Standardized Dental Fee Schedule: Who Qualifies and What You Get
Learn how the standardized billing system works for dentists treating patients with statutory health insurance in Germany.
This scheme provides a fixed system for how dentists are reimbursed for dental procedures performed on patients covered by statutory health insurance.
Who it's for
This system is designed for dentists who provide care to patients with statutory health insurance.
What you get
You receive reimbursement for standard dental procedures. Instead of a set monetary amount per task, the payment is calculated using a fixed point-based system.
What it costs you
To use this system, you must strictly follow all established treatment guidelines. You are also required to manage your billing in quarterly cycles.
The catch to know
This schedule only covers specific services. If you perform a dental service that is not included in the standard BEMA list, you cannot use this system to bill for it; instead, you must bill the patient directly as a private service.
How to apply
- Ensure your practice is set up to treat patients with statutory health insurance.
- Follow the official treatment guidelines for all procedures.
- Track your services according to the point-based system.
- Submit your billing at the end of each quarterly cycle.