Delta Dental

Specialties

Requirements

• new patients accepted
• Must be enrolled through an employer-sponsored plan or purchase an individual plan
• Out-of-network services require upfront payment and submission of a claim for reimbursement
• Emergency dental care received outside the U.S. is covered only up to plan limits and requires translated receipts for claims
• Completed and signed claim form
• Dentist’s name, address and phone number
• Date each service was performed
• Description, procedure code and fee for each service
• List of affected teeth