Providers:
Check out our monthly must-read designed to help you stay informed, save time and focus on patient care.
Reminder: EFT required Sept. 1
Effective Sept. 1, your provider agreement will be amended to require payment via EFT (direct deposit). If you need assistance with Dental Office Toolkit™ (DOT), please call Toolkit Support at 866-356-0301. If you have other questions, please contact your professional services representative.
Reminder: Clinical criteria information
It is our policy to adopt objective and evidence-based written clinical criteria to be referenced as guidelines when the administration of member dental plans requires professional determination of the medical necessity or clinical appropriateness of dental services.
Visit our “Clinical Criteria” page to find:
- Clinical criteria for utilization review determinations (adults)
- Clinical criteria for utilization review determinations (children)
- Clinical criteria documentation (by procedure)
Enroll in National EFT
Selecting National EFT as your direct deposit payment method means you can receive direct deposit payments from Delta Dental member companies nationwide and ensures faster reimbursement. Providers who participate in National EFT will have access within their DOT account to view EFTs and EOBs for:
- Delta Dental of Arizona, Delta Dental of Indiana, Delta Dental of Michigan, Delta Dental of Minnesota, Delta Dental of Nebraska, Delta Dental of New Mexico, Delta Dental of North Carolina, Delta Dental of Ohio and Delta Dental of Tennessee
- CMS ONLY—Delta Dental of Illinois, Delta Dental of South Dakota, Delta Dental of Virginia and Delta Dental of Wisconsin
Special Healthcare Needs Benefit
Dental care is among the top unmet health needs for adults with intellectual and developmental disabilities. Delta Dental’s Special Healthcare Needs Benefit reduces barriers to care by providing eligible members with enhanced benefits, including additional dental visits, additional cleanings and treatment delivery modifications.
We offer opportunities to increase utilization of these services. Check a patient’s eligibility in DOT and sign up for our online continuing education course to learn more.
Mailing address change: Delta Dental of Missouri, Delta Dental of South Carolina
Effective Aug. 1: Providers who treat Delta Dental of Missouri and/or Delta Dental of South Carolina members and need to submit paper claims and pre-treatment estimates can do so to the following address.
Delta Dental of Missouri
PO Box 70210
London, KY 40742
To avoid payment delays, we strongly encourage providers to enroll in National EFT through DOT.
Volunteer opportunities
RAM Volunteer Corps in Cincinnati (July 11-12)
Make a direct impact by volunteering at the Cincinnati RAM clinic, providing free dental care to underserved patients. Licensed dental providers are needed to help deliver high-volume care.
TeamSmile Cleveland (July 17)
Through the power of sports, TeamSmile provides children in need with free dental treatment and preventive care. Licensed dental providers, assistants, hygienists, X-ray technicians and faculty needed!
GuardCare (July 31-Aug. 2)
The Athens City-County Health Department is collaborating with the Ohio National Guard, Ohio Department of Health, Ohio University and local partners to offer free dental care to Ohio residents.
Do you know your provider representative?
Check out the map and reach out today!
