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Current Location: Delta Dental Of Nebraska > Dentists > Network Descriptions
     
Delta Dental Premier Network
Delta Dental Premier National Network
Delta Dental PPO Network
Delta Dental PPO National Network

Delta Dental Premier Network
The majority of all practicing Nebraska dentists participate in the Delta Dental Premier Network. Dentists in this network provide dental care to plan subscribers who participate in Preventive, Basic, Comprehensive Standard, Comprehensive Enhanced, and Dental Flex plans. Other advantages of becoming a Delta Dental Premier dentist include:
  • Access to more than 30,000 Nebraskans who enjoy Delta Dental coverage through employee group programs
  • Automatic participation in the national network
  • Payment of claims issued directly to you instead of to the plan subscriber
  • Great marketing opportunity. Your name or practice name, phone number and address are listed in the directory available to plan subscribers, as well as online in our interactive Dentist Search
  • Online access to eligibility and claims information
Provider Participation Requirements
Any dentist licensed under the laws of any state in the United States is encouraged to become a Delta Dental Premier participating dentist. Dentists interested in participating in the network must complete the following information:
  • Delta Dental Premier Participating Membership and Participation Provider Agreement
  • Provider and Facility Credentialing
  • Specialty Declaration
  • Current Confidential Fee Schedule 
  • W-9 Taxpayer Identification Number
  • Statement of Provider Consent
  • Signature On File

Reimbursement
Payment of the dental plan is made directly to the participating dentist. The plan's payment is based on the allowed amount after deductibles and coinsurance. The allowed amount is determined by taking the lesser of the submitted amount, the providers' pre-filed fee allowance, and the maximum fee for the particular procedure code. Delta Dental of Nebraska participating providers accept the allowed amount as payment in full for services covered under the plan.

To speak with a Network Services Representative about participation in the Delta Dental Premier Network, call 1-800-328-1188 Ext. 4170.


Delta Dental Premier National Network
Delta Dental offers programs to national account groups under the Delta Dental Premier banner. Delta Dental Premier is the largest dental network in the country with more than 134,000 dentists nationwide. See if your office listing is current.


Delta Dental PPO Network
The Delta Dental PPO Network is a Preferred Provider Organization (PPO). This network is available to any employer group looking for an alternative to our traditional fee-for-service dental program. It offers additional cost savings to employer groups with options for enhanced benefits and a greater fee discount to plan members who choose a Delta Dental PPO Network Dentist. Participating in Delta Dental PPO in Nebraska includes automatic participation in the Delta Dental PPO National Participating Provider Network.

Participation in the Delta Dental PPO network requires an additional agreement between Delta Dental and the dentist. The agreement states that the participating dentist will accept payments based on the Delta Dental PPO fee maximum, which is discounted, rather than Delta Dental's standard reimbursement. Subscribers of either option will have an employee ID card that identifies the subscriber as participating in this plan. Participation in Delta Dental PPO also automatically enrolls you in the national network.

Provider Participation Requirements
Providers interested in participating in the Delta Dental PPO network must be qualified for and participating in the Delta Dental participating network.

Network Provider Reimbursement
Payment of the dental plan is made directly to the participating dentist. The plan's payment is based on the allowed amount after deductibles and coinsurance. The allowed amount is determined by taking the lesser of the submitted amount, the dentists' pre-filed fee allowance, and the Delta Dental PPO maximum allowable fee table. Delta Dental PPO dentists accept this reimbursement as payment in full for services covered under the plan.

To speak with a Network Services Representative about participation in the Delta Dental PPO network, call 1-800-328-1188 Ext. 4170.


Delta Dental PPO National Network
Delta Dental PPO is our national PPO network with more than 74,000 dentists nationwide. See if your office listing is current.


 

 

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