Useful forms
Find address/name change, sale of practice and TIN forms here. These change requests must be submitted in writing via mail or fax.

The Online dentist directory update form lets you add or change features to your online directory listing, including office hours, languages spoken, e-mail and web addresses for your office, your education and more.

Download and print the Delta Dental claim form free of charge.

Provider dispute form
Note: this form requires Adobe Acrobat Reader. To download the free reader, click here.

Information request form
For detailed information about a patient's claim, check status, or other special requests.

Dental health newsletter
Encourage your patients to sign up for Dental Wire, our e-mailed dental health newsletter. It’s free! Print the Dental Wire flyer with easy sign-up instructions to distribute to your patients.

Submitting claims electronically may save you money
Find out with our Electronic Claims Submission (ECS) calculator. Compare the cost of paper claims submission to the cost of submitting electronically.

Membership information
Visit this section to find out how to join Delta Dental and the benefits of membership.

Frequently Asked Questions - just for dentists
Use the menu below to retrieve the FAQ that will best answer your question.