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Dental 4 Less – How Do I File a Dental Claim 

I have a Delta Dental PPO insurance plan through work. I just used it for the first time yesterday. I got my regular check-up and cleaning. Lucky for me, that was all I needed to do. After having my dental cleaning, I was told I needed to pay the bill in total, which was $175.00.

I did not understand this because I told them my insurance plan with Delta Dental states they pay 100% for the services I just had. I told them I agreed that I had a $50.00 deductible, which I thought they would bill me for after my insurance company paid the claim.

I was told it was up to me to file a claim to get back my money from Delta Dental. I thought that was part of the dental office job. I am upset but glad I had the $175.00 to pay for my work. How do I file a claim with Delta Dental? I have never had to do that before, but I would like to get it to them ASAP to get my money back. Thanks for the help.

Reply:  The dental office should fill out the claim form for you as they know the ADA codes and services they provide. If they did not do that for you, ask them to do so. You are not wrong in understanding how dental offices bill you after the insurance company pays them, but only a few are willing to do that. Many more dentists want to get paid for their services and not wait for payment. Where you went wrong is that you should have asked the dental office staff about payment and how they handle filing claims before having any dental services rendered so that you don’t have ugly surprises you don’t want. 

To file a dental claim with Delta Dental, you can follow these simple steps:

1. Obtain a claim form from the Delta Dental website or your insurance provider.

2. Fill out the form completely and accurately. Remember to sign and date it.

3. Attach any necessary documentation to the claim form, such as receipts or invoices.

4. Mail the completed claim form and documentation to the address provided on the form or submit it online through the Delta Dental website.

Keeping a copy of the claim form and any documentation for your records is always a good idea. Once Delta Dental receives your claim, they will review it and process the payment according to your insurance plan.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        

Posted on Thursday, Feb. 15th 2024 2:36 PM | by Gina | in Dental Insurance | No Comments »

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