Current Location: Delta Dental Home Page > Subscribers > Frequently Asked Questions
July 29, 2010

1. Does Delta Dental of Iowa offer a toll-free number?

Delta Dental of Iowa's nationwide toll free number is 1-800-544-0718.

2. How do I confirm that my dentist is in one of the Delta Dental networks (Delta Dental Premier or Delta Dental PPO)?

Information about your dentist's status with Delta Dental can be found in our online Dentist Search or by calling Delta Dental's toll free number, 1-800-544-0718. A call to your dentist can also confirm his or her participation in either of these networks.

3. Does Delta Dental require claim forms? Where should claims be sent?

Most dental offices (and all Participating Dentists' offices) have standardized forms.  No special claim forms are needed. Participating Delta Dental dentists will file claims for you.  Although unlikely, a non-participating dentist could ask you to file your own claim.  All claim processing is done right here in Iowa and should be sent directly to:

Delta Dental of Iowa
PO Box 9000
Johnston, IA  50131-9000

4. How will I know when my claim is processed? Who can I call or e-mail if I have a question about my claim?

If you have payment liability for any part of a Delta Dental claim, you will receive an Explanation of Benefits (EOB) that describes the services your dentist provided, the benefits that your plan covers, the payment made by Delta Dental, and the amount you owe to the dentist. If your services are paid at 100% by Delta Dental you will not receive an EOB.  If you have a question about a claim or your EOB, call our toll free number, 1-800-544-0718 or email us at claims@deltadentalia.com.

5. How does Delta Dental pay for braces?

  • Your benefits must include coverage for orthodontia in order for any payment to be made.
  • If the fee is $1,000 or less, the total charge will be considered a one-time fee and paid according to your contracted benefits.
  • If the treatment is more than $1,000 an orthodontic schedule will be established for automatic payments. The first payment considers ¼ of the charge for the placement of the braces and pays according to the contracted benefits. The balance of the charge or ¾ is divided by the number of months the dentist plans on treatment. These monthly charges are paid according to the benefits of the contract until the maximum orthodontic benefit is reached, the treatment ends or coverage terminates.
  • If braces are placed prior to coverage with Delta Dental, only the remaining months of treatment are considered for payment.

6. What is a pre-determination?

A pre-determination is a plan of treatment, completed by your dentist for services that will be provided at a future date. You and your dentist will receive a reply as to whether the treatment plan is covered under your benefits. You will also receive an estimated dollar amount for the planned procedures. A pre-determination is recommended when dental services are expected to cost more than $200. A pre-determination is valid for one year and is subject to eligibility, benefit maximums, and dentist participation at the time the services are provided.

7. What is my ID number?

In most cases your ID number is your social security number and is not shown on your ID card due to security reasons. Some employers have requested an alternate number be used for your ID number and this number will be shown on your ID card.

8. Do my check ups and teeth cleaning services apply toward my annual maximum?

In most cases, yes, these services do apply toward your annual maximum although we do have a few contracts where these services do not apply to the annual maximum.

9. Does Delta Dental offer Individual plans?

Yes, Delta Dental offers individual plans for people who reside in the state of Iowa. For information regarding these plans click here or call 1-877-423-3582 ext 3.

10. Where can I send a change of address?

Contract your Human Resources/Benefits Department and inform them of your new address. They will forward this information to Delta Dental.

11. How do I check to see if I have met my deductible and/or what is remaining on my maximum.

  • You can find this information on the Subscriber Connection. You will need to register in order to use this feature.  Click here to register for the Subscriber Connection or click here for more information.
  • This information is displayed on all of our Explanation of Benefits (EOB) forms.
  • Contact Delta Dental Customer Service at 1-800-544-0718