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Dental
Claims Submission Guidelines
When
you visit a Delta Dental dentist, you do not need to fill out a dental claim
form (your dentist will take care of that for you). However, all dental
claims for non-Delta Dental dentists should be filed with Delta Dental,
following the instructions below:
-
Download
and print the Delta
Dental Claim Form (Adobe Acrobat reader required, click here
for free download).
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Complete
Sections 1-15 of the claim form and attach a copy of the dentist's statement
of treatment, including the dentist's name and phone number. It's very
important that the statement include a description of each service the
dentist performs. Mail the claim form and dentist's statement to:
Delta
Dental
P.O. Box 997330
Sacramento, CA 95899-7330
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