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What should be included on claim forms to Delta Dental of South Dakota?

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What should be included on claim forms to Delta Dental of South Dakota?

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A. Be sure to include the following on all claim forms: • Subscriber’s name and identification number • Patient’s name and date of birth • Treating dentist’s license number • The TIN or SSN that the dentist uses for IRS purposes • The dentist’s National Provider Identifier (NPI) • Completion dates of services rendered • Tooth numbers or quadrants (indicate tooth surfaces where applicable) • Include complete dual coverage information including both the subscriber’s identification number and date of birth (attach the primary carrier’s statement if applicable). Q. What date do I use on the claim form? A. The date a procedure is completed. It is the insertion date for dentures and partial dentures. It is the cementation date (regardless of the type of cement used) for inlays, onlays, crowns, and fixed bridges. Q. If my patient’s spouse also has dental coverage, whose insurance pays first on the children? A. Guidelines currently in effect in South Dakota state that the children will be cons

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