Complaint Form

If you have concerns regarding misleading or incorrect information on your Explanation of Benefits, dental treatment received or the billing practices of a dentist you have received treatment from while covered by Delta Dental, please use this form to file your complaint. You may also report your concerns by calling us at 1-888-227-6004.

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Your Information
Phone number should be numbers only, without dashes. For example: 5405555555.
Dental Provider Information
Complaint(s)