Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. 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.
This is our HMO-type prepaid closed network dental plan.
Competitive compensation includes monthly capitation payments for each enrollee assigned to an office and procedural guarantees for commonly utilized procedures.
Nationwide
In some states, compensation is similar to our fee-for-service network plans.
You must be a licensed, practicing dentist meeting our credentialing requirements.
You can expect to receive a participation packet within 10 business days.
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.
Complete, sign and email the Participating Dentist Agreement, amendment and accompanying forms to the address contained in the information packet. Please be sure to mail all requested information. Missing documents will delay processing. Email to: pr-dcusa-west@delta.org
Complete, sign and email the Participating Dentist Agreement, amendment and accompanying forms to the address contained in the information packet. Please be sure to mail all requested information. Missing documents will delay processing. Email to: pr-dcusa-west@delta.org
These are our fee-for-service and HMO Medicare Advantage plans.
Our fee-for-service Medicare Advantage network dentists receive payment based on the PPO/DPO fee schedule, maximum contract allowance or amount submitted to Delta Dental, whichever is lower.
Our HMO Medicare Advantage network dentists receive competitive compensation. This includes capitation payments for each enrollee assigned to an office and procedural guarantees for commonly utilized procedures.
Delta Dental partners with Medicare Advantage plans nationwide. By joining our fee-for-service or HMO Medicare Advantage networks, you’ll have access to treat Delta Dental’s Medicare Advantage members.
You must be a licensed, practicing dentist meeting our credentialing and Fraud, Waste and Abuse compliance requirements. To get started:
Send an email to ProviderConcierge@delta.org to request an HMO Medicare Advantage participation packet or medadv@delta.org to request a PPO Medicare Advantage participation packet. You can expect to receive your participation packet within 10 business days.
As with any other eligible patient with a PPO plan, you must agree to accept the lesser of your PPO contracted fee or the fee submitted on the claim.
Submit the Participating Dentist Agreement, Appendix A and Medicare Advantage Attestation Form contained in the information packet. Please be sure to email all requested information. Missing documents will delay processing.
Fee-for-service Medicare Advantage Network: email to Medadv@delta.org.
DeltaCare (HMO) Medicare Advantage Network: email to ProviderConcierge@delta.org.
Affiliate dental plans for membership, federal and state government programs.