Dental Claims Don’t Have to Suck — Here’s the Smarter Way to Get Paid
If the phrase “submit claim to Delta Dental” sends chills down your spine and makes your front desk reach for the Advil, congrats — you’re a real dentist.
Let’s be honest: Filing insurance claims is the dental version of paperwork purgatory. One minute you’re helping a patient smile, the next you’re arguing with an insurance rep over a code you’ve used a thousand times.
So, if you’re wondering how to file a claim with Delta Dental, you’re in the right place. We’ll break it down step-by-step, show you how to avoid denials, AND give you a better way to get paid without playing insurance games forever.
Hint: It involves BoomCloud™, a dental membership software that builds predictable revenue without the claims chaos.
Story: When Delta Denied a $1,780 Crown and a Membership Saved the Day
Meet Dr. Emily. She’s a legit rockstar in Tulsa with a tech-savvy practice, great reviews, and a killer smile herself. But one thing made her want to scream: insurance claim denials.
She did everything right — submitted the CDT codes, included radiographs, wrote clinical notes like a poet. And still, the crown on patient Mike? Denied.
Why? “Lack of necessity.”
Spoiler alert: Mike was in pain.
That was her breaking point. She filed the appeal (and won), but she also realized…
“Why am I begging for money I already earned when I could build a system that pays me every month — no questions asked?”
That’s when she signed up for BoomCloud™, built a custom membership plan, and within a year, her practice had $14,785 in Monthly Recurring Revenue (MRR) from 436 loyal patients. No insurance drama. Just clean smiles and clean bookkeeping.
Step-by-Step: How to File a Claim with Delta Dental (the Right Way)
Let’s dig into the nuts and bolts of this beast. Here’s how to file a claim with Delta Dental like a pro:
Step 1: Gather All Necessary Information
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Patient details (full name, DOB, subscriber ID)
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Employer or group plan info
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Diagnosis & procedure codes (CDT codes)
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Treatment notes
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Radiographs, perio charting, or photos if needed
Step 2: Use Delta Dental’s Provider Portal (Damn Useful Tool)
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Go to www.deltadental.com
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Log in to the dentist/provider portal
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Navigate to “Submit a Claim”
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Fill in patient and procedure details
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Upload attachments (yes, X-rays still matter)
Step 3: Double Check Codes and Attachments
Common causes of denials:
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Incorrect CDT code
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Missing narratives
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Low-quality images
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No diagnosis code
Step 4: Submit and Track
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Hit send and save the claim confirmation
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Set reminders to check EOB status after 10–14 days
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Follow up if nothing hits your inbox
Step 5: Post-Payment Reconciliation
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Compare expected vs actual reimbursement
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Flag underpayments or adjustments
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Appeal ASAP if underpaid
Or… Stop Filing Claims and Start Making Recurring Cash with BoomCloud™
Look, it’s cool to know how to file claims like a champ. But wouldn’t it be cooler if you could stop filing them altogether (or at least a lot less)?
BoomCloud™ lets you:
✅ Create in-house membership plans
✅ Automate billing and renewals
✅ Customize for perio, cosmetic, ortho, and more
✅ Track revenue metrics like MRR, ARR, churn, and LTV
✅ Keep 100% of your fees — no middlemen
It’s like turning your practice into a subscription-based smile club.
Start your membership program today at BoomCloudApps.com
“I Don’t Work for Delta Dental. I Work for My Patients.”
Dr. Emily’s big realization wasn’t just that she hated claims.
It was that she was wasting 10+ hours a week chasing money that was already hers.
“Once I launched my membership plan, I realized I was spending more time building a business — not just a practice.”
Now she’s got:
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Loyal members who never no-show
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Predictable income every month
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Time to focus on cosmetic and high-value care
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ARR of over $177K
And yes, she still files the occasional claim — but she no longer depends on them. That’s real freedom.
Why Membership Patients Beat Insurance (Every. Single. Time.)
Studies show membership patients:
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Visit more often
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Accept 2–4X more treatment
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Refer 60% more friends and family
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Are happier (because they know what to expect)
Here’s what that looks like:
| Metric | Insurance Patients | Membership Patients |
|---|---|---|
| Annual Visits | 1.3 | 3.1 |
| Acceptance Rate | 45% | 87% |
| Annual Spend | $650 | $2,300 |
| No-Shows | 32% | 6% |
Creative BoomCloud™ Plans to Replace Claims Revenue
BrightSmile Monthly
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$29/mo
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2 cleanings/year
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1 whitening kit
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15% off elective treatments
Family Flex Plan
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$89/mo for up to 4 members
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Cleanings, exams, X-rays
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Kids’ fluoride treatments included
Cosmetic Pro Club
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$59/mo
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Botox & veneer consults
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$100 off aligners
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Free whitening every 6 months
Promote your plans via:
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QR codes on receipts
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Email blasts
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Social media reels
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Treatment plan follow-ups
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New patient welcome kits
MRR + ARR = The Growth Equation Delta Won’t Tell You About
Let’s do the math, baby.
400 patients on a $34/month plan =
$13,600 MRR
That’s $163,200 ARR — before you touch a drill.
And the best part?
✅ It’s cash up front
✅ No waiting 30-60 days
✅ No denials
✅ No insurance hostage negotiation
BoomCloud™ gives you the tools to make that real.
❓ FAQs
What CDT codes does Delta Dental require most often?
D0120, D1110, D2391, D2740, D4341 are top contenders. Match codes to documentation tightly.
Can I file paper claims with Delta Dental?
Yes, but it’s slower. Electronic is the way. Fax if they request additional info.
What happens if my claim is denied?
You can appeal. Send a letter with supporting clinical documentation. Get persistent.
How do I get paid faster?
Submit clean claims, use attachments, and follow up regularly. Or switch to a membership model.
Is BoomCloud™ HIPAA-compliant?
100%. They’re built with data security and patient privacy in mind.
How long does it take to set up BoomCloud™?
Less than 30 minutes with templates, onboarding, and support included.
Conclusion: Master the Claim Game — or Quit Playing It Entirely
Filing claims with Delta Dental isn’t rocket science. But it is time-consuming, error-prone, and soul-sucking if you rely on it for 90% of your revenue.
What’s smarter?
✅ Know how to file them
✅ Appeal smart when needed
✅ But build your business on something you control
That’s BoomCloud™.
So go ahead — file that claim like a pro.
Then launch your membership program and start building recurring revenue you can count on.
Start your BoomCloud™ journey now
Inbound Link Suggestions:
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Internal: Link to “How to Appeal a Delta Dental Claim”
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Outbound: BoomCloudApps.com, Delta Dental Provider Toolkit, ADA CDT Code Guide
