This page collects the Delta Dental of Virginia 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, Medicare Advantage, DeltaCare USA (DHMO, administered separately), Individual and Family Plans · States: VA
Delta Dental of Virginia phone numbers for dental offices
Department | Phone | Hours |
|---|---|---|
Benefit Services (claims, benefits, coordination of benefits) | Mon-Thu 8:15am-6pm; Fri 8:15am-4:45pm | |
Professional Relations (participation, credentialing, EFT, portal) | ||
Individual and Family Plans (claim status, predeterminations) | ||
Delta Dental Medicare Advantage | ||
DeltaCare USA (DHMO): claims, eligibility, complaints | ||
Fraud, waste and abuse hotline |
Fax numbers
Department | Fax |
|---|---|
Claims (new claims only) |
Delta Dental of Virginia provider portal
The provider portal is Delta Dental of Virginia dentist portal: https://www.deltadentalva.com/provider/.
Check benefits, eligibility and limitations
Submit claims and check status
Submit predeterminations
View recent payments
Access contracts and forms
Delta Dental of Virginia payer IDs for electronic claims
Payer ID | Use for | Notes |
|---|---|---|
54084 | Delta Dental of Virginia group PPO and Premier claims | Confirmed by the Delta member-company directory (rev. 10/24). |
WDENC | Delta Dental Individual and Family Plans | From the handbook; not listed in the Delta directory, which shows one ID per company. |
VACMS | Delta Dental Medicare Advantage | From the handbook; not listed in the Delta directory, which shows one ID per company. |
Delta Dental of Virginia claims and appeals mailing addresses
Send | Address |
|---|---|
Claims | Delta Dental of Virginia, ATTN: Claims Department, 5415 Airport Road, Roanoke, VA 24012 |
Claims | Individual and Family Plans: Delta Dental, PO Box 103, Stevens Point, WI 54481 |
Claims | Delta Dental, Attn: Medicare Advantage, PO Box 9215, Farmington Hills, MI 48333 |
Claims | DeltaCare USA (DHMO): P.O. Box 1803, Alpharetta, GA 30023 |
Appeals | Appeals Department, Delta Dental of Virginia, PO Box 12483, Roanoke, VA 24026 |
Timely filing limits
Original claims: 12 months from date of service
Appeals: 180 days from the adverse determination (first level); 60 days from the first-level decision (second level)
EFT and ERA enrollment
Download the Direct Deposit (EFT) Enrollment Form from Forms and Resources at DeltaDentalVA.com/dentists. Direct deposit is free and preferred; enrolling also signs the office up for Electronic Remittance Advice (ERA).
Credentialing and network enrollment
Contact: 855-474-5644; ProfessionalRelations@deltadentalva.com
Professional Relations handles participation and credentialing. Required documents include a facility profile form, DEA waiver, proof of malpractice insurance and OIG sanction checks.
Plan clauses to check during verification
Missing tooth clause
Whether a missing tooth clause applies depends on the group plan. Ask whether the plan excludes replacing teeth lost before coverage began, and note the answer before you present a bridge or implant. See how to spot the missing tooth clause.
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)
Restorative benefits are based on the least expensive professionally accepted treatment (LEPAT); the fee difference is denied and not billable to the patient unless stated otherwise.
Frequency limits
Frequency limits vary by plan. Confirm cleanings, exams, bitewings, full-mouth X-rays and fluoride limits, and the date of the last service billed.
Verification checklist for Delta Dental of Virginia
Use the dentist portal at DeltaDentalVA.com for real-time eligibility, claim status and payment history.
Call 800-237-6060 and press 2 for the ACIS automated system to get benefit fax-back or claim status without an agent.
Individual and Family, Medicare Advantage and DeltaCare USA claims each use a different address and payer ID; confirm the plan before mailing.
Under LEPAT, the difference for a costlier restorative treatment is not billable to the patient unless the plan states otherwise.
Record the representative's name, the call reference number and the date for every phone verification.
Related guides
DeltaCare USA (DHMO) plans are handled directly by DeltaCare USA, not Delta Dental of Virginia.
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Sources
Every number and address above comes from Delta Dental of Virginia'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.