Frequently asked questions
General dental FAQs
- What is a Delta Dental Premier dentist, and what is a participating dentist?
- What is a Delta Dental PPO dentist?
- If a patient is part of the Delta Dental PPO plan, what dentist can he or she see?
- Does ODS require X-rays to 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?
Group plans frequently asked questions
- What is a Delta Dental Premier dentist?
- What is the difference between a Delta Dental PPO dentist and one who is not preferred?
- If patients are part of the Delta Dental PPO plan, what dentist can they see?
- How can we find out what a patient's remaining benefits are for this current benefit year?
- What does the term “least costly” mean?
Individual plans frequently asked questions
- Can the individual dental plan be purchased as a stand-alone plan?
- How does ODS determine the effective date of an individual policy?
Oregon Health Plan (OHP) frequently asked questions
- How does our office sign up to be an Oregon Health Plan dentist?
- Can our office see a limited number of ODS Oregon Health Plan members?
General dental FAQs
What is a Delta Dental Premier dentist, and what is a participating dentist?
A Delta Dental Premier dentist is the same as a participating dentist. These dentists have 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 also has agreed to submit any necessary claims to ODS. If your office files fees with ODS, you are a participating or Delta Dental Premier provider.
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 also has agreed to submit any necessary claims to ODS.
If a patient is part of the Delta Dental PPO plan, what dentist can he or she see?
For in-network benefits, patients must receive care from a dentist in the Delta Dental PPO Directory. For a list of participating Delta Dental PPO dentists, view our directory.
Does ODS require X-rays to be submitted with pre-determinations or claims?
We prefer that you send a brief narrative along with the claim itself. Any further information, including X-rays, 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 that 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 toll-free at 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?
Log in to the Dental Benefit Tracker to view a patient’s remaining benefits. You also can contact ODS Customer Service, and we will review his or her claims history to determine how much he or she has remaining.
What does the term “least costly” mean?
If a tooth can be restored with a procedure that is less expensive than the procedure actually used, 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 ODS Dental Professional Relations.
Group plans frequently asked questions
What is a Delta Dental Premier dentist?
A Delta Dental Premier dentist has agreed that his or her charges will not exceed the plan allowance. For a list of participating Delta Dental Premier dentists, view our directory. A Delta Dental Premier dentist also has agreed to submit any necessary claims to ODS.
What is the difference between a Delta Dental PPO dentist and one who is not preferred?
A Delta Dental PPO dentist is contracted with ODS to provide dental care to ODS members. If members receive care from a dentist who is not a Delta Dental PPO, out-of-network coverage applies. A Delta Dental PPO dentist also has agreed to submit any necessary claims to ODS.
If patients are 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.
How can we find out what a patient's remaining benefits are for this current benefit year?
Log in to the Dental Benefit Tracker to view a patient’s remaining benefits. You also can contact ODS Customer Service, and we will review the patient’s claims history to determine how much he or she has remaining.
What does the term “least costly” mean?
If a tooth can be restored with a procedure that is less expensive than the procedure actually used, benefits paid will be based on the procedure that costs less.
Individual plans frequently asked questions
Can the individual dental plan be purchased as a stand-alone plan?
Yes. Individuals can purchase an individual dental plan. Our individual dental brochure has more information on these plans.
How does ODS determine the effective date of an individual policy?
Effective dates are always the first of the month following receipt of all underwriting requirements including premium, complete application with future payment method selection and health history information (all dates of treatment, medications and physicians).
How does our office sign up to be an Oregon Health Plan dentist?
Oregon Health Plan (OHP) frequently asked questions
Call our Professional Relations department at 503-265-5720 or toll-free at 888-374-8905. We will send you the necessary enrollment forms.
Can our office see a limited number of ODS Oregon Health Plan members?
Yes. You may sign up for the ODS Oregon Health Plan program to see just a few or even one patient.
Log in to Benefit Tracker
Check benefits and eligibility
Log in to Benefit Tracker
Check benefits and eligibility
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