The directory is available on our website at http://www.ddsppo.com/regions.shtml.
Choose your employer or insurance carrier and then the region if applicable. There is a printable option on the website. If you would like a copy by fax or mail please contact us on the web or call us at:

You can receive care from any licensed dentist. However, if you see an “in-network” provider from the Diversified Dental Services, Inc. network, you will receive those services at a reduced fee. Using an in-network provider will reduce your out of pocket costs and your dental benefits will last longer.
If you use an out-of-network dentist, they can charge you the difference between what your plan pays and their regular retail fees.

Not usually. Dental plans do not normally require that you provide the name of your specific dentist. However, you will want to contact your claims administrator to be certain.

The majority of the plans affiliated with Diversified Dental Services, Inc. will pay for care from an out-of-network dentist. You will want to verify how that coverage applies by contacting your administrator. It almost always means that the member will pay more of the total cost of care .

You can get specific information about the out-of-network benefits for your dental plan by contacting the claims administrator listed on your benefits card.

Please give us a brief outline of the problem on a contact us form or call us at:

All State of Nevada Employee/Retiree participants have the same dental benefit, regardless of which medical option they choose. The dental benefit is provided by the State of Nevada Self-funded dental plan. Benefit information can be obtained by contacting the claims administrator, Benefit Planners, toll-free at 1-877-963-8232 www.benplan.com or by visiting the PEBP website.

All benefits and eligibility information can be obtained by contacting the claims administrator. Diversified Dental Services, Inc. does not have access to any claims or benefits data. If you are a participating provider, the Clients and Administrators list Subscriber Listing or the Insurance Company list in your Administration Manual will provide the name, address, and phone number of all of the claims administrators for each client we represent.

Administration Manual materials are delivered to your office when you first become a participating provider. After that, you will receive periodic updates to include in your folder s . If you are missing any materials or are not sure if you manuals are current, please contact us.

Most claims payment issues can be resolved by simply calling the insurance administrator. Once you have brought the issue to their attention, the claims office can usually make arrangements for the claim to be reprocessed.
It is recommendable to indicate that you are an "in network provider" and have them enter your practice TIN or SSN to verify that the claim was processed according to the PPO contract in-network . If you are unable to resolve the issue by contacting the administrator directly, please contact us or call the numbers listed below.
Note: Remember to document the administrator phone number, date of call, the name of the person with whom you spoke, and a brief explanation. We will use this information will help with the follow up.
If you are unable to resolve a claims or payment issue directly with the administrator, please contact us or call us at:

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