Important COVID-19 updates and resources for dentists

Last Updated: June 23, 2020

We strongly recommend reviewing and following the latest novel coronavirus guidelines issued by the Centers for Disease Control and Prevention, American Dental Association (ADA) and your state dental association. In particular, the ADA has offered guidance for dental practices on reopening under COVID-19. We encourage you to follow the latest guidelines to ensure your health and safety and that of your staff and patients.


Return to Care supplemental reimbursement program

To help you deliver valuable care to your patients, Delta Dental is temporarily offering a $10 supplemental reimbursement for each qualifying evaluation or consultation code, starting June 22, 2020. This Return to Care reimbursement program will be available for a limited time.

The reimbursement is available to participating dentists in the following networks: DeltaCare® USA, Delta Dental PPO™ (DPO in Texas), Delta Dental Premier®, Delta Dental Federal (Legion), Medicare Advantage, excluding Medi-Cal Dental, CDPHP - NY Medicaid, HSCSN - Washington, DC Medicaid.

If you are a DeltaCare USA facility with a capitation agreement, simply submit your DeltaCare USA encounter form when treating a DeltaCare USA enrollee, and we will add $10 to the encounter fee during processing.

For other dentist networks (including DeltaCare USA dentists without capitation agreements), the reimbursement will be provided when you submit a claim for any of the following evaluation or consultation codes: D0120, D0140, D0145, D0150, D0160, D0170, D0180, D0190, D0191, D8660, D9310 and D9430.

Please do not submit code D1999 to receive this temporary supplemental reimbursement. Any charge for sterilization/infection control is not billable under any Delta Dental plan and cannot be charged to patients.

If you have questions, please email providerconcierge@delta.org for DeltaCare USA, Premier and PPO or FSPS@delta.org for Federal Programs (Legion).


Critical updates

Delta Dental of California and its affiliate companies announce partnership with Lendeavor for $200 million COVID-19 financial assistance program

Delta Dental of California has announced a $200 million loan program through a partnership with Lendeavor that will provide economic assistance and post-COVID-19 pandemic relief for its independent provider network across 15 U.S. states and the District of Columbia. Lendeavor, a leading digital lender that provides financial solutions to healthcare practices, will manage the program.

The loan assistance program, which launches April 30, 2020, features a combination of cash flow relief and interest savings, including:

  • First 12 months of interest on refinance and working capital loans covered by Delta Dental
  • Second 12 months of interest on working capital loans arranged by Delta Dental and covered by Lendeavor
  • Deferred payments for 6 months
  • Working capital up to 15% of previous year's collections, capped at $200,000
  • 126-month term, which can reduce monthly payments significantly

For more information about the loan program, qualification details and application process, Delta Dental providers can visit the Lendeavor website or call the Lendeavor program support line at 415-874-5420.

Provider Tools

Using Provider Tools is the quickest, easiest way to get claims processed, checks paid and questions answered.

  • Submit free real-time claims electronically for faster processing and payment
  • Sign up for direct deposit
  • Check patient eligibility and benefits
  • Check claim status, treatment history
  • Find answers to your questions about fees, benefits, eligibility and pre-treatment estimates

If you don’t already have a Provider Tools account, it’s free and easy to register. If you need help with registration, read the handy registration guide (PDF). Additionally, you can review Provider Tools tutorials (see “Resources” tab), including videos and articles with step-by-step instructions on claims submission, eligibility, benefits, direct deposit and more.

Teledentistry

Consider using teledentistry to assess your patients for non-emergency consults, as well as for diagnosing emergency situations, before they come into the office.

Delta Dental will accept claims for services delivered through teledentistry. Please submit claims as follows:

  • For your patient interaction, use the appropriate evaluation procedure code, such as D0140, D0170 or D0171.
  • On a separate line, also submit teledentistry code D9995 for real-time interactions (synchronous) and D9996 for text, photo or other non-live interactions (asynchronous) D0170, D0171.

Under Delta Dental policy, the fees for teledentistry (D9995 and D9996) are considered inclusive in overall patient management and are not billable to the patient. Standard dental policy will apply to the evaluation codes.