Sector Services

Claims, Provider Payments & Entitlements

Dental Subsidy

FAQs

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What are Dental Subsidies?
The Dental subsidies are available to Dentists who have provided services to children under the age of 18.

What is the decile score for a school in my area?
To see the most up to date information on decile scores for a school in your area, visit the Ministry of Education website (www.minedu.govt.nz)

This patient does not have a decile score - what rate should I claim them at?
If the patient is being home schooled, is at correspondence school, at polytech, is unemployed or is working, use the middle range (decile 4-6) rates.

Who is my Principal Dental Officer (PDO)?
By District Health Board (DHB):

Northland, Waitemata, Auckland, & Counties Manukau
Dr John Dalton
Waitemata health
Private Bag 93115
Henderson
Waitakere 0650

Ph: 09 838 1716

Waikato, Bay of Plenty, Lakes, Tairawhiti, & Taranaki
Dr Bill Keighley
Dental Monitoring Unit
PO Box 250
Rotorua 3040

Ph: 07 347 7775

Hawkes Bay
Dr David Marshall
Community Health
Hawkes Bay DHB
PO Box 447
Napier 4140

Ph: 06 878 8109

Whanganui, MidCentral & Wairarapa
Dr Phillip Marshall
Dental Health
MidCentral DHB
PO Box 2056
Central Palmerston North 4440

Ph: 06 350 8619

Hutt, Capital & Coast
Mrs Teresa Hayfield
Community Dental Service
Private Bag 31-907
Lower Hutt 5040

Ph: 04 570 9299

Nelson Marlborough
Dr Geoff Lingard
Oral Health Service
Nelson Marlborough DHB
Private Bag 18
Nelson Mail Centre
Nelson 7042

Ph: 03 546 1973

Canterbury, West Coast, South Canterbury, Otago & Southland
Dr David Rumble
c/- South Island Shared Support Agency Ltd
PO Box 3877
Christchurch Mail Centre
Christchurch 8140

Ph: 03 373 3000

What is included in the capitation/purchase unit?

Consultations - including examination, prophylaxis, advice on dental care and any special tests and bitewing radiographs considered necessary. This includes both regular consultations as necessary including six-monthly consultations and any necessary emergency consultations in normal hours.
All necessary one surface fillings in posterior teeth.
Periapical x-rays where required.
Fissure sealants where required.
Other preventative treatments (eg topical fluoride applications) where required.
Chairside education on oral health care.

What happens if I treat the patients of another dentist?
If it is an emergency then this can be claimed under special dental.

Do I need to get my existing patients to fill in the new enrolment forms?
All patients need to complete the new enrolment forms as they come in for their next consultation. If Sector Services have already received an enrollment form signed by the patient's parents then it is not necessary to have the parents sign the new form.

Where do I send my claims?
Send your completed claim forms to:
Dental Claims
Sector Services
PO Box 1026
Wellington 6140

How do I contact Sector Services?
For further information, please call the Sector Services Contact Centre on:
0800 458 448
Monday – Friday 8:00am – 5:00pm,
Except Wednesday when the Contact Centre’s hours are 9:30am – 5:00pm

I have run out of claim forms, where can I get some more?
Claim forms are available free from Wickliffe Press on 0800 259 138 - you will need to provide your payee number at hand.

Forms
Emergency Dental Claim Form (PDF, 77 KB)

Publications
How to Complete an Oral Health Services for Adolescents' Claim form (PDF, 195 KB)
How to Complete a Special Dental Services Claim Form (PDF, 119 KB)

Links
Adolescent Oral Health Enrolments
Claims, Provider Payments & Entitlements, Dental Adolescent Oral Health Enrolments

Fluoride
www.moh.govt.nz/fluoride

Ministry of Education
www.minedu.govt.nz

Oral Health
www.moh.govt.nz/oralhealth

Please note: you should not rely solely on the answers provided here; the contracts applicable to each provider and all relevant legislation must be consulted to determine the full rights & liabilities applicable to any service provider or funder.

Page last updated: 31 October 2008