When visiting an out-of-network dentist, take a Benefit Trust Fund Dental Claim Form. Ask the dentist to fill out the provider section of the form. You will have to complete the employee/patient section. Once the form is complete, you can submit it directly to Delta Dental.
You must submit a claim within one year after the dental expense is incurred for the claim to be processed.
Submit completed dental claim forms to the following address:
Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809
For questions regarding claims, you can contact Delta Dental of Georgia at 1-800-616-3631.