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For You and Your Practice

Updates to uniform requirements of network participation

Effective October 1, 2024, Delta Dental of Missouri has updated the uniform requirements of network participation. Click here to access your copy of the...

STL workshop a success – be on the lookout for more...

Our St. Louis provider and office staff workshop was a success. Thanks to all who joined us! Be on the lookout for future events...

Final notice – Individual and Family™ plan inquiries and claims contact...

As a reminder, all Delta Dental of Missouri Individual and Family™ plan member (ID numbers starting with 077) inquiries and claims, including all new...

Share your feedback and enter for a chance to win lunch...

We want to hear from you! Delta Dental of Missouri would like to collect valuable feedback and insights from our network dentists and dental office...

Don’t wait – join our Medicare Advantage network to care for...

Keep your patients smiling after they retire by joining Delta Dental’s Medicare Advantage network. Give them peace of mind knowing they can stay with...

Please note – Individual and Family™ plan inquiries and claims contact...

As a reminder, all Delta Dental of Missouri Individual and Family™ plan member (ID numbers starting with 077) inquiries, claims and pre-treatment estimates, including...

Register for the next workshop in St. Louis!

Provider and office staff workshops are a great opportunity to brush up on Delta Dental tools and processes, ask questions and connect with colleagues....

Important message regarding electronic claims submission

One of the external clearinghouses we work with, Change Healthcare (CHC), has experienced a cybersecurity incident. We stopped all connections to CHC while they...

Brush up on your skills – register now to attend the...

Brush up on Delta Dental tools and processes, ask questions and connect with colleagues at our next provider workshop. Join us April 5 at...

Apply today! Retain patients and grow your practice while providing care...

Keep your patients smiling after they retire by joining Delta Dental’s Medicare Advantage network. Give them peace of mind knowing they can stay with...

Dental radiographs for children and the importance of the ALARA

When considering dental radiographs for children, the ALARA (As Low As Reasonably Achievable) principle is used to limit exposure to radiation. Though x-rays are...

Provider & office staff workshop held in Branson, Missouri

We recently hosted a provider workshop in Branson, Missouri. At the workshop in Branson, we reviewed … Provider contracting Medicare Advantage network participation Our local...

Thank you for participating in the provider and office staff survey

Thank you to all who participated in the Delta Dental of Missouri survey! We greatly value your feedback and insights and will use the...

Summary of CDT code changes for 2024

The CDT updates for 2024 have been published. Please see the link below for a summary of the changes. Please note that coverage for...

New dental claim form, tips to ensure claims process on first...

The 2024 American Dental Association® dental claim form is now available. Please view the updated form here. Check out these tips and updates for your...

Retain your patients. Grow your practice. Join our Delta Dental Medicare...

Enrollment in Medicare Advantage has more than doubled over the past decade, and by 2030, it is estimated that approximately 18% of the nation’s...

Electronic payment option for your practice

Electronic funds transfer (EFT) and electronic remittance advice (ERA) are available to you to help streamline the payment process. Go to Zelis https://enroll.ach835.com/new to...

Updates to uniform requirements of network participation

Effective April 23, 2023, Delta Dental of Missouri has updated the uniform requirements of network participation to include both our commercial and Medicare Advantage...

Important EFT/ERA enrollment reminder

Electronic funds transfer (EFT) and electronic remittance advice (ERA) are available to you to help streamline the payment process. Go to https://enroll.ach835.com/new to enroll. Important...

Check benefits, eligibility, claim status and more with the national dentist...

The national dentist dashboard has a fresh new look and is your one-stop shop for information including patient benefits, eligibility, claim status and more. On...

Summary of 2023 CDT code changes

The CDT updates for 2023 include 29 new codes, 13 revised codes and two code deletions. Please see the link below for a summary...

5 tips for an efficient claims process

As we welcome the new year, we’d like to provide a few tips and reminders for an efficient claims process. Enroll in EFT/ERA For efficiency, and...

Dental Health Metrics program returns in 2023

Delta Dental of Missouri (DDMO) would like to thank all dentists who participated in the Dental Health MetricsTM program in 2022. DDMO is proud to...

New documentation needed when resubmitting claims

For the workflow processes and attention of your office staff, we would like to share the reminder that a new claim is required when...

Send provider updates and tax ID changes, keeping in mind turnaround...

When submitting provider updates, tax ID changes, and other information, please remember it can take up to 30 days for the updates to be...

Plan for 30-day credentialing timeline

As a reminder, the credentialing and recredentialing process can take up to 30 days. Please keep this timeline in mind when planning for the...

Documentation guide helps with commonly billed services

To help ensure your claims are processed quickly and correctly with the first submission, use the Delta Dental guide below. Organized by procedure categories...

Working better together with provider programs

Peer-to-peer program As a courtesy and an opportunity for a professional exchange of information, Delta Dental of Missouri (DDMO) offers dentists the ability to converse...

Go digital to streamline processes

To help streamline your office’s payment process, enroll for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA). The digital process can reduce costs...

Dentist handbook available online

You can access the Delta Dental Dentist Handbook online through our provider portal. The dentist handbook includes general policies and a complete list of...

Reminder to update profile when adding a provider to practice

If you have added another dentist to your practice, remember to add those providers to your existing profile through our provider portal. To add...

Dental Health Metrics program helps identify moderate and high-risk patients

Delta Dental of Missouri (DDMO) would like to thank all the dentists who participated in the Dental Health MetricsTM program in 2021. DDMO is...

Summary of 2022 CDT code changes

The CDT updates for 2022 include 17 new codes, six revised codes and five code deletions. Please see link below for a summary of...

Uniform Requirements of Network Participation updated

Please be aware that the Delta Dental of Missouri Uniform Requirements of Network Participation have been updated. Click here to access your copy of...

New credentialing and recredentialing requirements

Credentialing and recredentialing requirements regarding the DEA Certificate have been updated and are effective October 1, 2021. This change will be noticed when logging...

Peer-to-peer calls provide opportunity for exchange of information

The review of dental claims to determine whether or not the codes submitted for the service provided is supported by the two-dimensional image and...

Delta Dental contact information for claims and customer service

For claims, customer service or to get in touch with our professional relations team, here is the contact information you need. In addition, we...

Find information quickly and easily in the provider portal

Delta Dental of Missouri’s Provider Portal is a quick and easy way to find the information that you need when you need it. Simply...

Using the ALARA principle with radiographs for children

When considering dental radiographs for children, the ALARA (As Low As Reasonably Achievable) Principle is used to limit exposure to radiation. Though x-rays are...

Required and recommended documentation for common billed services

Ensure your claim or claims are processed correctly with the first submission. Use this as a guide for information required for commonly billed codes. Recommended...

Reduce your hold time with two self-service options

You can reduce your hold time when contacting our customer service team. Delta Dental of Missouri has two self-service options for providers that seek...

EFT/ERA information to streamline process

We want to provide you with the newest updates and information about EFT/ERA to help streamline office processes. Delta Dental of Missouri does not...

Adjudication of codes D3331 and D2955

In the fall 2017 edition of The Beacon, the American Association of Dental Consultant’s quarterly newsletter, an endodontist, William Pack, D.D.S., M.S.D., wrote an...

Improve claim processing and turnaround time

There are a number of categories of procedures that require a radiographic image to allow for appropriate claim review. The following are the most...

Summary of 2021 CDT code changes

The CDT updates for 2021 include 28 new codes, seven revised codes and four code deletions. Please see link below for a summary of...

Dental Health Metrics continues in 2021

In 2019, Delta Dental of Missouri launched a program called Dental Health MetricsTM that provides participating Delta Dental dentists with an online tool to help...

COVID-19: Impact on code submissions

Much has changed as a result of the COVID-19 pandemic. There has been much confusion regarding two vital aspects of dentistry: 1. Infection control...

Tips for successful web portal usage

Delta Dental of Missouri’s (DDMO) provider portal makes it easy for participating providers and their staff members to access patient benefits and claims data....

Network provider COVID-19 relief programs

Delta Dental of Missouri (DDMO) pivoted and quickly adapted to a very different environment with uninterrupted service to our dentists, clients and members. Many...

Extraction Policy Reminder

The following information is a reminder of our reimbursement policies concerning impacted teeth removal procedures and erupted teeth/exposed root removal procedures.  D7230 and D7240 –...