Provider Participation Agreement

Effective Date: January 1, 2025 — Dental Dash Pro

This Provider Participation Agreement ("Agreement") is entered into between Dental Dash Pro ("Platform") and the dental office or provider ("Provider") submitting an application to participate on the Platform. By checking the agreement box and submitting an application, the Provider agrees to be bound by the following terms and conditions.

1. Eligibility

To participate on Dental Dash Pro, the Provider must:

Hold a valid and current dental license in the state(s) of operation.
Maintain professional liability (malpractice) insurance in amounts sufficient to cover the scope of services offered.
Comply with all applicable federal, state, and local laws and regulations governing the practice of dentistry.
Not have been subject to any license suspension, revocation, or restriction within the past five (5) years without prior written disclosure to Dental Dash Pro.

2. Scope of Platform Services

Dental Dash Pro provides a digital directory and communication platform that connects dental offices with patients seeking dental services, including but not limited to treatment estimate requests and provider discovery. The Platform does not provide dental services, does not act as a covered entity or business associate under HIPAA, and does not collect, store, transmit, or process any patient Protected Health Information (PHI). All clinical communications and patient records remain the sole responsibility of the Provider.

3. Provider Responsibilities

Maintain accurate, up-to-date practice information on the Platform at all times.
Respond to patient inquiries and treatment estimate requests in a timely and professional manner.
Honor all accepted treatment estimates and commitments made to patients through the Platform.
Comply with all applicable HIPAA requirements and patient privacy laws independently, as the Provider is solely responsible for its own HIPAA compliance. The Platform does not facilitate the exchange of PHI.
Ensure that no Protected Health Information (PHI) is submitted through the Platform’s application forms or messaging features.
Notify Dental Dash Pro promptly of any changes to licensure, insurance, or practice status.

4. No PHI on Platform

Provider acknowledges and agrees that the Dental Dash Pro Platform is not designed, intended, or authorized to transmit, store, or process Protected Health Information as defined under HIPAA (45 CFR §160.103). Provider shall not submit or cause to be submitted any PHI through the Platform. Any violation of this section may result in immediate termination of the Provider’s account.

5. Fees and Payments

Participation fees, if applicable, will be disclosed separately in the Provider's account settings or subscription agreement. The Platform reserves the right to update its fee schedule with 30 days’ advance written notice to active Providers.

6. Platform Rights

Dental Dash Pro reserves the right to:

Approve or deny any Provider application at its sole discretion.
Suspend or terminate a Provider’s access for violation of this Agreement, unprofessional conduct, or patient complaints.
Display Provider information, reviews, and ratings to prospective patients on the Platform.

7. Limitation of Liability

Dental Dash Pro is not responsible for the quality of dental services rendered by Providers or for any disputes between Providers and patients. The Platform's total liability to any Provider shall not exceed the fees paid to Dental Dash Pro in the three (3) months preceding the claim.

8. Indemnification

Provider agrees to indemnify, defend, and hold harmless Dental Dash Pro, its officers, employees, and agents from and against any claims, liabilities, damages, or expenses arising out of or related to the Provider’s services, conduct, breach of this Agreement, or any unauthorized submission of Protected Health Information through the Platform.

9. Termination

Either party may terminate participation with 30 days’ written notice. Dental Dash Pro may terminate immediately for cause, including but not limited to license revocation, fraudulent activity, patient harm, or violation of the No PHI on Platform provision.

10. Governing Law

This Agreement shall be governed by the laws of the State of Arizona, without regard to its conflict of law provisions. Any disputes shall be resolved in the courts of Maricopa County, Arizona.

11. Entire Agreement

This Agreement constitutes the entire agreement between the parties with respect to Provider participation on the Dental Dash Pro Platform and supersedes all prior discussions or agreements on this subject.

By submitting your application and checking the agreement box, you acknowledge that you have read, understood, and agree to be bound by this Provider Participation Agreement.

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