Important - effective September 1, 2010! Click here for a special announcement.

Important - Click here for National Provider Identifier (NPI) information

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Claims processing tips
Avoid some of the most common billing mistakes. Save time and receive your payment faster. Check out our processing tips here.

Please click here for an important message.

Training information*
Upcoming seminar training schedule
Upcoming online training schedule

Online Training presentation

• Part 1 - Print the online training presentation.
• Part 2 - Print the online training presentation, sample forms.

Click here for a program informational brochure

Enrollment application
If you are currently a DDIC provider, click here for an enrollment packet.
If you are not currently enrolled as a DDIC provider, click here for an enrollment packet. (Enrollment will apply only to participation in CHIP.)

Electronic Data Interchange (EDI)
EDI is an easy and efficient method to submit your dental claims for payment. EDI is a paperless system that uses telephone lines to transmit information between your office computer and Delta Dental State Government Programs. Advantages to using EDI include the ability to streamline your billing process and edit data for fewer rejected claims and the ability to track claims and respond more quickly to claim questions. Transmitting electronically is the most efficient way to manage your dental claims and will save you time and money. Use the forms below to enroll or call our Provider Call Center at 866-561-5891 for further information.

EDI enrollment packet

Health tips for your patients
Effective tips for good dental health
Download oral heath education brochures

Consejos de salud
Vea nuestros efectivos consejos para una buena salud dental
Descargue folletos educativos sobre salud oral

Forms and materials

Please select one

Select a form Provider handbook Fee Schedule Claim form Claim inquiry form - TX-05 - (CIF) Reorder forms Billing provider information change form Treating provider information add/change/termination Direct deposit enrollment form National Provider Identifier Notification Private Pay Agreement Private Pay Agreement (en Español)

Provider bulletins

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Select one Summer 2010 Spring 2010 Fourth Quarter 2009 Third Quarter 2009 Second Quarter 2009 First Quarter 2009 Fourth Quarter 2008 Third Quarter 2008 Second Quarter 2008 First Quarter 2008

Complaints and appeals
Complaints and appeals

Contact Delta Dental
General contact information

* Note: The provider manual section of the CD sent with your provider welcome packet may contain a formatting error on page 11 of the table of contents (page ii on hard copy). The provider manual, including the table of contents, is available for viewing on this web site.