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Experience the Delta Dental Difference

Delta Dental of Arizona is ranked as the state's no. 1 dental benefits provider year after year. Here's what makes us the leading provider of dental benefits for the past 40 years:

Extensive Networks

Four out of five Arizona dentists have contractually agreed to provide our groups and subscribers with valuable cost and quality assurances.

To encourage better oral health through timely preventive care, employees are free to choose any dentist they wish. However, they enjoy the best possible benefits of their plan and lower out-of-pocket expenses when they select a dentist who is a member of a Delta Dental of Arizona network.

Dentist Fee Database

As the largest dental benefits company in Arizona and a member of the Delta Dental Plans Association, the largest dental benefits provider nationwide, Delta Dental has the most comprehensive and up-to-date database of dentist billed charges. This database is a key component in establishing an effective Maximum Plan Allowance payment schedule.

Specialized Claims Processing

To ensure that The Delta Dental Difference is administered uniformly, Delta Dental uses a sophisticated computerized processing system designed specifically for dental claims management. The program uses more than 300 automated cross-checks when reviewing a claim. For example, the system verifies:

  • Possible duplication of services
  • A dentist's status as a member of a Delta Dental of Arizona network
  • Possible duplication of services
  • Payment only for the completed dental procedure
  • Coordination of benefits where other health or dental coverages may apply

This careful attention to detail and a thorough working knowledge of dental practices are essential for proper plan administration. They make it possible for claims payments to accurately reflect the level of benefits purchased and prevent unwarranted charges.

No Balance-Billing (Guaranteed Benefits)

Delta Dental of Arizona patients will be responsible only for deductibles, copayments, and services not covered. Any amount that exceeds the fee allowed by Delta Dental of Arizona will not be chargeable to patients.

In addition, protection from inappropriate billing is guaranteed when subscribers use a network dentist. For example, member dentists agree that charges for the following services will not be billed to the patient:

  • Repair or replace dental restorations or dental sealants that fail within 24 months
  • Local anesthesia as part of a dental procedure
  • For multiple x-rays (periapicals, bitewings, and/or panoramic) itemized separately: payment will be based on one complete series

In-Office Fee Audits

Periodically, Delta Dental of Arizona will audit network dentists to ensure that charges to our members are the usual charges, the services billed were actually performed, and that no contractual violations such as forgiveness of copayments have occurred.

Dental Case Management

To ensure that treatment meets professional standards of dental care, network dentists agree to abide by and cooperate with findings of dental consultants and peer reviews. To discourage overutilization, dentists also agree to cooperate fully with impartial utilization review programs that identify practices where treatment and costs fall outside carefully developed norms.

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