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Understanding Your EOB

An Explanation of Benefits (EOB) is a document that Delta Dental may send you after you receive dental treatment. An EOB is not a bill; it explains which procedures were covered under your benefits plan, as well as any procedures that might not have been covered, and why they were not covered. To better serve you, we have created a number of helpful videos to explain some of the procedures referenced on your EOBs.

Follow these steps to view the EOB videos:

1. Enter the reference code of the video you’d like to see. 
2. Click Submit.

Video Reference Codes

Amalgam v. Composite – 115 Anesthesia – 124 Attrition – 118 Benefit Maximum – 101 Bitewing Limitation – 110 Cleanings – 111 Crown Age Limitation – 105 Crown Cosmetic – 117 Crown Limitation – 114

Crown/Amalgam Allowance – 116 Fixed Bridge – 121 Fluoride – 102 Maxillary Partial Denture – 122 No Benefit Available – 123 Oral Evaluation – 109 Pano Limitation – 108 Perio Scaling – 119 Prosthetic Appliances – 120

Restoration Repair/Replace – 112 Sealants – 104 Space Maintainer – 103 Surface Coverage – 113 Topical Fluoride Application – 107 Waiting Periods – 125 X-Rays – 106

Note: These videos contain general information about Delta Dental of Arizona policies, exclusions and limitations. Your specific benefits may vary.