Frequently Misused Dental Procedure Codes
Dental offices and dental plan administrators like Delta Dental use a common language, the ADA’s CDT codes, to communicate with one another on claim...
Benefit Determinations for D4355, D4346, D4341, D4342
The following are guidelines and policies for benefit determinations for D4355, D4346, D4341 and D4342.
D4355: full mouth debridement to enable a comprehensive oral evaluation...
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...
How Your Dental Practice Can Benefit from Free PreViser Risk Assessment...
PreViser Corporation, the leader in digital oral health risk assessment technology, offers all Delta Dental member dentists unlimited free access to its state-of-the art,...
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...
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...
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...
Corrected Claim Submission Process
No one is perfect. Mistakes are made by everyone. This is true for the submission of claims to Delta Dental of Missouri. The wrong...
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...
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...
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 –...
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...
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....
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...
Summary of 2020 CDT Code Changes
The CDT updates for 2020 include 37 new codes and seven code deletions. Please see link below for a summary of the changes. Please...
Delta Dental Workshops Offer CE Credits
There will be several opportunities this year to attend one of Delta Dental of Missouri’s free seminars. Educational seminars are open to all Delta...
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...
New Online Credentialing System Makes Process More Efficient
Delta Dental of Missouri is launching an online credentialing system to make the process more efficient for providers. The new tool, DDS Enroll by DentalXChange,...
There’s Still Time to Meet Goal for Dental Health Metrics
It’s the last quarter of the year, and there is still time to sign up for Dental Health MetricsTM. If you are already signed...
Your Vital Role Helping People Live Their Best Lives
It was sobering. Heart-wrenching. Humbling. And inspiring. It was the story told by our opening speaker at Delta Dental of Missouri’s futureFOCUS2019 Conference in...
Participating Dentists Receive Incentives with the Dental Health Metrics Program
Congratulations on a job well done!
Delta Dental of Missouri would like to say thank you to all dentists who participated in the Dental Health...
Tips for Successful Claims Submission
Here are tips for claims submission to help ensure efficiency and success.
Tax Identification Number (TIN)
Submit all claims using the billing dentist or dental entity...
Notice of Terminology Change for Delta Dental Plans
Effective January 1, 2020, please note the following terminology changes for all Delta Dental plans. The term “disallow” will be replaced with “not billable...
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...
Free Delta Dental Workshops in 2020
There will be several opportunities this year to attend one of Delta Dental of Missouri’s free seminars. Educational seminars are open to all Delta...
User Guide for Provider Contracting and Re-Credentialing
Click here for a user guide that provides step-by-step instructions with screenshots for the newly launched DDS Enroll online credentialing system. DDS Enroll by DentalXChange...
Earn CE Credit at Delta Dental Workshop
Earn CE credit by attending one of Delta Dental of Missouri’s free seminars. Educational seminars are open to all Delta Dental of Missouri participating...
The Value of Delta Dental PPO Participation
More than 1.5 million Missourians are insured with Delta Dental and over 90% of insured enjoy a PPO benefit plan design.
Delta Dental of Missouri...
Dental Health Metrics Program Continues in 2020
Last year, Delta Dental of Missouri launched a new program called Dental Health MetricsTM that provides participating Delta Dental dentists with an online tool to...
Re-Credentialing Reminder for 2020
In 2020, if re-credentialing is necessary, you will receive a notification in the mail. Delta Dental of Missouri has partnered with DentalXChange to offer...
Look for More Delta Dental Workshops in 2020
This year, Delta Dental of Missouri held free seminars in Springfield, Belton and Fenton. Attendees earned CE credit. Here are some comments from attendees:
“Very...
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 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...
Elevate Your Practice with Dental Health Metrics
Sign up is still available for our new program called Dental Health MetricsTM. The program, launched this year, provides participating Delta Dental dentists an...
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...
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...
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...
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...
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...
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...
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...
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...
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 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...
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...
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...
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...
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...
