COVID-19 dentist information

COVID-19 Information for Network Dentists

At Delta Dental of Virginia, the health and well-being of our members, our dental care providers and our employees is our top priority. We are actively watching how Novel Coronavirus (COVID-19) is changing the way we all live and work. We are focused on ensuring that patients continue to receive oral care and treatment, and that our network dentists receive timely reimbursement for the services they provide.

We recognize that this is and will continue to be a very challenging time for you and your practice, and are committed to keeping you up to date with what's happening at Delta Dental of Virginia during this time. We will update the information on this page and send you periodic communications as the situation develops.

provider assistance programs

Provider Assistance Programs

Delta Dental of Virginia distributed $3 million to our Virginia network dentists in June. These funds were intended to provide short-term help in meeting the additional expenses you've been presented with as dental offices began reopening. Funding amounts were based on a measure of your practice’s Delta Dental of Virginia patients.

In July, the U.S. Department of Health and Human Services (HHS) also announced new federal relief for dentists impacted by COVID-19. Unlike the Delta Dental of Virginia donation, the federal funds require some action on your part. There is an application process and you will need to sign-up for an Optum number. This number allows HHS to manage the funding process, and acquiring it does not mean you are signing up for any other carrier’s network. We expect providers may have access to a significant amount of financial aid through this program, so we encourage you to investigate the options. 

Thank you for all you are doing to protect and improve the oral health of Virginians.

Important updates for provider offices

To help you better serve your patient populations during the COVID-19 outbreak, Delta Dental of Virginia is temporarily implementing the following changes.

Personal Protective Equipment (PPE)

Delta Dental of Virginia’s agreements do not allow network dentists to bill charges such as PPE to our members. Expenses relating to the cost of doing business are understood to be broadly covered via the overall fee structures for treatment. While it is our policy to treat expenses related to PPE as not billable to the patient, we understand you are facing increased costs due to new health and safety protocols. Therefore, we have created the new Provider Assistance Program to help you meet PPE expenses during this time. Learn more about this new program above.

We're covering remote exams.

To support you in seeing patients remotely, we will pay D0140 (limited oral evaluation, problem-focused) for patients seen in person or remotely through teledentistry. Please follow the guidelines below to ensure you receive payment for these services.

  • File code D0140 when performing remote exams for patients. Applicable frequency limits for evaluations, including limited and problem-focused evaluations, will remain in place at this time.
  • You may submit a teledentistry code (D9995, D9996) for patients being treated remotely. However, these are not considered reimbursable services unless already covered under a group or individual contract. To ensure payment, use code D0140 for exams performed remotely.

We're increasing your reimbursement on D0140 by 10%.

To help during this time of uncertainty, we are temporarily increasing your reimbursement on code D0140 by 10%.

We're extending the time period for appeals.

Effective immediately, we have extended the appeal window by 60 days for first and second level appeals on denied claims. This extension will continue through October 1, 2020, after which we will reassess.

dental emergency directory

Dental Emergency Directory

To help your patients get the care they need during this time, we reached out to you to determine the types of services you are currently offering.

View list

Provider Communications

Below are recent email communications related to COVID-19 that were sent to our network providers. We will update this list as communications are released.

Provider Assistance Program Update — May 27, 2020

New Provider Assistance Program — May 19, 2020

Important COVID-19 Information for providers — March 30, 2020

A message to our providers about our approach to COVID-19 — March 23, 2020

Dr. Guyton Chief Dental Officer