FP17 processing and payments

England

Guidance for PerformerGuidance for Practice StaffStep by Step guideClaim creation flowchartAdding additional users

Wales

Guidance for PerformerGuidance for Practice StaffStep by Step guideClaim creation flowchartAdding additional users

Providers submit forms (FP17) to us detailing dental activity data. The data recorded on the FP17 shows the patient charge collected, the number of units of activity performed and treatment banding information.

FP17 common errors and how to correct themDMF guidanceImportant changes to the FP17 form from 1 April 2016 (England)Urgent courses of treatment within two monthsReferrals for advanced mandatory services

Guidance for completion of forms

England

Completion of form guidance FP17 - England - 1 April 2018Completion of form guidance FP17O - England - 1 April 2018

Wales

Completion of form guidance FP17W - Wales - 1 April 2016 onwardsCompletion of form guidance FP17OW - Wales - 1 April 2016 onwards

Sample forms

England

FP17 England April 2018​​​​​FP17O England April 2018PR form England April 2018FP17DC - EnglandFP17DCO - EnglandFP17RN - EnglandOrthodontic referral form

Wales

FP17W Wales April 2018FP17OW Wales April 2018PRW form large print - WelshPRW form large print - EnglishCSS8A form

Every month we send each provider a pay statement and to each performer a copy of their monthly superannuation allocation and a summary of forms processed.

Schedule programme Mar 19 - Apr 20 (PDF: 47KB)

Schedule programme Jan - Mar 2019 (PDF: 47KB)

Schedule Programme 2018

Guide to monthly provider pay statements