Fee Schedule Request

Use this secure web form to request a copy of your PPO fee schedule or Premier MRA (fee schedule). Fee schedule reports are generated during normal business hours. If you do not receive the report email from Delta Dental of Arizona within 24 hours, please check your spam folder. Note: If your office has multiple specialties, please complete this form for each specialty.

Tips For Using This Tool

Does the information you entered exactly match what we have on file?
If the information you provide is different from the information we have on file, you'll receive an email asking you to try again.

How did you enter your office street address?
Use abbreviations in the Office Street Address field. For example, N (North), S (South), E (East), W (West), St (Street), Ste (Suite), 1st, 2nd, etc. Punctuation like periods or commas are assumed and are not needed for entry.

Example: 12345 N 7TH AVE STE 123
Example: 11811 E MCDOWELL RD STE 101

Questions?

Professional Relations Hours:
Monday - Friday: 7:30 A.M. - 4:30 P.M.

Toll-free Dentist Direct Line:
866.746.1834

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

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.