Filing a Claim



In order for claims to be considered eligible expenses under the Plan, the claim must be submitted within 12 months from the date of service.

Access dental claim form via Delta Dental of Kansas' website.



In-Network Providers

When you go to an in-network provider the provider will submit your claim directly to Delta Dental for processing.

Out-of-Network Providers

If you visit a non-participating dentist, you may be required to submit a claim form for the services rendered and possibly pay the entire amount up front. In all instances, when a non-participating dentist renders services, any payment made by Delta Dental will be made directly to you, the subscriber. Visit Delta Dental of Kansas’ website to obtain a claim form or call Delta at 1-800-234-3375.

When you go to an out-of-network provider for dental services, you may be responsible for the difference between the full cost (amount billed) and Reasonable and Customary charge (maximum amount paid) in addition to any coinsurance amounts.

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