N.D. Cent. Code § 26.1-47-02.1: Fees for dental services - Prohibition

1.As used in this section, "covered services" means dental care services for which a reimbursement is available under an enrollee's plan or for which a reimbursement would be available but for the application of a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, or frequency limitation.

2.Except for fees for covered services, a preferred provider arrangement for a dental plan may not directly or indirectly set or otherwise regulate the fees charged by the preferred provider for dental care services.

3.A preferred provider arrangement may not restrict a covered person from receiving or paying for additional dental care services that were denied by the covered person's dental plan.

4.Unless disclosed to the covered person before receiving dental care, a covered person receiving or paying for additional dental care services described in subsection 3 may not be charged a rate in excess of the preferred provider arrangement's contracted rate for covered services.