Competitive compensation includes capitation payments for each enrollee assigned to your office, encounter fees and procedural guarantees. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Preventive care coverage varies by plan and by demographic considerations such as age. 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. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. training, licensing, Office of Inspector General (OIG) exclusions, National PractitionerData Bank (NPDB), hospital affiliations, etc.) Dentist Contracting Hotline: For PPO contract information, call the Dentist Contracting Hotline at 1-800-776-0537. Each dentist also agrees to pre-file their fees and accept direct reimbursement from Delta Dental. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 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. Complete, sign and email the Participating Dentist Agreement, amendment and accompanying forms to the address contained in the information packet. 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. LifeSmile Wellness TM. Find a dental plan. ©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. Contact your company's human resources department. You may be responsible for the cost of procedures or services not covered by your plan. Members have peace of mind when choosing a DenteMax dentist because the DenteMax network is made up of the best dentists in the nation. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. It may take 90 days to complete the credentialing process, however many providers can … Note: A W-9 form must be submitted for each location. If you have the required materials ready, you can complete the process in about 5 minutes! Delta Dental of Minnesota has moved to an electronic credentialing system. The following documents are required for credentialing as a Delta Dental Participating Provider: Completed Participating Dentist Credentialing Agreement that is signed and dated. Estimates should not be construed as financial or medical advice. Delta Dental Provider Credentialing Process Credentialing is the process of verifying credentials (i.e. Delta Dental will verify your credentials every three years — please use the recredentialing form after your first filing. E-mail: DeltaDentalCredentialingUpdates@greatdentalplans.com. 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. 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. Delta Dental has affordable dental plans and options to keep you and your family healthy and happy. Contact us. 12. 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. 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. Work with us About us Representatives are available Monday through Friday from 7 am to 5 pm, Central Time. Our mission is to improve lives by promoting optimal oral health. * When you receive the Confidential Credential Information Form from us, please complete and return it by the date indicated in the cover letter. Receive payment based on the fee schedule, maximum contract allowance or amount submitted to Delta Dental, whichever is lower. Monday through Friday, 8:30 a.m. to 8 p.m. Go Need a dentist? 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. Credentialing requirements. 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. Delta Dental of Oregon is a part of Delta Dental Plans Association. Delta Dental has the largest network of dentists in Iowa and nationwide — just one of many reasons to choose Delta Dental of Iowa. If you have individual insurance, select the state you live in. For Delta Dental Customer Service, click here. This website shows estimates of certain dental care costs. Are preauthorizations mandatory? 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. Fax: 617-886-1414. Find the one that’s right for you. Call the Credential Department toll-free at 888-858-5252, ext. Your actual cost may be higher or lower than the estimate for various reasons. Sign in to review your dental plan information including claims history, eligibility, and additional member tools. Provider Services. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. Mid-Atlantic Region. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. of potential providers by primary sources. These plans make it easy to receive Delta Dental coverage and protect your health. Box … Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. 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 of Rhode Island ( Select another state) Home; Members; Dentists; Employers; Brokers; Dental Health; Welcome to Delta Dental of Rhode Island More for Members Manage your dental benefits using our secure online tools. All dental benefit carriers are required to use and accept the CAQH form for credentialing Ohio dentists. Dental Benefit Plans for Employers and Groups. COVID-19 Announcement. Your ID number is a 2-18 combination of letters and numbers. In Texas, Delta Dental offers dental provider organization (DPO) plans. Do not avoid getting dental care based on the cost information provided on this website. 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. If you need more information, you will need to provide a benefit verification number (provided by Dentist Connection or Faxback). 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. Delta Dental Plan Addresses and Phone Numbers. Delta Dental of Illinois will not provide benefit rundown information through a live representative by phone. 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. Required Documents- Check that all the information you provide is current (e.x. The Content on this website is not medical advice. Please be sure to mail all requested information. If you have insurance through an employer*, please select the state where the company’s headquarters are located. Northeast Delta Dental administers dental benefits to more than 880,000 people in Maine, New Hampshire, and Vermont and designs programs for organizations of all sizes and people with no access to employer–sponsored dental insurance programs. (This will be the TIN used when filing claim forms). How can I request an extension or confirm that Delta Dental has received my submission? 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. 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. Please note that you must submit a separate application for each state in Northeast Delta Dental’s territory in which you practice. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. For any claims or eligibility questions, fill out the customer service online form or call 800-872-0500. You can expect to receive a participation packet within 10 business days. LIBERTY Dental Plan conducts all verifications, background, malpractice, government sanction checks and a Credentialing Committee review on each network provider prior to approval. Delta Dental's Customer Service Department (group) P.O. For your convenience, … Dentist Hotline. Affiliate dental plans for membership, federal and state government programs. Dental Customer Service: 888-217-2365 | Dental Professional Relations: 888-873-1393 Get more contact details. Activities for Kids; Recommended Resources ; Teaching Tools; Oral Health Articles; Oral Health Rack Cards; LifeSmile Score; LifeSmile Wellness. Individuals & Families Members Dentists Brokers Employers. A copy of current professional liability insurance policy that indicates carrier name, policy number, expiration date, and policy limits. Representatives are available Monday through Friday from 7 am to 8 pm, Central Time, and Saturday 10 am to 3:30 pm, Central Time. Find the one that’s right for you. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! A copy of current valid anesthesia license (if applicable). Delta Dental of New Jersey is a part of Delta Dental Plans Association. For the hearing impaired: TDD: 1-800-659-2656 For Spanish-speaking assistance: Para asistencia en español llame al 1-800-610-0201. To accomplish this, we credential new Delta Dental dentists and conduct re-credentialing of contracted dentists at least once every three years. AL, CA, DC, DE, FL, GA, LA, MD, MS, MT, NV, NY, PA, TX, UT and WV. The dental office needs the subscriber/member ID number, their full name and date of birth, group number, and the subscriber's mailing address. National Dentist Line: Have a question? Delta Dental of New Jersey is a part of Delta Dental Plans Association. Delta Dental PPO. Delta Dental of Tennessee is a part of Delta Dental Plans Association. Important COVID-19 updates for enrollees and providers. This new capability, developed for us with DentalXChange, simplifies recredentialing for you. 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 … A Message About Delta Dental of Missouri’s Coronavirus Preparedness . Alternatively you may email mncredentials@mydeltadental.com to begin the electronic process. Delta Dental has affordable individual dental plan options available for you. or family dental plan? Connect with your Delta Dental company to learn more. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Oral Health Grin! DeltaCare Plan Members: 800-942-3772. The data is based on actual, non-discounted charges that providers have billed. Box 9304 Minneapolis, MN 55440-9304 FAX: (toll free) 866-286-8840 QUESTIONS? What's my ID number and where can I find it? Credentialing Contact Information – Name, phone number, email address. Here are the benefits of creating an account. 5325, during business hours. Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 Phone – 603-223-1000 Fax – 603-223-1033 Email – credentialing@nedelta.com Northeast Delta Dental Re-Credentialing Application Instructions: 1. Missing documents will delay processing. 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 of Connecticut, Inc. is a licensed insurer that writes dental coverage on an insured basis. You must be a licensed, practicing dentist meeting our credentialing requirements. Work with us … Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Information regarding the Cost Estimator content. … At Delta Dental of Wyoming, we can customize or match a dental plan to meet your group’s needs. Northeast Delta Dental Credentialing and Re-Credentialing Application Instructions: 1. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. This document supplements the Delta Dental Premier program Participating Dentist Agreement between Delta Dental of Tennessee (DDTN) and the Dentist and states the terms of the Dentist’s participation in DDTN’s Delta Delta Dental Foundation opens $500,000 COVID-19 Emergency Assistance Fund to address needs of dental clinics and nonprofits in Michigan, Ohio and Indiana. Preventive services are included in this tool. It is for precisely this reason that DenteMax requires credentialing before a dentist is accepted into the network, and then requires re-credentialing … For DeltaVision ® Customer Service, click here. Toll free: 800-451-1249 x61160. Complete, sign and email the Participating Dentist Agreement, PPO amendment and accompanying forms to the address contained in the information packet. Contact information, including phone number, email address, and mailing address for Delta Dental locations across the United States For example, if you were last credentialed in 2017, you’ll be recredentialed again in 2020, using DentalXChange. Call (toll free) 800-328-1188 x4170 Notice of Applicant’s Right Delta Dental works to ensure you receive the best possible service. Missing documents will delay processing. 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. If you haven’t already, register an account with us to begin accessing plan information and coverage details- wherever, whenever! Please be advised, that a site review may be required as part of the recredentialing process for the governmental sponsored programs. 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. Some dental procedures require preauthorization, for example, … Beneficiary Services. How much is it going to cost? The credentialing form must be filled out and returned to Delta Dental as a part of your participating agreement. Delta Dental is America's largest and most trusted dental benefits carrier. Delta Dental of Washington is a part of Delta Dental Plans Association. We give you exposure to the nation’s largest dental insurance customer base, provide easy administration, pay you directly when treating Delta Dental patients and provide quick, accurate claims processing—so you’ll be paid promptly and easily. 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. Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. Group Plans. Welcome to Delta Dental of Oklahoma . All Rights Reserved. Throughout the process, we will be contacting you. 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. Therefore, it is always best to confirm information with your health care professionals. Please contact the Delta Dental company below for more information. We have discount and fully insured plans to fit your needs. Credentialing Requirements . Contact us. 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. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Dental plans in Alaska provided by Delta Dental of Alaska. Delta Dental of Tennessee 240 Venture Circle Nashville, TN 37228. Dental Customer Service: 888-217-2365 | Dental Professional Relations: 888-873-1393 Get more contact details. The information and content (collectively, "Content") on this website is for your general educational information only. Members have peace of mind when choosing a DenteMax dentist because the DenteMax network is made up of the best dentists in the nation. 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). 11. For billing and eligibility questions, please use the contact information below. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Look for an email from DentalXChange when it’s nearing time for your next recredentialing. This site is meant to help you learn about plans and healthcare for you and your family. 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. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. About Us Foundation Press Hours of Operation. Email to: pr-dcusa-west@delta.org. ALABAMA (see DDIC - Georgia) (800) 322-7976 www.deltadentalins.com . Phone (Monday through Friday, 7:30 a.m.–5 p.m.): 303-741-9300, Option 2 Email: individual@ddpco.com. 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. 800-524-0149 (TTY users call 711) Medicare Advantage member customer service General information regarding your health care. Oral Health & Wellness Community Service. Delta Dental maintains a file of your credentialing information. Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. If something does not pertain, indicate N/A. 800-423-0507. http://www.denti-cal.ca.gov. Delta Dental has the largest network of dentists nationwide. LifeSmile Wellness. Denti-Cal Customer Service for Beneficiaries and Providers. LifeSmile Wellness. Phone: 617-886-1160. Delta Dental has affordable individual dental plans available for you. These individuals have purchased a Delta Dental plan for themselves and/or their families through Connect for Health Colorado. You can find it on your ID card. How to become a … This is a Delta Dental National Directory to assist your office in servicing your DeltaUSA patients in other states. Delta Dental is the nation’s largest, most experienced dental benefits carrier, and provides coverage to more than 73 million people across the nation. Health information changes quickly. Please call 1-800-448-3815 and select credentialing from the list of options. Through our national network of Delta Dental companies, we offer dental coverage in … To begin using the Dental Care Cost Estimator tool, click the Agree button below. 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 … 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. 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. Please scroll down and accept to proceed. Includes Delta Dental of Pennsylvania (Pennsylvania and Maryland), Delta Dental of Delaware, Inc., Delta Dental of the District of Columbia, Delta Dental of New York, Inc., and Delta Dental of West Virginia, Inc. 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. *Not sure where your company is headquartered? Delta Dental will verify Professional License(s), Certifications and Education experience. General customer service. 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. ALASKA (see DDIC - Georgia) (800) 453-5577 www.deltadentalins.com. Monday – Friday, 8:30 a.m. to 4:30 p.m. EST. Call the National Dentist Line at 1-800-451-7715. Claims will be processed when received according to your plan provisions. 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" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Please be sure to mail all requested information. Delta Dental has partnered with DentalXChange to bring you online recredentialing Your entire recredentialing process with Delta Dental of New Jersey & Connecticut will now take place online . If you have a question regarding the participation status of a specific dentist who does not appear in this directory, please contact the dentist or your Delta Dental. Through our national network of Delta Dental companies, we offer dental coverage in … Dentist Membership and Participation Agreement (Delta Dental Premier) Delta Dental PPO MAIL CREDENTIALING APPLICATION TO: Delta Dental of Nebraska Attn: Credentialing P.O. Refer to your benefit plan to determine whether preventive services are covered for you. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. The process of obtaining a Medicaid registration number through DHS can generally take up to 45 days. Delta Dental of Oregon is a part of Delta Dental Plans Association. Best of all, the process is quick and easy! Aetna Dental Encounters P.O. Important telephone numbers and addresses . Resource page for Delta Dental of Nebraska providers. Helping You Keep Your Employees Smiling. Delta Dental strives to maintain an accurate and up-to-date dentist directory, but it is always useful to verify the participation status of the particular dentist. Additional Websites and Services. Keep your oral … Follow Us On Social Media. 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. 240 Venture Circle Nashville TN 37228 Fax: 615-742-6940 Keeping your smile healthy is an important part of keeping your body healthy. 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. AppCentral gives providers the ability to easily and efficiently complete credentialing and recredentialing applications and sign network participation agreements. If you have any questions, please call our Professional Relations Department at 888 … Contact your company's human resources department. These plans make it easy to receive Delta Dental coverage and protect your health. © Copyright 2020 Delta Dental Plans Association. Delta Dental Patient Direct coverage is not available in all 50 states. ddic.delta.org, DE, DC, MD, NY, PA, and WV: email to DDPDentist_Services@ You can apply to re-join under the terms of the current dentist agreement and you must meet all the credentialing criteria. Specialists must include a copy of their residency/specialty certificate during the initial credentialing process. Important addresses All dental encounters. CLAIMS/PAYMENTS . All of those matters are things that you should decide, in consultation with your dental care professionals. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Please respond quickly. If you already have coverage through Delta Dental of Colorado, please use the contact information below. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Please keep this information close by so you can refer to it when necessary. Delta Dental of North Carolina is a part of Delta Dental Plans Association. 3. Estimates may vary depending on your benefit plan and the state you live in. Box 14530 Lexington, KY 40512. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. In some states, compensation is similar to our fee-for-service network plans. Check out our Website FAQs to get some answers. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. 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