cost development with the Dental Rating Model, an Excel spreadsheet that accepts plan, census, orthodontia, and other miscellaneous inputs.

The Dental Cost Guidelines include:

  • Indemnity Rating Structure
  • HMO/PPO Rating
  • Basic Tables
  • Negotiated Reimbursement Worksheets
  • Trend Factors
  • Area Factors
  • Claim Probability Distributions
  • Dental Rating Model

Download the brochure »

The products we sell are the tools we use

As the premier health management consulting firm, the Health Cost Guidelines are used daily by our own in-house actuarial consultants for insight into the key drivers of healthcare costs and utilization.

The Health Cost Guidelines Suite includes the following products:

Contact your Milliman consultant or the Health Cost Guidelines Manager at if you are interested in licensing any of these products.

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