This page collects the Delta Dental of Wisconsin 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, DeltaCare USA (DHMO), Individual and Family, Medicare Advantage network, State of Wisconsin ETF group plans (PPO Select), Vision (DeltaVision, via VSP) · States: WI
Delta Dental of Wisconsin phone numbers for dental offices
Department | Phone | Hours |
|---|---|---|
Benefit Center (claim payment questions) | 7:30am-5pm | |
Professional Services (claim review, network agreements) | 8am-4:30pm |
Delta Dental of Wisconsin provider portal
The provider portal is Secure dentist login (Dentist Connection in an older guide): https://www.deltadentalwi.com/s/sign-in.
Check patient benefits and eligibility
View claim detail
Submit e-claims
Sign up for direct deposit and view statements
View National ERA through DentalXChange
Patients use a separate member portal: https://www.deltadentalwi.com/s/sign-in.
Delta Dental of Wisconsin payer IDs for electronic claims
Payer ID | Use for | Notes |
|---|---|---|
39069 | All Delta Dental of Wisconsin claims | Confirmed by the Delta member-company directory (rev. 10/24). |
Delta Dental of Wisconsin claims and appeals mailing addresses
Send | Address |
|---|---|
Claims | Delta Dental of Wisconsin, P.O. Box 828, Stevens Point, WI 54481-0828 |
Timely filing limits
Original claims: 15 months from the date of the procedure (State of Wisconsin employee PPO Select plan; other plans not published)
Appeals: 180 days from the initial benefits determination (State of Wisconsin employee PPO Select plan; other plans not published)
EFT and ERA enrollment
Log in to the secure dentist portal, go to Direct Deposit and complete the Direct Deposit Signup (national EFT/ERA authorization) for each office location. View ERAs through Delta Dental's national DentalXChange partnership (Check National ERA link).
Credentialing and network enrollment
Contact: 800-836-0490 (Professional Services, option 2 for network agreements and eServices)
No separate credentialing portal or phone is published beyond Professional Services.
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
State of Wisconsin employee PPO Select plan: no waiting period for eligible new employees; late enrollees wait until the next open enrollment.
Downgrades (alternate benefit)
State of Wisconsin employee PPO Select plan: Delta Dental pays the maximum plan allowance for the least expensive adequate procedure; the patient owes the rest, or the full fee if not covered.
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 Wisconsin
Confirm whether the patient has PPO, Premier or DeltaCare USA (DHMO) before treatment; fee schedules and rules differ by network.
Use the secure dentist portal for eligibility, claim status and statements; the direct deposit form is only available there.
The 15-month filing and 180-day appeal figures apply to the State of Wisconsin employee plan; other group contracts may differ.
ERAs are shared through a national DentalXChange repository; check which clearinghouse the office already uses before re-enrolling.
For DeltaCare USA (DHMO) patients, confirm the primary care dentist assignment before treating.
Record the representative's name, the call reference number and the date for every phone verification.
Related guides
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 Wisconsin'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.