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Dentists, dental specialists and dental prosthetists

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Who can receive dental services?

DVA will fund all dental services, provided under DVA arrangements, necessary to meet a clinical need for Gold Card holders. For White Card holders, dental treatment can only be provided in relation to your accepted disabilities.

Note: If unsure, providers can confirm treatment eligibility of a White Card holder’s accepted condition(s), by calling DVA - select Option 3, then Option 1.

Who can provide dental services?

Dental therapists, dental hygienists and oral health therapists who are registered by the Department of Human Services (DHS) to provide services through the Medicare Benefits Scheme, are eligible to provide preventive dental services to members of the veteran community. Providers of dental services must agree to accept DVA treatment arrangements and fees and meet all of the following criteria:

  • be registered with the Dental Board of Australia and comply with approved scope of practice registration standards
  • be covered by either their employer’s indemnity insurance or maintain their own insurance as mandated by the Dental Board of Australia
  • be qualified and competent to provide the service.

You can find out more about how to become a DVA health provider in Factsheet HIP01- How to Become a DVA health provider (PDF 40 KB).

Notes for dental providers

These notes explain the procedures to be followed when providing health care services to eligible members of the veteran community.

Prescribing pharmaceuticals under the RPBS

The list of pharmaceuticals approved for prescribing by dentists under the RPBS can be found under 'Dental Items' at the PBS website.

Enquiries regarding RPBS dental prescribing can be directed to the Veterans’ Affairs Pharmaceutical Advisory Centre (VAPAC) on 1800 552 580 (24hr free call).

Fee schedules

Summary of fee schedules A, B and C for dentists and dental specialists

Schedules A, B and C together form the DVA comprehensive dental schedule. For detailed information please refer to the full dentists and dental specialists fee schedule.

Note: A separate schedule exists for dental prosthetists.

Dental prosthetists should also refer to the ‘additional information for dental prosthetists’ section on this page.

Schedule A

  • prior approval not required for Gold or White Card holders (except where specified)
  • prior approval is required for items marked with an asterisk (*) if treatment is provided above the quantity and/or time limits listed in Schedule A
  • no annual monetary limit.

Schedule B

  • prior approval required for all card holders
  • no annual monetary limit.

Schedule C

  • prior approval not required (see exceptions below)
  • DVA will pay up to a total of $2,488 for each year, from 1 January 2015 to 30 June 2018 for all services provided from Schedule C
  • annual monetary limit applies (see exceptions below).


Prior approval is required for treatment plans that include Schedule C items for all eligible beneficiaries who are exempt from the annual monetary limit.

The annual monetary limit does not apply to all ex-POWs and eligible beneficiaries receiving dental treatment related to war-caused disabilities or malignant neoplasia.

Refer to the full dentists and dental specialists fee schedule for detailed information.

Is there an annual monetary limit to dental services?

Yes. An annual monetary limit applies to most DVA beneficiaries for all items listed as Schedule C items in the fee schedule for dentists and dental specialists.

The annual monetary limit from 1 January 2015 to 30 June 2018 is $2,488.

The limit is not cumulative, so any part of the limit not expended in a calendar year cannot be used in subsequent years.

Before providing services, you should discuss this matter with your patient and check with DVA whether any or all of their limit has been expended for that calendar year.


The veterans exempt from this limit are:

  • ex-prisoners of war
  • White Card holders (specific conditions) with a related accepted disability
  • White Card holders (specific conditions) with diagnosed malignant neoplasia or other determined condition that has a direct or indirect dental component.

DVA will pay for the full cost of Schedule C treatment for exempt beneficiaries, subject to the following conditions:

  • you must obtain prior approval from DVA before commencing treatment
  • the maximum fee payable is the approved Commonwealth fee for the particular service, and where the fee is 'Fee by negotiation', the fee paid is that which is negotiated with DVA
  • you must not make any separate charge against the beneficiary.

What dental services require prior financial approval?

Providers must contact DVA before administering the following services to be able to claim for payment:

  • all services listed as Schedule B items in the Fee Schedule of Dental Services for Dentists and Dental Specialists
  • all services listed as requiring prior approval in the Fee Schedule of Dental Services for Dental Prosthetists
  • any service that is not listed in the fee schedules
  • treatment plans which include Schedule C items for all DVA entitled persons who are exempt from the annual monetary limit
  • all ‘fee by negotiation’ items
  • the treatment of a DVA entitled person requiring the use of a general anaesthetic.

You must not commence treatment until DVA advises you of the result of your request.

Refer to the full fee schedule for items requiring prior approval.

Additional prior financial approval information for dental providers

Dental implants treatment-policy and prior approvals processes

All dental implant treatment requires prior approval from DVA.

The Osseo-integrated Dental Implant Policy and Guidelines sets out the circumstances in which DVA may accept financial responsibility for dental implant treatment.

For prior approval processes and templates to assist when requesting prior approval for dental implants, go to the specific information below on either:

  1. single tooth implants
  2. implants in fully or partially edentulous cases.


  • crowns that attach to implants (items D/S671, D/S672 and D/S673) require prior approval
  • where implants are provided in a public hospital, in some States, the cost of the prostheses are included in the bed rate and therefore the specialist may need to liaise with the hospital as to payment or arrangements for the equipment to be provided for the surgery.

1. Single tooth implants

To assist with processing applications, the following 3 forms are to be completed for single tooth implant requests:

2. Implant treatment in fully or partially edentulous cases

To assist with processing applications, the following 3 forms are to be completed for fully or partially edentulous case requests:

How to request prior financial approval and claim for payment

Prior financial approval

To request prior approval from DVA, please send a completed Dental Request Form or a request on your letterhead to:

Medical & Allied Health Section
Department of Veterans’ Affairs
GPO Box 9998

Or fax your request to (08) 8290 0422 (for all States and Territories).

For urgent cases or for further information on dental services, enquire DVA for the Medical & Allied Health section.

Note: The above prior approval request process applies for veterans who may be entitled under New Zealand or another Allied Country’s legislation.

Claim for payment

Claims should be submitted as soon as possible after treatment has been provided.

For online claiming enquiries please send an email or contact DVA.

For manual claiming please send all claims for payment to:

Veterans' Affairs Processing
Department of Human Services
GPO Box 964

Claim enquiries: 1300 550 017.


Please refer to the Forms for Service Providers page for a complete list.

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