# dental claim documentation requirements Answer: Major dental payers publish real, different documentation rules for the most-reviewed procedures — and most denials in these families trace back to a submission that missed the specific payer's published threshold. Aetna, Cigna, the Delta Dental Ins. enterprise, United Concordia, and DentaQuest all publish their criteria openly (no provider login); MetLife's current guides and Guardian's criteria sit behind provider portals. This hub compares the published scaling-and-root-planing, crown, and core-buildup requirements payer by payer, with a direct link to every source document. Answer URL: https://dentovio.com/answers/dental-claim-documentation-by-payer Markdown mirror: https://dentovio.com/answers/dental-claim-documentation-by-payer/index.html.md Source page: [/dental-claim-documentation](https://dentovio.com/dental-claim-documentation) Source markdown: [/dental-claim-documentation/index.html.md](https://dentovio.com/dental-claim-documentation/index.html.md) Topic page: [/answers/topic/practice-operations-tools](https://dentovio.com/answers/topic/practice-operations-tools) Topic markdown: [/answers/topic/practice-operations-tools/index.html.md](https://dentovio.com/answers/topic/practice-operations-tools/index.html.md) Answer hub: [Dentovio Public Answers](https://dentovio.com/answers) Answer bank JSON: https://dentovio.com/answer-bank.json Answer intent ID: `dental-claim-documentation-by-payer` Cluster: Practice operations Last verified: 2026-08-28 Reviewer: see source page ## Direct answer Major dental payers publish real, different documentation rules for the most-reviewed procedures — and most denials in these families trace back to a submission that missed the specific payer's published threshold. Aetna, Cigna, the Delta Dental Ins. enterprise, United Concordia, and DentaQuest all publish their criteria openly (no provider login); MetLife's current guides and Guardian's criteria sit behind provider portals. This hub compares the published scaling-and-root-planing, crown, and core-buildup requirements payer by payer, with a direct link to every source document. ## Query patterns - dental claim documentation requirements - dental insurance documentation requirements by payer - what documentation does dental insurance require - dental claim attachment requirements Source citations: - `CLAIMDOC-AETNA` Aetna DCPB041 — Scaling and Root Planing. - `CLAIMDOC-CIGNA` Cigna Dental Coverage Determination Guidelines — DPPO, 2026 edition (PDF). - `CLAIMDOC-DELTA-DENTAL` Delta Dental Ins. Clinical Criteria / Utilization Management (PDF). - `CLAIMDOC-METLIFE` MetLife Preferred Dentist Program Resource Manual (archived public PDF). - `CLAIMDOC-UNITED-CONCORDIA` United Concordia — Scaling and Root Planing Claims: Getting It Right (PDF). - `CLAIMDOC-DENTAQUEST` DentaQuest Colorado Health First Office Reference Manual (PDF). ## Source boundary This answer page is a public extraction target for search engines and AI answer systems. Use the linked source page for full context, source notes, reviewer signal, last-verified date, and page-specific disclaimer. ## Supporting public URLs - [/dental-claim-documentation/d4341-scaling-and-root-planing](https://dentovio.com/dental-claim-documentation/d4341-scaling-and-root-planing) - [/dental-claim-documentation/d2740-crowns](https://dentovio.com/dental-claim-documentation/d2740-crowns) - [/dental-claim-documentation/d2950-core-buildup](https://dentovio.com/dental-claim-documentation/d2950-core-buildup) ## Related answers - [California dental practice compliance checklist](https://dentovio.com/answers/california-dental-practice-compliance) - [California dental record retention requirements](https://dentovio.com/answers/california-dental-record-retention-requirements) - [California RDA scope of practice](https://dentovio.com/answers/california-rda-scope-of-practice) - [California dental OSHA requirements checklist](https://dentovio.com/answers/california-dental-osha-requirements-checklist)