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