Planning for major dental work

If you know you'll need major dental work, we can tell you exactly what your share of the cost will be before you receive treatment.

Delta Dental can give you a free estimate, called a "pre-treatment estimate " based on your records and your dentist's proposed treatment plan. We will review your x-rays, diagnosis and coverage, and send a statement back to you and your dentist detailing what Delta Dental will pay and what your costs will be. This service is not available to DeltaCare® USA enrollees.

A pre-treatment estimate is not a guarantee of payment. When the services are complete and a claim is received for payment, Delta Dental will calculate its payment based on your current eligibility, amount remaining in your annual maximum and any deductible requirements.

Online Services

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Find a Dentist

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Forms

Claim Forms

Delta Dental PPO and Delta Dental Premier claim forms by administrator.

DeltaCare USA claim and encounter forms.

Claim forms for AARP Dental Insurance Plan.

Tip

How To File
A Dental Claim

Dentists who accept Delta Dental will file claims for you. You only need to file a claim when visiting a non-Delta Dental dentist.

Customer Service Forms

For fastest response, select the form for the company through which you receive benefits.

Grievance Forms by Program

We urge you to communicate directly with your dentist. If you cannot obtain a satisfactory resolution, file an online grievance report or call customer service.