This page collects the Delta Dental of New Jersey numbers, portal, payer IDs, mailing addresses and filing rules a dental front desk needs, taken from the payer's own provider materials and last checked on September 25, 2026.
Plan types: PPO, Premier, Advantage Program (NJ only), DeltaCare (administered by Flagship Dental Plans), Individual and Family Plans · States: NJ, CT
Delta Dental of New Jersey phone numbers for dental offices
Department | Phone | Hours |
|---|---|---|
Customer service: eligibility, benefits and claim status | Mon-Thu 8am-6:30pm ET; Fri 8am-5pm ET; IVR 24/7 | |
Patient eligibility verification IVR (participating dentists) | 24/7 | |
Professional Services (network, fees, Tax ID, office changes) | ||
Dental Network Coordinator | ||
Tesia clearinghouse (electronic claims setup) |
Fax numbers
Department | Fax |
|---|---|
Professional Services | |
Request for Re-Review (internal appeals) |
Delta Dental of New Jersey provider portal
The provider portal is Delta Dental of New Jersey online account (dentist sign-in): https://www.deltadentalnj.com/sign-in.
Check patient benefits
Check claim status
Submit claims with attachments
Download forms
Enroll in direct deposit
Patients use a separate member portal: https://www.deltadentalnj.com/mysmile.
Delta Dental of New Jersey payer IDs for electronic claims
Payer ID | Use for | Notes |
|---|---|---|
22189 | All Delta Dental of New Jersey claims, all clearinghouses | Used for NEA, Change Healthcare, DentalXChange and Tesia per the handbook. Confirmed by the Delta member-company directory (rev. 10/24). |
Delta Dental of New Jersey claims and appeals mailing addresses
Send | Address |
|---|---|
Claims | Delta Dental of New Jersey, P.O. Box 16354, Little Rock, AR 72231 |
Appeals | Delta Dental of NJ and CT, P.O. Box 15132, Little Rock, AR 72231 |
Claims | Individual plan claims: Delta Dental of New Jersey, P.O. Box 103, Stevens Point, WI 54481 |
Timely filing limits
Original claims: 1 year from date of service, or from the primary carrier's payment date under coordination of benefits, whichever is later.
Appeals: 30 days for each step: re-review from the claim determination; internal appeal from the determination or re-review decision; external appeal from the internal appeal decision.
EFT and ERA enrollment
Participating dentists can enroll in Electronic Funds Transfer through the Enroll in direct deposit link on the dentist FAQ page. Detailed ERA enrollment steps are not published on a public page.
Credentialing and network enrollment
Contact: (800) 494-4137 (Professional Services); electronic application through DentalXChange
Dentists and offices are recredentialed at least every 3 years; DentalXChange emails when recredentialing is due. New Premier and PPO applications typically take 18 to 21 business days.
Plan clauses to check during verification
Missing tooth clause
Delta Dental of New Jersey states it has no missing tooth clause. Its Missing Tooth Inclusion covers replacing teeth lost before coverage began, for members age 16 and older on plans with restorative benefits.
Waiting periods
Waiting periods are set by the group plan. Confirm the waiting period for basic and major services and the patient's effective date.
Downgrades (alternate benefit)
Ask whether posterior composites are paid at the amalgam rate and whether crowns downgrade to a base-metal benefit, so the patient estimate is right the first time.
Frequency limits
Handbook processing policy: panoramic images are limited to once every five years; bitewing frequency follows default policy absent group contract language.
Verification checklist for Delta Dental of New Jersey
Use the IVR (800-321-0142 or 800-452-9310) around the clock for eligibility; it can fax benefit and eligibility details to the office.
Call Customer Service for claims questions and Professional Services (800-494-4137) for network, fee schedule, Tax ID or roster changes.
There is no missing tooth clause; do not assume an automatic downgrade for teeth missing before coverage began.
Employer group claims go to P.O. Box 16354, Little Rock, AR; individual plan claims go to P.O. Box 103, Stevens Point, WI.
Re-review, internal appeal and external appeal each have a 30-day window from the prior decision; late appeals are rejected.
Record the representative's name, the call reference number and the date for every phone verification.
Related guides
Delta Dental of New Jersey, Inc. also operates as Delta Dental of New Jersey and Connecticut under one Participating Dentist Agreement.
Flagship Dental Plans administers DeltaCare under a supplemental agreement separate from Premier and PPO participation.
Member company of the Delta Dental Plans Association; see the national Delta Dental guide.
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Sources
Every number and address above comes from Delta Dental of New Jersey's own website or provider documents, checked on September 25, 2026. Payers change phone trees and PO boxes, so confirm with the payer before you mail anything time-sensitive.