If something does not pertain, indicate N/A. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. You may be responsible for the cost of procedures or services not covered by your plan. Delta Dental of Washington is a part of Delta Dental Plans Association. Claims will be processed when received according to your plan provisions. Complete, sign and email the Participating Dentist Agreement, amendment and accompanying forms to the address contained in the information packet. Our mission is to improve lives by promoting optimal oral health. Each dentist participating with Northeast Delta Dental needs to complete this application in its entirety at least once every three (3) years. Delta Dental will verify your credentials every three years — please use the recredentialing form after your first filing. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Members have peace of mind when choosing a DenteMax dentist because the DenteMax network is made up of the best dentists in the nation. Four out of five dentists nationwide participate in one of our networks, and for good reason—we help them attract and keep high-value patients. Health information changes quickly. ©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. How much is it going to cost? Missing documents will delay processing. Delta Dental of Tennessee is a part of Delta Dental Plans Association. *Not sure where your company is headquartered? Members have peace of mind when choosing a DenteMax dentist because the DenteMax network is made up of the best dentists in the nation. Please be sure to mail all requested information. Dentist Contracting Hotline: For PPO contract information, call the Dentist Contracting Hotline at 1-800-776-0537. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. A message to the members of the Delta Dental Community: The overall health of our Delta Dental employees, members, dentists, clients and brokers is our top priority. Affiliate dental plans for membership, federal and state government programs. If you already have coverage through Delta Dental of Colorado, please use the contact information below. The process of obtaining a Medicaid registration number through DHS can generally take up to 45 days. Please call 1-800-448-3815 and select credentialing from the list of options. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. During the current coronavirus (COVID-19) situation, please be assured that Delta Dental of Missouri is continuing to deliver uninterrupted service to our members, clients, network dentists and producers. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Denti-Cal Customer Service for Beneficiaries and Providers. This new capability, developed for us with DentalXChange, simplifies recredentialing for you. The credentialing form must be filled out and returned to Delta Dental as a part of your participating agreement. Group Plans. Activities for Kids; Recommended Resources ; Teaching Tools; Oral Health Articles; Oral Health Rack Cards; LifeSmile Score; LifeSmile Wellness. Aetna Dental Encounters P.O. Completed Credentialing Profile Completed and Signed Delta Dental Premier/Delta Dental PPO (PPO) Specialist Agreement W-9 Form – completed and signed indicating the Tax Identification Number (TIN) you report to the Internal Revenue Service. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. The following documents are required for credentialing as a Delta Dental Participating Provider: Completed Participating Dentist Credentialing Agreement that is signed and dated. Refer to your benefit plan to determine whether these requirements apply to you. Welcome to Delta Dental of Oklahoma . Customer Service. We have discount and fully insured plans to fit your needs. We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and affordable to a wide variety of employers, groups and individuals. Delta Dental of New Jersey is a part of Delta Dental Plans Association. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Find a dental plan. Delta Dental maintains a file of your credentialing information. Estimates should not be construed as financial or medical advice. If you already participate, but want to join another network, or have questions about your participation status, please contact Delta Dental of Colorado’s network management team at 303-889-8677. Delta Dental of Colorado and the American Dental Association (ADA) are partnering to bring you more than 200 CE-approved courses that you can take anytime, anywhere. Find the one that’s right for you. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). Delta Dental of Alaska members, log in to your Member Dashboard to see info about your plan, view benefits and claims, get ID cards, access health resources and … If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." General information regarding your health care. A relationship with Delta Dental can add value to your practice and reduce work for you. © Copyright 2020 Delta Dental Plans Association. Delta Dental Foundation opens $500,000 COVID-19 Emergency Assistance Fund to address needs of dental clinics and nonprofits in Michigan, Ohio and Indiana. How to become a … In Texas, Delta Dental offers dental provider organization (DPO) plans. Phone: 617-886-1160. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Resource page for Delta Dental of Nebraska providers. Delta Dental PPO. Important addresses All dental encounters. of potential providers by primary sources. Each dentist also agrees to pre-file their fees and accept direct reimbursement from Delta Dental. About Us Foundation Press Hours of Operation. If you have insurance through an employer*, please select the state where the company’s headquarters are located. Box 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 Professional Relations Phone: 617-886-1009 Toll free: 800-451-1249 x61009 Fax: 617-886-1414 Monday – Friday, 8:30 a.m. to 4:30 p.m. EST E-mail: prteam@deltadentalma.com Provider Operations Phone: 617-886-1160 Toll free: 800-451-1249 … Important telephone numbers and addresses . For the hearing impaired: TDD: 1-800-659-2656 For Spanish-speaking assistance: Para asistencia en español llame al 1-800-610-0201. For small group sales (up to 50 eligible employees), contact Delta Dental Connect SM: Phone: 1-800-906-5250 or locally at 651-406-5920 Email: [email protected] Group Enrollment Form Submissions: Email: [email protected] Attention: Eligibility Department PO Box 30416 Lansing, MI 48909-7916. Want to know before you set foot in the dentist’s office? Missing documents will delay processing. Once you have received the packet and reviewed the PPO fee schedule, you must agree to accept payment according to the lesser of the fee you submit on claims or the fee shown on the schedule. Box 9304 Minneapolis, MN 55440-9304 FAX: (toll free) 866-286-8840 QUESTIONS? Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Automated system is available 24/7. E-mail: DeltaDentalCredentialingUpdates@greatdentalplans.com. Delta Dental has the largest network of dentists in Iowa and nationwide — just one of many reasons to choose Delta Dental of Iowa. Delta Dental of Nebraska Initial Credentialing Application CREDENTIALING CONTACT INFORMATION (please provide contact information If you would like us to contact someone other than you (the provider) in the event that we have questions related to this credentialing application) Name _____ Phone Number _____ Address _____ Fax Number _____ _____ E-mail _____ _____ … Delta Dental Patient Direct coverage is not available in all 50 states. You can find it on your ID card. This site is meant to help you learn about plans and healthcare for you and your family. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. AL, FL, GA, MS, LA, and TX: email to professionalservices@ Sign in to review your dental plan information including claims history, eligibility, and additional member tools. For your convenience, … For billing and eligibility questions, please use the contact information below. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. 12. It is wholly-owned by DDPNJ Corporation, which is owned by Delta Dental of New Jersey, Inc., New Jersey's leading dental benefits company, providing or administering coverage to more than 1.6 million people through contracts with groups in New Jersey and Connecticut. Your ID number is a 2-18 combination of letters and numbers. Customer service representatives are available nationwide to answer questions about your dental insurance, claims submissions, payment procedures, changes in your contact information or other concerns. Oral Health Articles ; Teaching Tools; Delta Dental Kids Club; Recommended Resources; Oral Health Rack Cards; LifeSmile Score; LifeSmile Wellness TM. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Dentist Hotline. Participating Provider Manual; Provider Association Form: Active Delta Dental Participating Providers can use this form to add a new office location without needing to fill out the full Provider Credentialing Profile. Contact us. Hawaii Dental Service (HDS) has partnered with DentalXChange to offer network dentists a FREE and simple solution for credentialing, re-credentialing and growing your patient base by joining two new networks. Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. For any claims or eligibility questions, fill out the customer service online form or call 800-872-0500. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. Your actual cost may be higher or lower than the estimate for various reasons. It is for precisely this reason that DenteMax requires credentialing before a dentist is accepted into the network, and then requires re-credentialing … Use of this website in no way increases or decreases the benefits available under a dental benefit plan. (This will be the TIN used when filing claim forms). Here are the benefits of creating an account. Dental plans in Alaska provided by Delta Dental of Alaska. Credentialing requirements. Fax: 617-886-1414. It may take 90 days to complete the credentialing process, however many providers can … 800-423-0507. http://www.denti-cal.ca.gov. Return to top Delta Dental is the nation’s largest, most experienced dental benefits carrier, and provides coverage to more than 73 million people across the nation. Connect with your Delta Dental company to learn more. Preventive services are included in this tool. Delta Dental of New Jersey is a part of Delta Dental Plans Association. DeltaCare Plan Members: 800-942-3772. Delta Dental is committed to completing its credentialing process within 7 business days of having all the information we need in order to evaluate the application. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Please contact the Delta Dental company below for more information. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Delta Dental will send a packet of information, including this form, to dentists who are setting up an initial participation agreement or who are due for recredentialing. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Receive payment based on the fee schedule, maximum contract allowance or amount submitted to Delta Dental, whichever is lower. In some states, compensation is similar to our fee-for-service network plans. Competitive compensation includes capitation payments for each enrollee assigned to your office, encounter fees and procedural guarantees. This pilot program is sponsored by Delta Dental of Colorado exclusively for DDCO network providers who are active ADA members and FREE for a limited number of participants. Follow Us On Social Media. Dental Customer Service: 888-217-2365 | Dental Professional Relations: 888-873-1393 Get more contact details. Delta Dental has affordable dental plans and options to keep you and your family healthy and happy. There are other choices out there for dental insurance, but 50+ years of experience and the largest network in Wyoming and nationwide help us stand out from the crowd. Box … Go Need a dentist? Delta Dental Provider Credentialing Process Credentialing is the process of verifying credentials (i.e. Best of all, the process is quick and easy! This is a Delta Dental National Directory to assist your office in servicing your DeltaUSA patients in other states. Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. Please be advised, that a site review may be required as part of the recredentialing process for the governmental sponsored programs. 240 Venture Circle Nashville TN 37228 Fax: 615-742-6940 Have a question about coverage or looking for dental insurance? All of those matters are things that you should decide, in consultation with your dental care professionals. Mid-Atlantic Region. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Delta Dental has affordable individual dental plans available for you. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. Delta Dental works to ensure you receive the best possible service. COVID-19 Announcement. Delta Dental Plan Addresses and Phone Numbers. Please note that you must submit a separate application for each state in Northeast Delta Dental’s territory in which you practice. Northeast Delta Dental Credentialing and Re-Credentialing Application Instructions: 1. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Please scroll down and accept to proceed. Through our national network of Delta Dental companies, we offer dental coverage in … Work with us … Once you have received the packet and reviewed the fee schedule, you must agree to accept payment according to the lesser of the fee you submit on claims or the fee shown on the schedule. deltadentalpa.org, CA, MT, NV, and UT: email to Dservices@delta.org, AL, FL, GA, MS, LA, and TX: email to professionalservices@ddic.delta.org, DE, DC, MD, NY, PA, and WV: email to DDPDentist_Services@deltadentalpa.org. ALASKA (see DDIC - Georgia) (800) 453-5577 www.deltadentalins.com. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Oral Health Grin! … The Content on this website is not medical advice. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Complete, sign and email the Participating Dentist Agreement, PPO amendment and accompanying forms to the address contained in the information packet. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. We offer two plan types for employer groups. Delta Dental PPO™ and Delta Dental Premier®. or family dental plan? AppCentral gives providers the ability to easily and efficiently complete credentialing and recredentialing applications and sign network participation agreements. Additional Websites and Services. This electronic enrollment and credentialing tool allows you to complete required documentation, receive real-time application status updates and view archived submissions throughout the application process. Contact your company's human resources department. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Call the National Dentist Line at 1-800-451-7715. Representatives are available Monday through Friday from 7 am to 5 pm, Central Time. Information regarding the Cost Estimator content. For a complete description of the details of your coverage, please refer to your coverage documents. If you need more information, you will need to provide a benefit verification number (provided by Dentist Connection or Faxback). Contact us. Helping You Keep Your Employees Smiling. Contact us online Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). To begin using the Dental Care Cost Estimator tool, click the Agree button below. 11. Get started here. 2. If you haven’t already, register an account with us to begin accessing plan information and coverage details- wherever, whenever! These individuals have purchased a Delta Dental plan for themselves and/or their families through Connect for Health Colorado. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Submit application with all applicable sections completed. Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna). Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. © Delta Dental. Email to: pr-dcusa-west@delta.org. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Box 14530 Lexington, KY 40512. Refer to your benefit plan to determine whether preventive services are covered for you. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Delta Dental of Oregon is a part of Delta Dental Plans Association. 800-322-6384 (TTY/TDD 711) Monday through Friday between 8:00 a.m. and 5:00 p.m., Pacific Time. Delta Dental of Oregon is a part of Delta Dental Plans Association. Individuals & Families Members Dentists Brokers Employers. You must be a licensed, practicing dentist meeting our credentialing requirements. The information and content (collectively, "Content") on this website is for your general educational information only. In order to apply for participation in the Delta Dental Medicare Advantage provider network, please send an email to medadv@delta.org and we will reply with an application and contract. Beneficiary Services. Specialists must include a copy of their residency/specialty certificate during the initial credentialing process. These plans make it easy to receive Delta Dental coverage and protect your health. Delta Dental's Customer Service Department (group) P.O. You can expect to receive a participation packet within 10 business days. Through our national network of Delta Dental companies, we offer dental coverage in … Provider Services. Find a Dentist Giving Back Our Foundation promotes dental health, advances dentistry, helps Iowans access dental health care, and more to keep Iowans smiling. Estimates may vary depending on your benefit plan and the state you live in. Credentialing Requirements . Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. LifeSmile Wellness TM. For example, if you were last credentialed in 2017, you’ll be recredentialed again in 2020, using DentalXChange. Delta Dental of Connecticut, Inc. is a licensed insurer that writes dental coverage on an insured basis. Practice Information Update Form: Use this form to notify Delta Dental of New Mexico about changes to practice information, such as the street address or office hours. What's my ID number and where can I find it? The data is based on actual, non-discounted charges that providers have billed. 800-524-0149 (TTY users call 711) Medicare Advantage member customer service All Rights Reserved. Phone: 617-886-1300 Toll free: 800-327-6277 Fax: 617-886-1199 Claims Delta Dental of MA P.O. *Not sure where your company is headquartered? Delta Dental has the largest network of dentists nationwide. All dental benefit carriers are required to use and accept the CAQH form for credentialing Ohio dentists. Please keep this information close by so you can refer to it when necessary. It is for precisely this reason that DenteMax requires credentialing before a dentist is accepted into the network, and then requires re-credentialing … Body healthy for common Dental care professionals once every three years Monday – Friday, a.m.! Services not covered by your plan payments for each enrollee assigned to your plan provisions when necessary one... 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