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Delta Dental of Arkansas fax number

(800) 500-8991

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Claims Department

Used for: Submitting dental claims. Claims can be faxed to the Delta Dental of Arkansas claims fax number (800-500-8991) or mailed to the Claims Department at PO Box 15965, Little Rock, AR 72231.

Fax destination details

Department
Claims Department
Purpose
Submitting dental claims. Claims can be faxed to the Delta Dental of Arkansas claims fax number (800-500-8991) or mailed to the Claims Department at PO Box 15965, Little Rock, AR 72231.
Form
ADA Dental Claim Form (J43024) — ADA Dental Claim Form
Address
Delta Dental of Arkansas, Attn: Claims Department, PO Box 15965, Little Rock, AR 72231
Voice phone
(800) 462-5410

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Complete sections 1-17 of the claim form. If applicable, the dentist should fill remaining sections. All claims must be submitted within 12 months of the date of service. Send the completed form to Delta Dental of Arkansas, Attn: Claims Department, PO Box 15965, Little Rock, AR 72231, or fax to 800-500-8991.

Official form instructions are published as a downloadable file on the organization's website.

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