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Dental Definition – Capitation

    Definition: Capitation is a healthcare term. It is an annual fee or amount that is paid to a doctor or dentist based on the number of patients in their care for a period of time. It is paid to the medical professional whether or not the patient seeks care in that period of time or not. The more patients listed as being in the care of a physician, the higher the capitation.

    Dental capitation is a medical practice where a dentist charges a certain amount for each dental service rendered. This is often used in combination with other dental services to create a complete treatment package. The pros and cons of dental capitation are outlined in this blog post. First, it is important to understand what capitation is. Capitation is a billing model where a dentist charges a set fee for each service rendered. This fee is often based on the amount of work performed. For example, a dentist who performs a dental crown might charge a fee per crown. Similarly, a dentist who performs a full set of teeth might charge a fee for a full set of teeth and for each filling. Second, it is important to understand how capitation works. In general, capitation works by dividing the patient’s bill into several parts. The first part is for the doctor and other medical staff involved in the treatment. This includes the dentist, dental assistants, and other medical professionals. The second part is for the dental equipment and materials used in the treatment. The third part is for the cost of dental services. The fourth part is for any drugs or supplements used in the treatment. The final part is for any charges for extra services, such as x-rays or laboratory tests. Finally, it is important to understand the pros and cons of dental capitation. The pros of dental capitation are that it is a fixed fee and it is easy to understand. The cons of dental capitation are that it can be expensive and it can be difficult to find a dentist who uses capitation billing. Overall, dental capitation is a billing model that is often used in combination with other dental services. It is a good option for those who want a fixed fee for their dental services.

    What Is Capitation?

    Capitation is a type of dental insurance that allows participating dentists to receive a set amount of money for each person they treat. This can be a great option for people who don’t want to worry about how much their dentist is charging them each month, and it also allows the insurer to cover more expensive procedures such as crowns, implants, and braces.

    Dental HMOs typically use capitation to reimburse their participating dentists. This means that the monthly fee paid by the enrollee covers all preventive and minor restorative services. Major procedures, such as crowns, implants, and braces, are usually not included in a capitation plan because they are considered high-cost procedures. Out-of-network providers may also be reimbursed using capitation if they are part of the plan’s network of dentists.

    PPOs may use capitation to reimburse out-of-network providers if they are part of the plan’s network of dentists. This is an optional feature that many plans offer so that patients have more choice in who they see. By having this type of coverage, PPOs give patients more peace of mind since they know that their dentist will be covered regardless of where they go for treatment.

    How Does Capitation Work?

    While there are many different types of payment systems in use today, capitation is one of the most common. Capitation is a payment system in which a provider is paid a fixed amount for each member in its care, no matter the number or complexity of services rendered. This system can be a cost-effective way to provide care, as providers are incentivized to be more efficient and provide care at a lower cost.

    Under capitation, providers have little financial risk. This means that regardless of how much care is actually provided, the provider will be paid the same amount – no matter how much work is put into it. This can encourage providers to skimp on care or discourage them from enrolling high-risk patients. However, capitation does have some benefits – it can be a cost-effective way to provide care and it can incentivize providers to be more efficient. Overall, while capitation has its drawbacks, it remains an important payment system in use today.

    What Are The Pros And Cons Of Capitation?

    When it comes to paying healthcare providers, there are a number of different payment models available. One of these is capitation, which is a type of payment model in which healthcare providers are paid a set fee per person enrolled in their care. While capitation has its benefits, it also comes with some risks.

    One of the biggest risks associated with capitation is that providers may be incentivized to skimp on care in order to make a profit. This could result in patients receiving inadequate or even harmful care. Moreover, providers may be tempted to cherry-pick the healthiest patients in order to keep costs down. This could lead to patients receiving subpar care and even serious injury or death.

    On the other hand, capitation can also encourage provider efficiency and innovation. For example, if providers are paid based on how many patients they treat, they will be more likely to provide high-quality care for all patients instead of focusing only on the healthiest ones. Furthermore, this payment model can help providers avoid financial instability and weather difficult economic times without having to reduce patient services drastically or drop staff altogether.

    Overall, it is important for healthcare providers to carefully consider the pros and cons of capitation before implementing it into their practice. Only after doing so will they know whether or not this type of payment model is right for them and their patients.


    Capitation is a type of health insurance reimbursement in which providers are paid a fixed amount per person, regardless of the services rendered. This system has both advantages and disadvantages, but overall it can be a helpful way to finance healthcare. If you’re considering using capitation to pay for your own health care, be sure to do your research and understand all the potential implications.