Delta Dental
We apologize for any inconvenience caused by the recent changes in Delta Dental. If, after reviewing this information, you have questions or concerns, please don't hesitate to give us a call.
- You can absolutely continue to receive care at Villa Vista Dental.
- You can still use your Delta Dental benefits in our office.
- And we will continue to help you receive your insurance policy benefits.
- You can absolutely continue to receive care at Villa Vista Dental.
- You can still use your Delta Dental benefits in our office.
- And we will continue to help you receive your insurance policy benefits.
Yes! While we are no longer contracted with Delta Dental as an in-network provider, most Delta Dental PPO and Premier plans offer out-of-network benefits that will reimburse you directly. We are still happy to file claims on your behalf if you have Delta Dental coverage, but reimbursement will be sent directly to you by check.
Because we are now out-of-network with Delta Dental, payment is due in full at the time of your visit based on our standard office fees.
As a courtesy, our office will submit your claim to Delta Dental on your behalf. Delta Dental will then reimburse you directly according to your plan’s out-of-network benefits.
This approach allows claims to be processed efficiently while maintaining consistent care. Your total out-of-pocket cost is determined by Delta Dental and your specific plan benefits.
Delta Dental is currently the only major dental insurance carrier that does not allow assignment of benefits to dental offices for out-of-network providers. This means that instead of paying us directly for your care, they send the reimbursement check to you, the patient.
While most other insurance companies give patients the option to have payments sent to their provider, Delta Dental requires patients to pay the provider directly and then get reimbursed. This unique policy can create some additional steps for you, but we're here to help guide you through the process and make the transition as smooth as possible.
They may, but not always. Once we’re out-of-network, Delta Dental may reimburse you at a different rate than before. That means your out-of-pocket costs could change, depending on your plan and the type of procedure.
We’re always happy to provide treatment estimates in advance, so you’ll know what to expect and can plan with confidence.
Yes! We will submit your claim to Delta Dental electronically on the day of your visit whenever possible. Reimbursement will then be sent directly to you.
Many patients receive their reimbursement within 7-14 business days, though timelines vary by plan and processing requirements.
We're happy to provide a treatment estimate and can submit a pre-determination of benefits to Delta Dental upon request. Please note that reimbursement amounts and timelines are determined solely by your insurance company. However, we find that turnaround times for these estimates are often relatively quick.
We understand that this transition may raise concerns, and we want to support our established patients as they adjust.
As a one-time courtesy during this transition, we will apply a 40% adjustment to our standard office fee for your next preventive (hygiene) visit. This adjustment is intended to help approximate what many patients were previously responsible for when we were in-network, while you become familiar with how out-of-network benefits work.
Payment is due at the time of your visit based on the adjusted fee. As always, our office will submit your claim to Delta Dental on your behalf, and Delta Dental will reimburse you directly according to your plan’s out-of-network benefits.
This transitional adjustment applies to one preventive visit only. All future visits will be charged at our standard office fees.
This decision was made so we can continue to provide the level of care our patients deserve. Over time, Delta Dental's reimbursement rates have not kept pace with rising costs of modern dentistry.
As an in-network provider, we were required to follow contracted pre-set fees determined by Delta Dental, which often didn’t reflect the time, quality, and materials involved in delivering high-quality care. In our case, Delta Dental has not increased our contracted fees since the day we opened in 2009.
Staying in-network would have meant compromising on appointment time, materials, and the personalized attention we value. By stepping away from the Delta Dental network, we're choosing to prioritize your care without being limited by outdated insurance contracts.
No. At this time, this change only applies to Delta Dental.
We understand how frustrating it can be when insurance doesn't cover something you expected. While we do our best to help you understand your benefits and submit claims accurately, the final decision about coverage is made by your insurance plan.
If Delta Dental denies or partially reimburses a claim, any remaining balance becomes the patient's responsibility. This decision is based on Delta Dental’s internal policies and benefit rules—not on how services were provided by our office.
When this happens, we’re still here to help. Our team is happy to review your Explanation of Benefits (EOB), answer questions, and help you understand how Delta Dental processed your claim. Unfortunately, inconsistencies and lack of transparency in insurance coverage decisions are common, and they are one of the reasons we made the difficult decision to step away from being in-network with Delta Dental.
Here are a couple tips to help ensure you receive your reimbursement smoothly and on time:
Make sure your contact information is up to date — Log in to your Delta Dental account or call them to confirm that your mailing address, phone number, and email are current. Reimbursement checks are usually mailed, so having the correct address is essential. Please note: by default, checks are sent to the plan subscriber (usually the main policyholder), unless you’ve arranged otherwise with Delta.
Track your claim status — Use Delta Dental’s online portal or mobile app to keep an eye on your claim. You’ll be able to see when it’s received, processed, and paid. If your check hasn’t arrived within 30 days, it’s a good idea to contact Delta Dental’s customer service for an update.
Delta Dental has sent—or may send—a letter to some patients that encourages them to switch providers. This letter is very confusing and may lead some patients to believe they need to find another dentist. This is NOT true.
Delta Dental may include a list of other providers in their letter, but the choice of where to receive your care is entirely up to you. We are here to support you, answer your questions, and continue providing the high-quality care you know and trust.
That’s entirely up to you—we can’t recommend specific plans, as everyone’s needs and preferences are different. But we can help you understand how different types of plans might affect your experience at our office.
We’ve actually always been out-of-network with other dental insurance carriers, and in nearly all cases, patients have still been able to use their benefits with ease. That’s because most PPO plans allow assignment of benefits, meaning they send payment directly to our office, and you’re only responsible for your estimated portion at the time of your visit.
Delta Dental is the only major carrier that handles things differently. Once we’re out-of-network, they won’t send payment to us at all—they reimburse you directly instead. This is the main reason the change with Delta feels different than it does with other plans. Unfortunately, this policy can make the transition away from their network feel more complicated for both patients and providers.
If you’d prefer to return to the more familiar process—where we handle the claims, your insurance pays us directly, and you just pay your portion—then selecting a non-Delta PPO plan during open enrollment may be worth considering.
That said, we’re not here to steer you away from Delta or any other carrier—only to help you make an informed decision based on what works best for you. If you’d like help understanding how a specific plan might work with our office, feel free to contact us or bring the details to your next appointment. We’re happy to help.
Delta Dental has sent—or may send—a letter to some patients that encourages them to switch providers. This letter is very confusing and may lead some patients to believe they need to find another dentist. This is NOT true.
Delta Dental may include a list of other providers in their letter, but the choice of where to receive your care is entirely up to you. We are here to support you, answer your questions, and continue providing the highquality care you know and trust.
That's entirely up to you—we can't recommend specific plans, as everyone's needs and preferences are different. But we can help you understand how different types of plans might affect your experience at our office.
We've actually always been out-of-network with other dental insurance carriers, and in nearly all cases, patients have still been able to use their benefits with ease. That's because most PPO plans allow assignment of benefits, meaning they send payment directly to our office, and you're only responsible for your estimated portion at the time of your visit.
Delta Dental is the only major carrier that handles things differently. Once we're out-of-network, they won't send payment to us at all—they reimburse you directly instead. This is the main reason the change with Delta feels different than it does with other plans. Unfortunately, this policy is designed to make the decision to leave their network more difficult for both patients and providers.
If you'd prefer to return to the more familiar process—where we handle the claims, your insurance pays us directly, and you just pay your portion —then selecting a non-Delta PPO plan during open enrollment may be worth considering.
That said, we're not here to steer you away from Delta or any other carrier—only to help you make an informed decision based on what works best for you. If you'd like help understanding how a specific plan might work with our office, feel free to contact us or bring the details to your next appointment. We're happy to help.
