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Frequently asked questions

General dental FAQs

Group plans frequently asked questions

Individual plans frequently asked questions

Oregon Health Plan (OHP) frequently asked questions

General dental FAQs

What is a Delta Dental Premier dentist, and what is a participating dentist?

A Delta Dental Premier dentist is the same as a participating dentist. These dentists have agreed that their charges will not exceed the plan allowance. For a list of participating Delta Dental Premier dentists, view our directory. A Delta Dental Premier dentist also has agreed to submit any necessary claims to Delta Dental. If your office files fees with Delta Dental, you are a participating or Delta Dental Premier provider.

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What is a Delta Dental PPO dentist?

A Delta Dental PPO dentist has contracted with Delta Dental to provide dental care to members with Delta Dental PPO plans. A Delta Dental PPO plan uses a different fee schedule than a Delta Dental Premier dentist's filed fees. A Delta Dental PPO dentist also has agreed to submit any necessary claims to Delta Dental.

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If a patient is part of the Delta Dental PPO plan, what dentist can he or she see?

For in-network benefits, patients must receive care from a dentist in the Delta Dental PPO Directory. For a list of participating Delta Dental PPO dentists, view our directory.

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Does Delta Dental require X-rays to be submitted with pre-determinations or claims?

We prefer that you send a brief narrative along with the claim itself. Any further information, including X-rays, will be requested if needed.

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How does the Delta Dental National Provider list get updated?

Delta Dental updates the National Provider list each week for Oregon providers.

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What is Dental Benefit Tracker, and how do we sign up for the program?

The Delta Dental Dental Benefit Tracker is a free online service that allows dentists and designated dental office staff to quickly verify patient eligibility, dental benefits and claim status information directly from Delta Dental.
Call our Dental Benefit Tracker administrator at 503-417-3197 or toll-free at 877-337-0651 and ask to receive a registration packet. For your convenience, you can register for Benefit Tracker now by completing the Registration Process on Delta Dental's website.

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How can we find out what a patient’s remaining benefits are for this current benefit year?

Log in to the Dental Benefit Tracker to view a patient’s remaining benefits. You also can contact Delta Dental Customer Service, and we will review his or her claims history to determine how much he or she has remaining.

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What does the term “least costly” mean?

If a tooth can be restored with a procedure that is less expensive than the procedure actually used, benefits paid will be based on the procedure that costs less.

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How do I get information in the dentist directories updated?

Send a message to Delta Dental Dental Professional Relations.

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Group plans frequently asked questions

What is a Delta Dental Premier dentist?

A Delta Dental Premier dentist has agreed that his or her charges will not exceed the plan allowance. For a list of participating Delta Dental Premier dentists, view our directory. A Delta Dental Premier dentist also has agreed to submit any necessary claims to Delta Dental.

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What is the difference between a Delta Dental PPO dentist and one who is not preferred?

A Delta Dental PPO dentist is contracted with Delta Dental to provide dental care to Delta Dental members. If members receive care from a dentist who is not a Delta Dental PPO, out-of-network coverage applies. A Delta Dental PPO dentist also has agreed to submit any necessary claims to Delta Dental.

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If patients are part of the Delta Dental PPO plan, what dentist can they see?

For in-network benefits, patients must receive care from a dentist from the Delta Dental PPO Directory. For a list of participating Delta Dental PPO dentists, view our directory.

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How can we find out what a patient's remaining benefits are for this current benefit year?

Log in to the Dental Benefit Tracker to view a patient’s remaining benefits. You also can contact Delta Dental Customer Service, and we will review the patient’s claims history to determine how much he or she has remaining.

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What does the term “least costly” mean?

If a tooth can be restored with a procedure that is less expensive than the procedure actually used, benefits paid will be based on the procedure that costs less.

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Individual plans frequently asked questions

Can the individual dental plan be purchased as a stand-alone plan?

Yes. Individuals can purchase an individual dental plan. Our individual dental brochure has more information on these plans.

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How does Delta Dental determine the effective date of an individual policy?

Effective dates are always the first of the month following receipt of all underwriting requirements including premium, complete application with future payment method selection and health history information (all dates of treatment, medications and physicians).

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How does our office sign up to be an Oregon Health Plan dentist?

Oregon Health Plan (OHP) frequently asked questions

Call our Professional Relations department at 503-265-5720 or toll-free at 888-374-8905. We will send you the necessary enrollment forms.

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Can our office see a limited number of Delta Dental Oregon Health Plan members?

Yes. You may sign up for the Delta Dental Oregon Health Plan program to see just a few or even one patient.

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We're sorry, we don't currently offer dental plans in Washington. View our plans in Washington or use the dropdown at the top of the page to view dental plans in Oregon or Alaska.

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