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Provider Network Descriptions

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 these plans:

  • Delta Dental PPO Plus Premier™ - Millenium Choice
  • Delta Dental PPO Plus Premier™ Dental Flex
  • Delta Dental PPO Plus Premier™ Dental Access
  • Delta Dental PPO Plus Premier™ Discover Plan

Advantages of becoming a Delta Dental Premier® dentist:

  • Access to more than 75,000 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® Membership and Participation Dentist Agreement
  • Dentist and Facility Credentialing Specialty Declaration
  • Current Confidential Fee Schedule
  • W-9 Taxpayer Identification Number
  • Statement of Dentist 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 dentists’ pre-filed fee allowance, and the maximum fee for the particular procedure code. Delta Dental of Nebraska participating dentists 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 651-406-5900 ext. 4170 or 1-800-328-1188 ext. 4170.

Delta Dental Premier® National Network

Delta Dental offers programs to national account groups. Dentists participating in the local Delta Dental Premier® network through other states make up a nationwide network of dentists. Delta Dental Premier® is the largest dental network in the country with more than 145,000 participating dentists. See if your office listing is current.

Delta Dental PPO™ Network

A Preferred Provider Organization (PPO) is available to any employer group looking for an alternative to our traditional fee-for-service dental program, and offers:

  • Additional cost savings to employer groups with options for enhanced benefits
  • 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
  • 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.
  • Provides subscribers with an employee ID card that identifies the subscriber as participating in this plan

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 Dentist 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 651-406-5900 ext. 4170 or 1-800-328-1188 ext. 4170.

Delta Dental PPO™ National Network

Delta Dental offers programs to national account groups. Dentists participating in the local Delta Dental PPO™ network through other states make up a nationwide network of providers. Our national PPO™ network has more than 89,500 participating dentists practicing in 207,000 locations. See if your office listing is current.

For network general network information for subscribers please visit our Network Descriptions page.