Frequently Asked Questions
The following are commonly asked questions by our network dentists.
What is the difference between Delta Dental Premier and Delta Dental PPO?
Many patients know they are covered by Delta Dental, however, it is important to ask under which program they are covered. Determining this in advance will enable the patient to know if you participate in their program, which will help avoid any misunderstandings.
Delta Dental Premier or Delta Dental Premier National Coverage is our traditional fee-for-service program. Participating dentists are guaranteed direct payment. Arkansas dentists will be paid based on the lesser of their submitted fee or the Delta Dental of Arkansas Maximum Plan Allowance, regardless of which Delta Dental member company processes their claim. Subscribers with Delta Dental Premier coverage have financial incentive to seek services from a participating Delta Dental Premier dentist. Participating dentists outside of Arkansas will be paid based on the allowance set by their local Delta Dental member company.
Delta Dental PPO and Delta Dental PPO National Coverage is our reduced fee-for-service program commonly referred to as a PPO. Arkansas Delta Dental PPO dentists agree to accept payment based on the lesser of their submitted fee or the Delta Dental of Arkansas PPO Maximum Plan Allowance. Just as in Delta Dental Premier, dentists file claims and receive direct payment, regardless of which Delta Dental member company processes the claim, but will be paid based on the Delta Dental of Arkansas Maximum Plan Allowance. There is a financial incentive for Delta Dental PPO patients to choose a participating Delta Dental PPO dentist. Unless the group contract specifies otherwise, Delta Dental PPO patients may choose to incur higher out-of-pocket expenses and seek services from a Delta Dental Premier only dentist. Arkansas Participating Delta Dental Premier dentists agree to file claims, accept Arkansas Maximum Plan Allowances, and receive direct payment for Delta Dental PPO patients, just as they do for Delta Dental Premier patients.
Delta Dental Premier or Delta Dental Premier National Coverage is our traditional fee-for-service program. Participating dentists are guaranteed direct payment. Arkansas dentists will be paid based on the lesser of their submitted fee or the Delta Dental of Arkansas Maximum Plan Allowance, regardless of which Delta Dental member company processes their claim. Subscribers with Delta Dental Premier coverage have financial incentive to seek services from a participating Delta Dental Premier dentist. Participating dentists outside of Arkansas will be paid based on the allowance set by their local Delta Dental member company.
Delta Dental PPO and Delta Dental PPO National Coverage is our reduced fee-for-service program commonly referred to as a PPO. Arkansas Delta Dental PPO dentists agree to accept payment based on the lesser of their submitted fee or the Delta Dental of Arkansas PPO Maximum Plan Allowance. Just as in Delta Dental Premier, dentists file claims and receive direct payment, regardless of which Delta Dental member company processes the claim, but will be paid based on the Delta Dental of Arkansas Maximum Plan Allowance. There is a financial incentive for Delta Dental PPO patients to choose a participating Delta Dental PPO dentist. Unless the group contract specifies otherwise, Delta Dental PPO patients may choose to incur higher out-of-pocket expenses and seek services from a Delta Dental Premier only dentist. Arkansas Participating Delta Dental Premier dentists agree to file claims, accept Arkansas Maximum Plan Allowances, and receive direct payment for Delta Dental PPO patients, just as they do for Delta Dental Premier patients.