Coronavirus Emergency Assistance Fund Delta Dental Foundation opens $500,000 COVID-19 Emergency Assistance Fund to address needs of dental clinics and nonprofits in Michigan, Ohio and Indiana. I receive dental insurance through my employer. Delta Dental works to ensure you receive the best possible service. After confirmation of the receipt of your application, you should receive your NPI via e-mail within one to five business days if you submitted the application online. Skip to main content Important COVID-19 updates for enrollees and providers National Plan and Provider Enumeration System and follow the instructions to complete the application. Maximum contract allowances are the total reimbursement amounts, under the enrollee’s benefit plan, on which Delta Dental calculates its payment and the patient’s financial obligation. Want to know before you set foot in the dentist’s office? P.O. Delta Dental member companies, please check how they prefer to register your NPI. Your dentist may be a Delta Dental dentist, but may not participate in the Delta Dental PPO network. General customer service. All of those matters are things that you should decide, in consultation with your dental care professionals. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Delta Dental of Michigan, Ohio, and Indiana has committed nearly $90 million in relief to support dentists, customers and nonprofits through pandemic. Connect with your Delta Dental to learn more. Automated system is available 24/7. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. The results of the 2020 election of directors to the Board of Directors of Delta Dental of Missouri were announced at its Annual Membership Meeting on Friday, November 20, 2020. Delta Dental has the largest network of dentists nationwide. Password? Box 997330. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Search for a network dentist near your home or work. Please scroll down and accept to proceed. OKLAHOMA P.O. All individual health care providers (including dentists) and organizations such as clinics and group practices are eligible to obtain an NPI. Here are the benefits of creating an account. Resource page for Delta Dental of Nebraska providers. Faxes are not accepted. Estimates should not be construed as financial or medical advice. Please call Delta Dental Provider Services at 800-356-7586. We apologize for any inconvenience this may cause. Monday through Friday, 8:30 a.m. to 8 p.m. Refer to your benefit plan to determine whether these requirements apply to you. ), you are responsible for submitting an update to the NPPES within 30 days of the change. Keeping your smile healthy is an important part of keeping your body healthy. 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. Your actual cost may be higher or lower than the estimate for various reasons. Box … Claims will be processed when received according to your plan provisions. 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). Obtaining your NPI is simple and once obtained, it stays with you for life. The data is based on actual, non-discounted charges that providers have billed. To obtain your NPI, simply go to the
Let Delta Dental help our more than 80 million members find their way to your office. Delta Dental Patient Direct vision, hearing and pharmacy providers Great savings … Delta Dental of Oklahoma provides secure access to the tools you need to put Delta Dental to work for you and your patients. Refer to your benefit plan to determine whether these requirements apply to you. Delta Dental Patient Direct ® discount card. Get started here. The national network of Delta Dental companies protects more smiles than any other insurance company. However, some health plans may choose to require NPIs on all transactions. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Automated system is available 24/7. Preventive care coverage varies by plan and by demographic considerations such as age. 800-524-0149 (TTY users call 711) Medicare Advantage member customer service Notice Today, Friday, December 11, 2020, Customer Service will be closing at 11:30 AM ET. There are two types of NPIs: Type 1, for individual health care providers, such as dentists and hygienists, and Type 2 for incorporated businesses, such as group practices and clinics. General customer service. 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. Do you use the Internet to obtain eligibility and benefits information or check on the status of claims? Box 548809 Oklahoma City, OK 73154-8809 (800) 522-0188 www.deltadentalok.org. An NPI is required by the federal Health Insurance Portability and Accountability Act (HIPAA) for electronic transactions. Call toll-free: 888-335-8227 (TTY/TDD 711) Monday through Friday between 8:00 am and 8:00 pm, Pacific time. General information regarding your health care. The NPI contains no embedded intelligence – no coding that would identify the dentist’s state or license number, for example. 1022 Portland Road, Suite 2 Saco, ME 04072-9674 207-282-0404 Fax 207-282-0505. Do you submit claims attachments electronically? By which methods can I submit claims? On a standard ADA Dental Claim Form (#J400), the treating dentist’s NPI is entered in field 54 and the billing entity’s NPI is entered in field 49. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Preventive services are included in this tool. Use new claim forms that accommodate the NPI by providing a specific space for it. Do not avoid getting dental care based on the cost information provided on this website. Some, but not all, of the providers within the Ohio State Dental Faculty Practice are in the Delta Dental PPO or Delta Premier network. Sacramento, CA 95899-7330. © Delta Dental. Let Delta Dental help our more than 80 million members find their way to your office. Simply submitting it on a claim will not ensure that it's entered into the Delta Dental system. Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 www.deltadentaloh.com Payer #DDPOH Delta Dental of Oklahoma P.O. For Delta Dental PPO, DPO and Delta Dental Premier claims. Patients can save more than 35% on average by visiting a Delta Dental PPO network dentist compared to the fee the dentist would typically submit for a claim. Now that you’ve enrolled with Delta Dental for FEDVIP dental coverage, make the most of your plan with these simple steps. Finding a dentist has never been easier. It is simply a random number that does not expire. More Americans choose Delta Dental than any other dental insurance provider. DELTA DENTAL OF OHIO P.O. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. If you answer “yes” to any one of the following questions, you are considered a “covered entity” under the NPI standard and are required by federal law to obtain an NPI. This website shows estimates of certain dental care costs. All Rights Reserved. OHIO (see Michigan) (800) 529-0419 www.deltadentaloh.com. 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. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Example:
Contact your company's human resources department. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Find a dentist. That’s why most dentists choose to work with Delta Dental to protect their patients' smiles. Complete the application and follow instructions to submit either online or by mail. Delta Dental's individual plans give people access to quality dental benefits at an affordable rate. 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. 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. 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. Monday through Friday, 8:30 a.m. to 8 p.m. Find the one that’s right for you. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." 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. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Every health care provider transmitting health information in connection with a standard transaction in electronic form must obtain an NPI. Delta Dental of Arkansas is a part of Delta Dental Plans Association. Therefore, it is always best to confirm information with your health care professionals. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! There are several ways to submit claims to Delta Dental of Idaho. Online: We provide free claims submission online. Health information changes quickly. How much is it going to cost? Send it to your local Delta Dental by e-mail, fax or U.S. mail: For other
Predetermination of Expense Upon your request, Delta Dental will determine benefit coverage prior to you receiving dental service(s) if the course of treatment is expected to be $200 or more. If any data related to your NPI changes (name, address, etc. Delta Dental Plan of VT. 12 Bacon Street, Suite B Burlington, VT 05401-6140 802-658-7839 Fax 802-865-4430 The information and content (collectively, "Content") on this website is for your general educational information only. Find a Dentist. 2020 ELECTION RESULTS ANNOUNCED FOR BOARD OF DIRECTORS OF DELTA DENTAL OF MISSOURI. National Provider Identifier (NPI) Delta Dental recommends that all dentists obtain and use a National Provider Identifier (NPI). Have a question about coverage or looking for dental insurance? 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. For more information on becoming a network dentist, enter the state where you practice. For a complete description of the details of your coverage, please refer to your coverage documents. Delta Dental of Ohio P.O. Box 40384 Portland, OR 97240-0384 (800) 852-5195 www.odshealthplans.com. Delta Dental's Customer Service Department for Dentists. You will be directed to your local Delta Dental website. Member login or account registration to view plan information, download forms, view claims, and track dental activity. Enter the NPI of the billing dentist or dental entity, as well as the treating dentist’s NPI (if they are different). None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. OREGON ODS HEALTH PLAN P.O. However, we strongly encourage you to get one, because you can use it as a single unique identifier with all payers. NetMinder Dental Network Trend Report, March 2018. National Plan and Provider Enumeration System, Your Tax Identification Number (TIN, EIN or SSN), Medicare Fraud Waste and Abuse Attestation, Communicate With Your Patients Who Speak Another Language, Register your National Provider Identifier (NPI), English to Spanish phrase guide for dentists, Continuous Orthodontic Coverage Form for DeltaCare USA, Type 1 only, if claims are transmitted in the dentist's name and social security number, Individual dentist at one practice location, Type 1 for the dentist and Type 2 for the practice, if claims are transmitted in the practice’s name and Tax Identification Number (TIN), Type 1 for each dentist and Type 2 for the practice, if claims are transmitted in the practice’s name and TIN, Type 1 for each dentist and Type 2 for each practice with a separate TIN, Eliminates the need to maintain and match identification numbers to specific payers for transactions, Allows you to relocate your practice or change specialties without requiring new identifiers from multiple payers, Helps reduce costs and simplify health care transactions, Contributes to more efficient coordination of benefits, A 10-digit random number unique to each health care provider or organization, An NPI contains no coded information about the provider or organization, A permanent identifier that does not change over time or expire, A replacement for other identifying numbers currently used in electronic transactions, such as the Medicaid, Blue Cross and Blue Shield, UPIN, CHAMPUS and certain other "legacy" numbers, Not a replacement for social security numbers, DEA numbers, taxpayer ID numbers, taxonomy (specialty) numbers or state license numbers, Issued by the government through a third-party group, the National Plan & Provider Enumeration System (NPPES), which is responsible for processing applications and assigning numbers. These plans make it easy to receive Delta Dental coverage and protect your health. The federal Health Insurance Portability and Accountability Act (HIPAA) requires you to obtain an NPI if you submit claims electronically or if you check claims status or access patient eligibility and benefits information online. ... Ohio and Indiana are eligible to receive a $1,000 credit to Henry Schein. The NPI replaces other identifying numbers used in electronic transactions, such as: The NPI will
Delta Dental has affordable individual dental plans available for you. Delta Dental recommends that the NPI be used on all claims. Contact information, including phone number, email address, and mailing address for Delta Dental locations across the United States Mailed applications may require up to 20 days to process. The Content on this website is not medical advice. Delta Dental Premier is the largest dentist network nationwide, based on total unique dentists. Estimates may vary depending on your benefit plan and the state you live in. Viewing your eligibility information online. Box 548809 Oklahoma City, OK 73154-8809 800-522-0188 www.deltadentalok.org Payer #22229 and CDOK1 Delta Dental … 5 You know you will receive quality care because all dentists in our network are credentialed to make certain they meet or exceed our requirements. Refer to your benefit plan to determine whether preventive services are covered for you. ... Delta Dental Medicare Advantage and Delta Dental Patient Direct coverage are not available in all 50 states. ... A 10-digit random number unique to each health care provider or organization ; ... Delta Dental, Attn: DNAC, P.O. On claims, the Type 2 NPI identifies the payee, and may be submitted in conjunction with a Type 1 NPI to identify the dentist who provided the treatment. Connect with us. 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. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! Delta Dental Plan of ME. Dentists are encouraged to seek their own legal advice about how the NPI pertains to their practices and circumstances. 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. Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 deltadentaloh.com Payer #DDPOH DELTA DENTAL OF OKLAHOMA P.O. Delta Dental works to ensure you receive the best possible service. × Find My Delta Dental. Through our national network of Delta Dental companies, we offer dental coverage in … If you are a Delta Dental PPO TM 1 enrollee, check the Delta Dental Premier ® network. 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. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Locate a network dentist for your Delta Dental plan in FEDVIP and save on your out-of-pocket costs. © Copyright 2020 Delta Dental Plans Association. Delta Dental Patient Direct dentists Delta Dental Patient Direct has more than 4,000 participating dentists in Michigan, Ohio and Indiana. PUERTO RICO P.O. Delta Dental Annual Report, Oct. 2019. Dental Office Tools We make it easy for you and your staff to find the information you need. Information regarding the Cost Estimator content. Looking for an individual or family dental plan? PENNSYLVANIA One Delta Drive Mechanicsburg, PA 17055 (800) 932-0783 www1.deltadentalins.com. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Call toll-free: 800-422-4234 (TTY/TDD 711) Monday through Friday between 5:00 am and 6:00 pm, Pacific time. Please register your NPI with Delta Dental by providing us with a copy of the confirmation containing your NPI that you receive from the National Plan & Provider Enumeration System (NPPES). Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. LifeSmile Wellness. Delta Dental is here to help you find a dentist. The information provided here is for educational purposes only and should not be interpreted as legal advice. *Not sure where your company is headquartered? Box 54709 Oklahoma City, OK 73154-1709 800-522-0188 deltadentalok.org Payer #22229 or CDOK1 DELTA DENTAL OF OREGON 601 SW 2nd Avenue Portland, OR 97204-3154 The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Visit a dentist in your network to get the most savings. The national network of Delta Dental companies protects more smiles than … 800-524-0149 (TTY users call 711) Medicare Advantage member customer service If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Delta Dental … Whether it’s inquiring about a patient’s eligibility or accessing the online tools that make your practice run easier – Delta Dental of Oklahoma is your solution. The national network of Delta Dental companies protects more smiles than any other insurance company. Once you’ve registered your NPI with Delta Dental, you should begin using it on claims. One Delta Drive PO Box 2002 Concord, NH 03302-2002 603-223-1000 Fax 603-223-1199 Print Driving Directions . To get started in viewing your eligibility and benefits information, follow our easy, three-step registration process to log in to this web site. Simply click on the Claims option after logging in to the secure Dentist section of our website and then click "Submit New Claim." Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Delta Dental recommends that all dentists obtain and use a National Provider Identifier (NPI). The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. If you don’t conduct any electronic transactions governed by HIPAA, you aren’t required to obtain an NPI. Username or
Delta Dental of Iowa is a part of Delta Dental Plans Association. Forgot
not replace these numbers, which are used for purposes other than general identification: The NPI Enumerator will help you with your NPI application and to update your information in the NPPES. NPIs are issued by the National Plan & Provider Enumeration System (NPPES). Delta Dental Plan of NH. Check eligibility, benefits and claims status. We have discount and fully insured plans to fit your needs. Find a dental plan (This might require you to upgrade your software.). You may be responsible for the cost of procedures or services not covered by your plan. Sign in to review your dental plan information including claims history, eligibility, and additional member tools. One that ’ s state or license number, for example deltadentaloh.com Payer # Delta. Of MISSOURI dentists ( available in the 50 states claim forms that accommodate the NPI contains delta dental ohio provider number! Me 04072-9674 207-282-0404 Fax 207-282-0505 now that you have with your health care.! 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