Please contact the provider relations department at your local Delta Dental to request information on joining our networks.
Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health.
Joining our network gives you exposure to the nation's largest dental insurance customer base. Your practice will be listed in our national dentist search and directories, and patients have an incentive to visit an in-network dentist, as this generally means lower out-of-pocket expenses. And, research shows that people with dental insurance visit their dentist twice as often as those without.
We also provide easy administration, a local presence
Participation is free and all licensed dentists are eligible to participate. For more information, please contact the provider relations department at your Delta Dental.
Yes, by signing a Delta Dental Participating Provider Agreement with your local Delta Dental, your participation is honored throughout the national Delta Dental System.
Please keep in mind that patient claims must be submitted to the appropriate Delta Dental company for processing. You can determine eligibility for all Delta Dental members by signing in to your dentist dashboard on deltadental.com.
No. When you join our network, you agree to see enrollees of all groups and individuals who purchase Delta Dental insurance.
In most cases, as long as you are enrolled in one of our networks, a Delta Dental patient who visits your office will still receive benefits, but their out-of-pocket expenses may be higher if you are not in the network covered by their plan. Your patient may also need to pay you up front for the services.
Patients enrolled in DeltaCare® (our DHMO plan) and certain exclusive PPO (EPO) plans must visit a dentist in the specific Delta Dental network to receive benefits.
Yes, if you are a Delta Dental network dentist. In order for us to maintain accurate records, you are required to notify your local Delta Dental company's provider relations department, in writing, of any changes to your practice. Changes may include:
Please note that changes are not automatically made when claims are submitted. Failure to notify your local Delta Dental of practice changes may result in payment delays or errors.
If you are unsure of which network(s) you participate in, contact your local Delta Dental.
This information is important because it determines how your patient's benefits are paid. When a patient asks if you participate with Delta Dental, please be specific about which Delta Dental network you participate in.
Delta Dental Premier® is one of our three contracted national network-based programs. Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. This plan allows enrolled patients to visit any
Delta Dental PPO® is one of our three contracted national network-based programs. Participating dentists agree to scheduled fees as payment in full.
As with all of the Delta Dental networks, dentists agree to
DeltaCare® USA is Delta Dental's national Dental Health Maintenance Organization (DHMO). Enrolled patients must select from the DeltaCare® network of primary care dentists. These dentists manage their patients' comprehensive dental needs, including referrals to specialists, and each dentist receives a monthly capitation amount.
Delta Dental offers individual dental plans. To see which plans may be available in your state, use our Delta Dental locator or direct your patients to this tool.
You can access your patient's benefits and eligibility by signing in to your dentist dashboard on deltadental.com. You will need the patient's member ID, name
You can also contact an insurance services representative at your local Delta Dental.
You can check your patient's benefits and eligibility by signing in to our dentist dashboard on deltadental.com. You will need the patient's member ID, name
We recommend that the patient contact their Delta Dental.
Typically, one of the dental plans will be considered the primary plan for your patient. It will pay first, and any additional plans will pay whatever portion of the charge is remaining and reimbursable. Your patient's plan contains a coordination of benefits provision that explains this process. In no event will the plans pay more than 100 percent of the cost of treatment.
Claims are sent to the Delta Dental company which provides your patient's insurance, not the local Delta Dental with which you've signed a participation agreement. You can confirm your patient's Delta Dental company by signing into your dentist dashboard on deltadental.com.
You can also download a claim form. Once you've determined which Delta Dental to send the claim to, you can find their address on our website.
On average, Delta Dental processes claims in less than three business days from the date the claim is received.
You may view a claim status at any time on our website. Simply register for an account if you do not already have one.
Most Delta Dental companies offer direct deposit. Contact your local Delta Dental for more information on how to sign up.
Submitting a monthly claim for orthodontics is not necessary. Normally, the claim is filed for the entire treatment, and Delta Dental automatically makes a payment each month until the treatment is completed, terminated or the patient is no longer eligible. Contact the patient's Delta Dental with payment questions.
When you participate with Delta Dental, you agree not to balance bill the patient if your fee for a service exceeds Delta Dental's approved fee.
You can access benefits and eligibility information and claims status at any time by signing into your dentist dashboard on deltadental.com. Hours
Visit the sign in/registration page.
If you forget your username or password, there are links under the sign in box to help you retrieve them. You'll need to know your business tax ID, dentist license ID
Our national website is a great place to check your patients' benefits and eligibility and view claims status regardless of which Delta Dental company covers your patients.
However, some Delta Dental companies offer more information and additional tools on their websites
In many cases, you can sign in at deltadental.com and be automatically logged in to your Delta Dental company’s website without having to sign in a second time.