Dentist Resources
Office Updates Forms
- Addition of Dentist — Add a participating or non-participating dentist to an existing location
- Additional Office — Add a location to an existing Tax ID
- New Office Information Sheet — Add a location to a new Tax ID
- Address Change — For office location changes under the same Tax ID
- Tax ID Change — To transfer locations from one Tax ID to another Tax ID
- Facility Update — To update office information (phone number, email, office hours, etc.)
- Inactive Practitioner — When a dentist is no longer practicing at a particular location
Medicare Advantage Forms & Documents
- Medicare Advantage Network FAQ
- Medicare Advantage Manual/Handbook for Participating Dentists — Coming Soon
- Fraud, Waste and Abuse Training — Coming Soon
- Delta Dental of Virginia Medicare Advantage Compliance Plan — Coming Soon
- Offshore Subcontracting Attestation Form — Coming Soon
Direct Deposit (EFT) Information Form
OTHER RESOURCES
- Orthodontics — Treating Dentist Attestation
- Coordination of Benefits (COB) Form
- Opioid and pain management information
- Health Care Reform and Your Office
- Delta Dental PPOTM Has Your Patients Covered
- Why More Patients Are Choosing PPO
- Dentist Website Quick Reference Guide
- Order Individual and Family Plan™ brochures for your office here