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Delta Dental of Iowa P.O. Box 9000 Johnston, Iowa 501319000 8005440718 DENTAL CLAIM FORM ATTENDING DENTISTS STATEMENT PATIENT ACCOUNT NUMBER I PREDETERMINATION / PRIOR AUTHORIZATION I STATEMENT OF.

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Appeals should be sent to: Delta Dental of New Jersey, P.O. Box 15132, Little Rock, AR 72231. Claim submissions for members of our individual plan should still go to Delta Dental of New Jersey, P.O. Box 103, Stevens Point, WI 54481.

Employer-Sponsored Group Claims Address: Delta Dental P.O. Box 9120 Farmington Hills, MI 48333-9120 Individual and Family Claims Address: Delta Dental of Nebraska Individual and Family Claims P.O. Box 9120 Farmington Hills, MI 48333-9120 The addresses are as follows: What Does This Mean to You?

A Non-participating Dentist may require you to submit the claim yourself. You can access a claim form on our website at .deltadentalky.com or by calling Customer Service at 1-800-955-2030. Mail the completed claim forms to: Delta Dental P.O. Box 242810 Louisville, KY 40224-2810.

Jeff Russell is the president and CEO of Delta Dental of Iowa, the largest dental insurance carrier in Iowa.

Our claims processing center (and corporate office) is located at 9000 Northpark Drive, Johnston, IA 50131. Claims should be mailed to Delta Dental of Iowa, PO Box 9000, Johnston, IA 50131-9000.

How do I get dental assistance outside of the U.S.? When calling from outside the United States, contact an operator and request a collect call to (312) 356-5971. Identify yourself as a Delta Dental enrollee to the AXA Assistance representative. Operators are available 24 hours a day, seven days a week.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232