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Proper Submission of Claim Forms

Treatment date

Treatment rendered

Coordination of benefits

Disclosure of waiver

Disclosure of discounts

Disclosure of "free" services

Services not performed

Identification of appropriate dentist


Failure to correctly perform the above checks will result in a violation of the Delta Dental of New Jersey Participation Agreement and may also result in the violation of:

Contact Us

Fraud hotline: 888-696-3262
Fax: 973-944-4573

Write to:
Delta Dental of New Jersey, Inc.
Special Investigations Unit
1639 Route 10
Parsippany, NJ 07054