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On October 10, we will be upgrading our phone system. This enhancement will improve your future experience. It may result in additional wait times during our transition. We appreciate your understanding and patience as we work to serve you better.

On October 10, our call center will be closed for staff training between 12 PM and 1 PM ET.
On October 9, due to the enhancement to our phone system, our IVR will be unavailable for self-service from 6.30 PM through 11:59 PM ET.

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.