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Attention Delta Dental providers: Protect your practice and patient data with multi-factor authentication. As of October 20, 2025, all users will need their password and an additional way to confirm their identity to log in to their Delta Dental of New Jersey account. See how MFA works.
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Customer Service Summer Hours (through Friday, 8/29/2025): Monday through Thursday 8:00 AM – 6:30 PM ET and Friday 8:00 AM - 1:00 PM ET. To view benefit information and claim status at any time, please sign into your account or use our Interactive Voice Response System 24/7 at 1-800-452-9310.

Special Health Care Needs Benefit: Additional benefits when your patient needs them

For 6.5 million people in the U.S. with intellectual or developmental disabilities, oral health care can be inaccessible or overwhelming.

Delta Dental of New Jersey and Connecticut has expanded its coverage for group dental plan members for patients with special health care needs—individuals with cognitive, physical, significant behavioral issues, or other potential barriers for treatment.

• Additional dental examinations and/or consultations that can be beneficial prior to treatment to help patients learn what to expect and what is needed for a successful dental appointment.
• Up to four total dental cleanings in a benefit year.
• Treatment delivery modifications (including anesthesia) necessary for dental staff to provide oral health care for patients with sensory sensitivities, behavioral challenges, or other barriers to treatment.



Before rendering services, please check the member’s eligibility on our online dentist portal to verify coverage of our enhanced special needs benefit and other necessary procedures.

 Claim Submission

Simply add D9997 to an eligible member’s initial claim to trigger the enhanced benefit. Subsequent submissions of D9997 should only occur when necessary, as defined in the ADA’s current CDT definition for this code.

With support from the Delta Dental Foundation, Penn Dental Medicine has established a free continuing education course aimed at building awareness of the barriers to equitable oral health care for individuals with disabilities and developing competency to provide oral health care to this vulnerable population.



View Course








*Does not apply to Flagship, Fixed Copay PPO, or DeltaCare® USA.

How do I learn more?

Learn how this benefit works.