Topics Billing & Payment Policies & Procedures Provider Audits

Dental Information

The Non-Insured Health Benefits (NIHB) dental program funds for its eligible clients a broad range of dental care, including:

• Diagnostic services like examinations or x-rays;
• Preventive services like cleanings;
• Restorative services like fillings;
• Endodontics such as root canal treatments;
• Periodontics or the treatment of gums;
• Prosthodontics including removable dentures and fixed bridges;
• Oral surgery including the removal of teeth;
• Orthodontics to correct irregularities in teeth and jaws; and
• Adjunctive services, which include additional services such as sedation.

Dental services must be provided by a licensed dental professional such as a dentist, dental specialist or denturist.

The Billing and Payment section contains valuable information on terms and conditions for funding, billing methods, selected billing rules, dental claims payment and methods of payment.

The Policies and Procedures section outlines the dental benefit conditions, pre-verification and predetermination, the coordination with other health plans and much more.

Related Resources

Terms and conditions for funding are contained in the:

• Dental and Orthodontic Bulletins;
• Dental Policy Framework; and
• The NHIB Regional Dental Benefit Grid which contains a complete list of the individual services. If you are a health professional and would like a copy for your region, please contact the Non-Insured Health Benefits Toll-Free Inquiry Centre

Visit the Resources and Forms section for contact information, forms and additional useful resources.