Fraud and Abuse Form

If you suspect any form of dental fraud or abuse and would like to file a complaint, please fill out the form below. Please send the completed form to the address listed below or by facsimile or to our email address. When completing the form, fill out as much information as possible, including name and contact information for follow-up. Contact information is not mandatory and you may choose to remain anonymous. If you have any further questions/concerns, please call toll free 800-524-0147.

Police Report Filed?:

Address: Focused Review Delta Dental Plan
PO Box 30416
Lansing, MI 48909
Facsimile: 517-381-5527 or Telephone: 800-524-0147