Dentist and dental technician guidelines

These guidelines should be read in conjunction with our General provider guidelines.

Who can provide dental services?

You can provide services if:

  • you are a dentist registered under the Health Practitioner Regulation National Law (e.g. AHPRA or the Dental Board of Australia) to practice in the dental profession (other than as a student), or
  • you are a dental technician with the minimum qualification of a diploma of dental technology

What we can pay for

We can pay the costs of your patient’s dental services in line with our fees, without prior approval, when they are required as a result of a transport accident injury.

Please note that if your fees are greater than the TAC’s published rates we request you let the client know there will be an out of pocket expense. Clients can contact us to discuss options if the out of pocket costs will prohibit treatment or services from going ahead.

We will review our client’s treatment to ensure it’s reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it.

Reviews help us understand our client’s injuries, treatment needs, their goals and how to best support them get their lives back on track. After a review we’ll let you and our client know the decision regarding further treatment.

General dental services:

  • diagnostic services
  • preventative services
  • adjunctive general services
  • restorative services
  • associated dental services to adjoining teeth

Specialist dental services:

  • prosthodontics
  • periodontics
  • endodontics
  • orthodontics
  • temporomandibular joint therapy

Bridges, crowns and restorative services:

  • dental implants
  • implant based bridge maintenance
  • crown and bridgework

Surgical procedures:

  • in-room oral surgery.
  • surgical procedures when performed in the hospital in the first three months from the date of accident

Dental technician services:

  • a partial or full denture
  • relining of a full denture
  • a mouth guard
  • repair to, or replacement of, a client’s denture that was damaged or lost in the transport accident

Dental technician services needing prior approval:

  • dental implants.
  • oral and maxillofacial surgery that is not performed in the first three months following the accident

For more information about surgical procedures, please see our Medical practitioner guidelines.

Other things to note

Medical excess

For accidents that occurred prior to 14 February 2018 a medical excess may apply. Visit the medical excess page to see if it applies to your patient. If the medical excess applies you will need to invoice the client directly.

Gap in treatment

If our client has not received treatment in 6 months they will need to seek approval from us before we will pay for further treatment.  Ask our client for a copy of their approval if you haven’t seen them in 6 months.

Certificate of capacity

As part of your patient’s treatment, dentists can also complete a Certificate of Capacity to assess and certify your patient’s capacity for work.

Patients with a severe injury

If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between your patient's treating team and our TAC coordinator.

If your patient already has an individualised funding package, dental services may be included as part of that.

How much we can pay

We can pay for services in line with our Dental services fee schedule.

What we cannot pay for

We cannot pay for general dental treatment that your patient would have had regardless of their transport accident.