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In-Network Benefits

More options, lower costs:

Delta Dental offers two provider networks to help cover your smile while keeping costs as low as possible. The Delta Dental PPO Network provides maximum cost savings, while the Delta Dental Premier® Network—which is the largest network in New Mexico—provides a safety net for additional access when you need it.

As shown below, your lowest out-of-pocket costs result from going to either a Delta Dental PPO or Delta Dental Premier dentist.

Network Comparison Table.PNG Network Comparison Table.PNG Network Comparison Table.PNG
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*What is Balance Billing? 

Our network dentists agree to accept Maximums on what they charge for each service. An out-of-network dentist has not agreed to those Maximums. When you visit a Delta Dental network dentist, you won’t have to pay the difference between what the dentist charges and what Delta Dental will pay, aka Balance Billing.

The Power of Two Networks:

Delta Dental PPO

  • 82% of practicing licensed providers participate in New Mexico*
  • More than 114,000 providers nationwide*
  • No Balance Billing and no paperwork to file

Delta Dental Premier

  • 90% of practicing licensed providers participate in New Mexico*
  • More than 148,000 providers nationwide*
  • No Balance Billing and no paperwork to file

Out of Network

  • May need to file your own claims
  • Will be subject to Balance Billing
  • No discounts

 

*Based on 2024 internal Delta Dental of New Mexico data

Finding the right dental provider for your plan:

Lower your out-of-pocket costs by choosing a dentist who participates in the Delta Dental PPO™ or Delta Dental Premier® networks. Dentists in our network agree to accept Delta Dental fees as full payment for covered services, while nonparticipating dentists do not have an agreement with Delta Dental and may charge more than our fees. If you go to a nonparticipating dentist, you will be responsible for the difference between Delta Dental’s allowed fee and the amount charged by the dentist.

To locate a participating dentist in your area, simply visit Find a Dental Provider. If you do not know what network your plan covers, log in to the Member Portal or contact our Customer Service Department at (877) 395-9420, Monday through Friday, 8:00 a.m. to 4:30 p.m. MST.

Always confirm your dentist is a participating dentist with Delta Dental before receiving any dental services.