Dear providers:
We’ve reimagined our occasional newsletter to make it a monthly must-read full of policy updates and practical tips. Check out this month’s communication designed to help you stay informed, save time and focus on patient care.
Code D2940
Effective June 1, Delta Dental of Indiana requires the inclusion of the applicable tooth number and surface(s) for Code D2940 when submitting claims. This update is to align with the expectations of the ADA. If both the tooth number and surface(s) are not submitted for Code D2940, the claim will be denied.
For more information, please refer to Appendix 3: ADA Guide to Dental Procedures Reported with Area of the Oral Cavity or Tooth Anatomy (or Both).
New provider wait time standard
The Centers for Medicare and Medicaid Services has adopted a new provider wait time standard to ensure that new or existing patients who obtained dental coverage through the federal exchange can obtain a dental appointment with any in-network Delta Dental PPO™ or Delta Dental Premier® dentist (including specialists) within 30 business days of the patient requesting an appointment from the office. If you need help meeting this standard, please call your professional services representative.
Electronic IR and EFT
Submit and respond electronically
As of May 31, providers with an active Dental Office ToolkitTM (DOT) account are only able to submit and respond to Information Requests electronically through DOT. All other DOT functionality remains the same.
Sign up now
As of June 1, payment via EFT is required. Please sign up now to ensure continued compliance with your provider agreement and to ensure there is no delay in payments to you.
Need assistance?
If you need assistance with DOT, please call Toolkit Support at 866-356-0301. If you have other questions, please contact your professional services representative.
Next issue of Best Practice magazine
The next issue of Best Practice magazine will be published this summer. The theme, “Access into Action,” will showcase stories about how access to resources leads to real use and benefits for members and providers.
Threats averted during the Indiana legislature
The Indiana legislature ended its 2026 legislative session after an abbreviated schedule. Among the defeated measures was a bill that prohibited community water fluoridation.
Throughout the session, Delta Dental of Indiana’s Government Relations team actively monitored legislation. This session highlighted the importance of early and ongoing engagement, as healthcare is expected to remain a legislative priority for Indiana lawmakers in 2027.
