General Frequently Asked Questions
- What is a Delta Dental Premier dentist and a participating dentist?
- What is a Delta Dental PPO dentist?
- If a patient is part of the Delta Dental PPO plan, what dentist can they see?
- Does ODS require x-rays be submitted with pre-determinations or claims?
- What is the relationship between ODS and Delta Dental?
- How does the Delta Dental National Provider list get updated?
- What is Dental Benefit Tracker and how do we sign up for the program?
- How can we find out what a patient's remaining benefits are for this current benefit year?
- What does the term "least costly" mean?
- How do I get information in the dentist directories updated?
What is a Delta Dental Premier dentist and a participating dentist?
A Delta Dental Premier dentist, which is the same as a participating dentist, has agreed that their charges will not exceed the plan allowance. For a list of participating Delta Dental Premier dentists, view our directory. A Delta Dental Premier dentist has also agreed to submit any necessary claims to ODS. Your office is participating, or Delta Dental Premier, if you file your fees with ODS.
What is a Delta Dental PPO dentist?
A Delta Dental PPO dentist has contracted with ODS to provide dental care to members with Delta Dental PPO plans. A Delta Dental PPO plan uses a different fee schedule than a Delta Dental Premier dentist's filed fees. A Delta Dental PPO dentist has also agreed to submit any necessary claims to ODS.
If a patient is part of the Delta Dental PPO plan, what dentist can they see?
For in-network benefits, patients must receive care from a dentist from the Delta Dental PPO Directory. For a list of participating Delta Dental PPO dentists, view our directory.
Does ODS require x-rays be submitted with pre-determinations or claims?
We prefer that you send a brief narrative along with the claim itself. Any further information, including xrays, will be requested if needed.
What is the relationship between ODS and Delta Dental?
ODS is the Delta Dental affiliate for the state of Oregon. If you have a patient with Delta Dental insurance, payment of claims will be based on your filed fees with ODS.
How does the Delta Dental National Provider list get updated?
ODS updates the National Provider list each week for Oregon providers.
What is Dental Benefit Tracker and how do we sign up for the program?
The ODS Dental Benefit Tracker is a free online service, which allows dentists and designated dental office staff to quickly verify patient eligibility, dental benefits, and claim status information directly from ODS.
Call our Dental Benefit Tracker administrator at 503-417-3197 or 1-877-337-0651 and ask to receive a registration packet. For your convenience, you can register for Benefit Tracker now by completing the Registration Process on Delta Dental's website.
How can we find out what a patient's remaining benefits are for this current benefit year?
Contact ODS Customer Service and we will review their claims history to determine how much they have remaining. You can also find this information on Dental Benefit Tracker.
What does the term "least costly" mean?
If a tooth can be restored with a procedure that is less expensive than the procedure rendered, benefits paid will be based on the procedure that costs less.
How do I get information in the dentist directories updated?
Send a message to professional relations.