Form Library | Delta Dental of North Carolina

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Delta Dental of North Carolina

About Us

The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. Consult your dentist or physician for information or treatment specific to you and your health.

Delta Dental of North Carolina is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.

EHB Individual Plan Brochure

Non-EHB Dental Plans Rack Card

Fraud and Abuse Complaint Form

Medically Necessary Orthodontia Guidelines

Non-EHB Individual Plan Brochure

Non-EHB Dental & Vision Rack Card

How Delta Dental Protects Information

Finding a Dentist Guidelines

Find a dentist

Eligibility Enrollment Form (Spanish)

BMT Reference Card

International Claims

Eligibility Enrollment Form

Client Administration Handbook

Direct Debit Authorization

2022 Billing Calendar

Agent Agreement

Add Agent Form

Remove Agent Form

Authorize Direct Deposit for Commissions

Addendum to Sell Individual Dental Products

Broker FAQs for New Individual & Family Plans

COBRA Premium Assistance Letter

2021 Dentist Handbook

2022 Dentist Handbook

Professional Services Team

Participating Dentist Uniform Requirements (URs)

Medicare Advantage Non-Covered Services Form

Medically Necessary Orthodontia Guidelines

Compliance Plan

Credentialing

Credentialing Form

Delta Dental PPO Contract

W-9 Form

Delta Dental Premier Contract

About Us