Delta Dental of Arizona

Dentist Forms & Documents

Browse our library of forms and documents for Delta Dental of Arizona dentists and dental offices. Additional forms and resources may be available in the Dentist Connection. If you still can't find what you're looking for, please feel free to contact us.

Forms

Appeals & Grievances

Online Fillable Form

Dental Office Profile Update

Online Fillable Form

Direct Deposit for Dentists

Downloadable Form

Fee Schedule Request

Online Fillable Form

Medicare Advantage Compliance Attestation

Downloadable Form

Medicare Advantage Network Opt-out

Downloadable Form

Offshore Subcontracting Disclosure

Downloadable Form

Request Provider Support

Online Fillable Form

Supporting Claim Documentation Upload

Online Fillable Form

Additional Resources & Documents

Claim Form Tips

Informational Flyer

COVID-19 Resources & Information for Dentists

Informational Flyer

Credentialing & Recredentialing

DDS Enroll by DentalXChange

Dental Office Deals

Informational Flyer

Dentist Connection Instructions

Informational Flyer

Medicare Advantage Network Compliance

Compliance Resources for Medicare Advantage Providers

Processing Policy Lookup By CDT Code

Online Tool

On-demand Training Webinars

Fraud, Waste, Abuse & Cultural Competency

On-demand Webinar

How to Request a Fee Schedule

On-demand Webinar

Medicare Advantage Network Webinar

On-demand Webinar

First Impressions Newsletter

Each issue of our provider newsletter has info to help your dental office run more efficiently and get claims processed quickly.

View Archive

First Impressions newsletter example

First Impressions newsletter example

Our mission is to improve lives by promoting optimal oral health.

©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona.

Delta Dental of Arizona is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.

Information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment or a substitute for professional medical or dental advice, diagnosis or treatment. For even more oral health information, check out the Protect My Smile library on the Delta Dental Plans Association website.