Using the Medicare fee schedule as the basis for the DDS fee schedule is not intended
to increase the DDS CE fees. DDSs should negotiate the best possible fee for the service.
In States with different localities, it may not be necessary to create a different
DDS fee schedule for each locality. The highest fee paid should not be readily adopted.
The existence of different “locality” schedules may help the DDS negotiate more competitive
rates with providers. If a DDS is unable to obtain providers in certain areas who
will accept the Medicare rate, they should contact the RO for further guidance.