Dental services guidelines

Guidelines for the provision of dental services in Australia to injured workers under the Victorian workers' compensation scheme (the Scheme). This includes surgery by oral and maxillofacial surgeons.


About these guidelines

These guidelines provide WorkSafe Victoria's (WorkSafe) expectations for the delivery of dental services to injured workers.

The role of dental providers

Dental providers that are registered dentists, dental specialists, and dental prosthetists, can provide dental services to injured workers under the Scheme to support a worker's recovery from their work-related injury.

The dental services provided must be performed within the dental provider’s scope of practice under the Dental Board of Australia's standards.

Who can provide these services?

Dental providers must be:

  • registered and approved by WorkSafe; and
  • maintain registration under the Health Practitioner Regulation National Law with the Dental Board of Australia.

Dental Specialists include but are not limited to:

  • Endodontists
  • Orthodontists
  • Oral & Maxillofacial Surgeons
  • Oral & Maxillofacial Pathologists
  • Dental Radiologists
  • Periodontists
  • Prosthodontists
  • Specialists in Public Health Dentistry
  • Forensic Dentists
  • Oral Medicine Specialists

You can find information about how to register as a WorkSafe provider here:

Service delivery expectations

Dental providers are to provide dental services in line with the Clinical Framework for the Delivery of Health Services (the Clinical Framework) as well as meet the provider registration requirements set out in the Application for Registration to Provide Services to Workers form, and all professional obligations.

Dental providers must also submit and follow the Dental report and treatment plan form for the injured worker's dental services and maintain clinical notes to the highest standard.

Starting services

Reporting requirements

If any further information or reports are required, the Agent may contact the dental provider.

What we can pay for

WorkSafe can pay the reasonable costs of dental services a worker needs because of an injury for which they are entitled to compensation under the Scheme.

WorkSafe has determined that for the costs of a dental service to be reasonable, the service must be:

  • necessary, or appropriate in the circumstances
  • pre-approved in line with the process set out under 'Starting services'

What we will not pay for

WorkSafe does not consider the costs of dental services provided outside of these guidelines to be reasonable, and will not pay the costs of those services, including:

  • services for which prior approval has not been obtained from the Agent (excluding emergency treatment and initial assessment)
  • appointments where the worker cancels or does not attend
  • more than one dental consultation provided on the same day to the same injured worker
  • telephone consultations or conversations, either to the injured worker or other related parties (such as the employer, WorkSafe, the Agent, self-insurers, or other healthcare professionals)
  • dental treatment that the worker would require regardless of the injury for which they are entitled to compensation under the Scheme
  • services provided outside of the Commonwealth of Australia without prior approval from the Agent
  • services provided by students, including if under supervision of a registered dental provider
  • the provision of information requested in the Dental report and treatment plan form

How much we can pay

WorkSafe can pay the reasonable costs of dental services up to the maximum amount, as detailed in the Dental Services Fee Schedule.

Where WorkSafe decides that it can pay for a dental service that is not listed in the fee schedule, WorkSafe will assess and determine the reasonable fee for that service.

Payment of the reasonable cost of services does not mean payment of the full cost. Sometimes there may be a gap between what the dental provider charges and what WorkSafe will pay.

Compliance and suspension of services

Dental providers must immediately notify WorkSafe should they cease to comply with the registration or accreditation requirements established in these guidelines.

Information on actions WorkSafe may take if a provider is suspected of non-compliance is provided in the Application for registration to provide services to workers form.

Further information

Except where a WorkSafe Agent is specifically mentioned, a reference to WorkSafe is a reference to WorkSafe and its authorised agents.

These guidelines are to be considered alongside the Accident Compensation Act 1985 and the Workplace Injury Rehabilitation and Compensation Act 2013, including:

  • sub-sections 99AAA(2)(a) and (c)(iii) of the Accident Compensation Act 1985; and
  • sub-sections 223(2)(a)(iii) and 224(2) of the Workplace Injury Rehabilitation and Compensation Act 2013.