In the aftermath of Hurricane Idalia, LIBERTY Dental Plan of Florida
is here as a resource to support our enrollees, providers, and Florida communities.The governor has declared a state of emergency for Hurricane Idalia (EO 23-172) for the following counties: Alachua, Baker, Bay, Bradford, Calhoun, Charlotte, Citrus, Clay, Collier, Columbia, Desoto, Dixie, Duval, Flagler, Gadsden, Gilchrist, Gulf, Hamilton, Hardee, Hernando, Hillsborough, Jefferson, Lafayette, Lake, Lee, Leon, Levy, Liberty, Madison, Manatee, Marion, Nassau, Pasco, Pinellas, Polk, Putnam, Sarasota, Seminole, St. Johns, Sumter, Suwannee, Taylor, Union, Volusia, and Wakulla.
The "Disaster Grace Period" for Hurricane Idalia began 8/28/2023 and continues until further notice. This provision applies ONLY to the FEMA-designated counties.
Referral, Pre-Authorization Required
Teledentistry codes D9995 or D9996
No out of Network benefits
D0140 | D0220 | D3221 | D7111-D7250 | D9110 |
D0145 | D0230 | D3230 | D7260 | |
D0150 | D0330 | D3240 | D7261 | |
D0170 | D2970 | D3999 | D7270 | |
D0180 | D3220 | D4999 | D7510-D7521 |