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