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Frequently asked questions

Frequently asked questions
Individuals Providers
What’s the advantage of going to a network dentist?

Dentists in our network agree to reduce rates for dental procedures. This means you’ll pay less for each visit.  And if you need extra dental work done, you’ll have more funds available before reaching your plan’s maximum.

How do I get out-of-network benefit information?

Contact the claims administrator listed on your dental benefits card.

Do I need to let my insurance company know which dentist I’m seeing?

Generally, dental plans don’t require you to tell them which dentists you visit. However, you’ll want to contact your claims administrator to be certain.

Can I change dentists?

Most dental plans allow you to change dentists at any time. However, your plan may have a limit on the frequency of X-rays and exams. So there may be additional costs to you if you visit them before the next available exam period. Contact your claims administrator for details.

How do I get benefit and eligibility information or verify claims status?

Contact your claims administrator. If your benefits are provided by your employer, they’ve contracted with a claims facility or insurance company to handle benefit and eligibility information. The phone number should be on your dental benefits card.

How do I report a problem with a dentist?

Contact us with a brief description of the issue.

Can the dentist charge me for copies of my records and/or X-rays?

Yes. Some states allow a dentist to charge a reasonable fee for copies of X-rays.

Can I get insurance directly through Diversified Dental Services, Inc.?

We serve only as an independent preferred provider network for employers and insurance carriers. If you’re interested in personal dental insurance, contact an insurance agent in your area.

How do I get benefits and eligibility information?

Contact the claims administrator. You can find the name and contact information on the patient’s dental benefit card.

Where can I get a copy of the fee schedule?

Refer to your administration manual. These schedules are valid for the calendar year. Contact us for a current schedule.

Do I use the same fee schedule for all Diversified Dental Services, Inc. patients?

Yes. The only difference is the actual benefits offered for the specific plan.

How do I get updated materials for my administration manual?

You’ll receive periodic updates for your manual. If you’re missing materials, or aren’t sure if materials are current, contact us.

How can I verify which companies/clients are participating with Diversified Dental Services, Inc?

In your administration manual, you’ll find a list of clients affiliated with Diversified Dental Services, Inc. If you need an updated list, please contact us. For those in California, view the quick reference guide (PDF).

How do I report an incorrect claims payment?

Call the claims administrator, indicate that you’re an in-network provider. If you’re unable to resolve the issue by directly contacting the administrator, contact us.

What is the National Provider Identifier Number (NPI)? How can I apply for one?

The National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).