Nebraska
Delta Dental of Nebraska
866-827-3319
deltadentalne.org
Payer #07025
See Delta Dental of Minnesota
New Jersey, Connecticut
Delta Dental of New Jersey
P.O. Box 222
Parsippany, NJ 07054-0222
800-452-9310
deltadentalnj.com
Payer #22189
New Mexico
Delta Dental of New Mexico
2500 Louisiana Blvd. N.E. Suite 600
Albuquerque, NM 87110
877-395-9420
deltadentalnm.com
Payer #85022
New York
Delta Dental of New York, Inc.
Payer #11198
See Delta Dental of Pennsylvania
North Carolina
Delta Dental of North Carolina
800-662-8856
deltadentalnc.org
Payer #56101
See Delta Dental of Michigan
Ohio
Delta Dental of Ohio
800-524-0149
deltadentaloh.com
Payer #DDPOH
See Delta Dental of Michigan
Oklahoma
Delta Dental of Oklahoma
P.O. Box 54709
Oklahoma City, OK 73154-1709
800-522-0188
deltadentalok.org
Payer #22229 or CDOK1
Oregon
Delta Dental of Oregon
601 SW 2nd Avenue
Portland, OR 97204-3154
888-374-8905
deltadentalor.org
Payer #CDOR1
Pennsylvania, Maryland
Delta Dental of Pennsylvania
P.O. Box 2105
Mechanicsburg, PA 17055-6999
800-932-0783
deltadentalins.com
Payer #23166
Puerto Rico
Delta Dental of Puerto Rico
P.O. Box 9020992
San Juan, PR 00902-0992
866-622-6120
deltadentalpr.com
Payer #660436769
Rhode Island
Delta Dental of Rhode Island
P.O. Box 1517
Providence, RI 02901-1517
800-843-3582
deltadentalri.com
Payer #05029
South Carolina
Delta Dental of South Carolina
800-529-3268
deltadentalsc.com
Payer #43091
See Delta Dental of Missouri
South Dakota
Delta Dental of South Dakota
P.O. Box 1157
Pierre, SD 57501
877-841-1478
deltadentalsd.com
Payer #54097
Tennessee
Delta Dental of Tennessee
240 Venture Circle
Nashville, TN 37228-1699
800-223-3104
deltadentaltn.com
Payer #CDTN1
Virginia
Delta Dental of Virginia
4818 Starkey Road
Roanoke, VA 24018
800-237-6060
deltadentalva.com
Payer #54084
Washington
Delta Dental of Washington
P.O. Box 75983
Seattle, WA 98175-0983
800-554-1907
deltadentalwa.com
Payer #91062
West Virginia
Delta Dental of West Virginia, Inc.
Payer #31096
See Delta Dental of Pennsylvania
Wisconsin
Delta Dental of Wisconsin
P.O. Box 828
Stevens Point, WI 54481-0828
800-236-3712
deltadentalwi.com
Payer #39069
Wyoming
Delta Dental of Wyoming
P.O. Box 29
Cheyenne, WY 82003-0029
800-735-3379
deltadentalwy.org
Payer #07027
DeltaCare® USA
Claims and Encounter Forms
P.O. Box 1810
Alpharetta, GA 30023
800-422-4234
Claims Payer #DDCA2
Encounter Payer #DDCA3
AARP Dental Insurance Plan
Delta Dental Insurance Company
P.O. Box 2059
Mechanicsburg, PA 17055-2059
866-583-2085
deltadentalins.com/aarp
Payer #AARP1
Delta Dental Federal Government
Programs
Delta Dental of California
P.O. Box 537007
Sacramento, CA 95853-7007
855-410-3255
Payer #CDCA1
deltadentalins.com/feds
California State Government
Programs
P.O. Box 537010
Sacramento, CA 95853-7010
Payer #CPPCA
Other programs
Copyright © 2019 Delta Dental. All rights reserved.
DF3 #122122 (rev. 7/19)
DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA,
ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VA, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company;
HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY —
Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are
financially responsible for their own products.