We are instructed by NHS England & NHS Improvement to request and review evidence to support several different types of claims for remuneration and reimbursement made by Dental Contract Providers.

The purpose of these reviews is to:

  • understand the circumstances surrounding certain FP17 claiming activities
  • raise awareness and develop guidance and advice on how to claim
  • allow Providers to review and adjust their claiming procedures if necessary
  • provide assurance that claims are appropriate

The areas of claiming under review by Provider Assurance include:

  • incomplete treatments (Band 2 or Band 3)
  • band 2 fissure sealants
  • band 3 inlays
  • band 1 urgent claim followed by Band 2 claim with no examination

More information about these reviews and what they include is available on the NHSBSA website.