Business Profile

Dental Plans

Delta Dental Insurance Company - Georgia

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for Delta Dental Insurance Company - Georgia's headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

175 total complaints in the last 3 years.
31 complaints closed in the last 12 months.

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The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

Initial Complaint
Date:02/11/2025
Type:Customer Service Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I received covered dental care and delta dental is refusing to accept my dentists claim and pay me what I am due.
Business Response
Date: 02/12/2025
Hello

Please respond with the date of service as well as your enrollee id.

Thanks
Customer Answer
Date: 02/13/2025
please forward the following to delta dental
Dates of service
11/21
12/16
member ID ************
Business Response
Date: 02/14/2025
Hello

We have not received these claims that you are referring to. We also have not received a call from your provider at all to see if there could be an issue as to why we are not receiving these. Please have them contact Delta Dental so this can be resolved.

Thank you

Customer Answer
Date: 02/14/2025

Complaint: 22929645

I am rejecting this response because:
A three way recorded call was placed 2/10/25 with my wife and my dentist including a delta dental representative. If you look in your call records you will find this. There was no further help offered by that representative. So yes, there was a call placed.

Sincerely,

***** *****
Business Response
Date: 02/18/2025
Good morning

We understand, however as stated there is no claim on file for the dates indicated.

Thank you
Customer Answer
Date: 02/19/2025

Complaint: 22929645

I am rejecting this response because:
The claims have been submitted electronically multiple times and by mail now as well. If these have not worked, we need an email to submit it another way. Next up, we will be reporting to the insurance commissioner.

Sincerely,

***** *****
Initial Complaint
Date:02/10/2025
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
My husband, ***** *****, received dental care with Dr. **** ********** in ***********, ** in November and December of 2024. Delta Dental is refusing to receive or give further information on whether they have received claims from this provider in order to pay us back for covered services. I have been in contact with them three times and they have made no progress toward paying us the money we are owed.
Business Response
Date: 02/11/2025
Hello

Please have your spouse complete a HIPPA authorization form in order for us to assist you.

Thank you
Initial Complaint
Date:02/08/2025
Type:Order Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
My dentist did two crowns on the same day. Dental Dental has reimbursed me for only one even after additional paperwork they requested was submitted twice.
Business Response
Date: 02/10/2025
Hello

Please reply with your enrollee id.

Thank you

Customer Answer
Date: 02/10/2025

Complaint: 22917702

I am rejecting this response because:

Sincerely,

******** ********

the ID # requested is: 1207944380-02
Business Response
Date: 02/11/2025
Hello

Thank you. I am showing the x-rays were received and was sent over for review. Please allow around 7-10 business days.

Thank you
Customer Answer
Date: 02/11/2025

Complaint: 22917702

I am rejecting this response because:

This crown was done on 12/4/2024. Thats over 2 months ago and the dental office submitted the information to Delta Dental close to that date and I also submitted the requested information after that to Delta Dental. I think over two months to process this claim is excessive. And now theyre asking for 7 to 10 more days.
Sincerely,

******** ********
Initial Complaint
Date:02/05/2025
Type:Order Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I would like to file an complaint for denial of service because my doctor got an explanation of benefits for my daughter ******* ***** prior to our procedure visit on November 21, 2025 that showed the services were covered and insurance would paid a minimum of $810, but Delta Dental denied to cover the claim afterward and paid absolutely nothing. Here is a response from the doctor, Dr. ******** ****, expressing surprise that the claim was denied. "To the best of our knowledge, Delta Dental denied coverage because the procedure is not covered under your plan. This was also a surprise to us, as it contradicts the information listed on your Member Benefits page. As your Member Benefits, which indicates ************ services are covered at 50%."I have attached several documents that show the contract benefit for the listed services of 50% or 100% for the listed services, but Delta paid nothing. This contradicts the prior authorization and the claim paperwork itself. The Delta patient portal also shows an out of packet costs of only $335.50.
Business Response
Date: 02/06/2025
Hello

The cost estimator shows dental procedure codes d7140 as covered services, the dependant did not receive this specific extraction. The submitted codes not covered were d7240. It is always best to call in and check information or have any procedure pre authorized to be sure services would be covered.

Thank you

Customer Answer
Date: 02/06/2025

Complaint: 22905546

I am rejecting this response because:
Why does the claim say contract benefit of 100% for procedure for D7240 on YOUR claim form. This is deceptive and very misleading, as well as unethical. Even my doctor was surprised to see this. Short of the $810 I will not accept your response.

Sincerely,

*** Smith
Business Response
Date: 02/07/2025
Hello

I am unsure where you saw 100% of contract benefit level. The attachments you sent do not show this. It shows a different procedure code than what was serviced for your dependent. In the future we highly suggest a pre-estimate for a major surgery unless your provider gives you the procedure codes themselves, looking online and assuming all oral surgery is the same is not recommended.

Thank you

Customer Answer
Date: 02/07/2025

Complaint: 22905546

I am rejecting this response because:
On the previously attached document K.SmithEOBAwah.pdf, under procedures, then D7240 for teeth ******** &32 it shows a contract benefit of 100%.

Sincerely,

*** *****
Business Response
Date: 02/13/2025
Hello

I understand your frustration toward this matter, however these services are not covered. The level of 100% for that non covered service means you are paying 100% out of pocket for this.

Thank you
Initial Complaint
Date:01/28/2025
Type:Billing Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Delta Dental is trying to charge me extra payment ($42.25) to continue receiving my dental benefits. I pay $42.25 each month for a DPO plan for the state of Texas including adult orthodontic treatment. I have received several invoices starting in November 2024 that my DPO Plan of the State of Texas is cancelled as of December 2024. However, I still owe $211.00 as of today.I owe for the months of November 2024 ($42.25), December 2024 ($42.25), and January 2025 ($42.25). This amount comes out to $126.75
Business Response
Date: 02/07/2025
Good afternoon

A complaint was submitted on your behalf under (CMP-753987). Please allow 7-10 business days to receive acknowledgement of this complaint and up to 30 days for a resolution.

Thank you

Customer Answer
Date: 02/09/2025

Complaint: 22863301

I am rejecting this response because: I need someone in executive office to contact me regarding my dental insurance as I need to see the dentist as soon as possible.

Sincerely,

****** *********
Business Response
Date: 02/10/2025
Hello

A grievance was filed and you will be contacted shortly.

Thank you
Customer Answer
Date: 02/11/2025

Complaint: 22863301

I am rejecting this response because: I should have already spoken to a supervisor two weeks ago when I tried to discuss my dental insurance.

Sincerely,

****** *********
Initial Complaint
Date:01/27/2025
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Dental ProviThe Dental Provider's list includes ********************** The dental clinic assured us they were contracted with Delta Insurance and that the procedure would be covered. However, after my daughter had a tooth extraction on August 11, 2022, Upon checking online we were shocked we have a bill for $1,496. When my daughter called Delta on January 3, 2025, she spoke with *******, who advised filing a grievance and mentioned that the dentist was not contracted at the time of the service. Following the insurance company's advice, my daughter filed the grievance, yet now Delta Insurance claims the 180-day filing period has passed. I find this situation unfair. The purpose of enrolling in Dental Insurance is to reduce costs, not to face a financial burden. Delta Insurance is only willing to cover $369.60, which is not a fair contribution at all..I want Delta Dental to cover the Insurance bill. I paid $282 copay during my daughters procedure
Business Response
Date: 01/27/2025
Hello

In order to file a grievance on behalf of your adult dependent an authorization form needs to be filled out. Please see the attached and return filled out.

Thank you
Initial Complaint
Date:01/23/2025
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I have been trying since April 2024 to have a dental claim accepted and processed. I have been told different reasons why my claim has been denied from my dentist's signature is too big to the wrong ID numbers being in. I also haven't been able to submit a grievance on their system.
Business Response
Date: 01/24/2025
Good morning

Please respond with your enrollee id or date of birth.

Thank you
Initial Complaint
Date:01/17/2025
Type:Product Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
***** ***** Id number: ************* Claim number: ************** I went in for a crown on Aug 16th 2023, however, the doctor wasn't able to put in the crown due to a bite issue and referred me for crown lengthening. During this time, I found out I was pregnant and didn't want to get any invasive dental procedures done due to my high-risk pregnancy. I unfortunately lost the babies due to the high-risk pregnancy. Due to my health condition this is why the claim is over 180 days old. After the grieving period, I went back to them for crown lengthening consultation as I was advised by Dr. ******* the doctor there told me it would be a 50/50 chance of working so I decided to have tooth no. 18 pulled out altogether. However, doctor (******) still charged me $533 for a crown I did not receive which is to me is considered fraud. If I did not receive a product, how could you charge me and my insurance. I am asking delta dental to help me reverse the claim and get a refund.
Business Response
Date: 01/27/2025
Good morning

Your complaint was received and you will receive an acknowlegement letter shortly through mail.

Thank you
Initial Complaint
Date:01/16/2025
Type:Product Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I had Delta Dental Insurance through December 31, 2024. Below is my insurance information:ID: ************* Group Name: Delta Dental PPO Individual Group #: 18821-00005 On November 11, 2024, I received a crown. The service was performed byThorne Family Dentistry. Their contact information is below:****** Family Dentistry *************************************************************************************************************** ***** (817) ******* ***************************** was not in my network. I chose this dentist because of the expertise of the dentist and the difficulty of the crown, knowing that I would only receive a portion of my cost from Delta Dental. However, as of this date and after numerous phone calls to Delta Dental and my provider, I have still received no portion of the payment I made to ***************************** for the crown.From what I have been told (and I have received different explanations from Delta Dental every time I have talked to them) the problem is that ***************************** did not complete the paperwork properly. Discussing the situation with ****** Family Dentistry, they have contacted Delta Dental numerous times including talking with the local Delta Dental representative, to no satisfaction. ***************************** has told me that they have completed all the necessary paperwork properly. This leaves me caught in the middle with no **************** there anything you can do to ensure I receive reimbursement for the services I paid for and was insured for?Thank you for looking into this matter.
Business Response
Date: 01/17/2025
Hello

We have not received a claim from your dental office for November 11, 2024. Please have a claim submitted so this can be processed according to your plan.

Thank you
Customer Answer
Date: 01/17/2025

Complaint: 22820150

I am rejecting this response because:
There has been a claim filed by my dentist. Please review my original complaint which states the situation. This is just a plot by Delta Dental to avoid paying claim.

Sincerely,

******* **********
Business Response
Date: 01/21/2025
Good afternoon,

Your complaint was fully read. There seems to have been an issue where the claim was not showing processed in the system. As of today January 21, 2025 this was sent to be reprocessed. Please allow around 7-15 business days.

Thank you

Customer Answer
Date: 01/21/2025

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

Sincerely,

******* **********
Customer Answer
Date: 01/29/2025

Complaint: 22820150

I am rejecting this response because: Delta Dental HAS NOT submitted the claim for processing as they said they would. Once again, they are procrastinating making payment for this claim.

Sincerely,

******* **********
Business Response
Date: 02/06/2025
Hello

As stated previously this claim was sent for reprocessing. We understand your frustration however you have to allow time for this to happen, you may call in to Delta Dental to check the status of this.

Thank you
Customer Answer
Date: 02/06/2025

Complaint: 22820150

I am rejecting this response because:
This company is procrastinating on making payment to me for claim I am due per contract. They should be protected so they cannot rip-off another consumer.

Sincerely,

******* **********
Initial Complaint
Date:12/09/2024
Type:Billing Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
My daughter had her routine two teeth cleanings and one initial eval by an orthodontist this year. Delta dental is claiming we went over out D0120 and D0140 uses. My other daughter had the exact same evals done inn 2018 and everything was covered. I have had numerous **** with delta tell me that this should have been covered. It has been resubmitted numerous times on my behalf only to be denied. I then filed a complaint against delta dental and did not get a response. I finally emailed them again today and was told that its not covered. I have proof as to my oldest daughters being covered for the EXACT same things. NO policy changes were made. We have the exact same insurance. Why is my youngest not covered? Delta dental is wrong and needs to refund my $49 they owe me! There is no way that someone can't not get their two cleanings yearly and go to an orthodontist as well and go over the allotted visits. This did not happen to my other child yet its happening to this one. Delta dental is in the wrong. This has been an ongoing issue since July and there are plenty of notes that can be gone over. Your **** need proper training if they were in the wrong by telling me what thy did, numerous times. You also need to revert back to my other daughters claims to see they were all paid in full yet this same exact occurrence is not.
Business Response
Date: 12/06/2024
Delta Dental Plan of ************** (DDMI) is in receipt of the consumer's review. DDMI considers this review to be important and utilizes every opportunity to identify the consumer's concerns. It appears that the review may have been directed to the wrong company. Thank you.
Customer Answer
Date: 12/06/2024
i have tried multiple
times and the picture will not send.
Customer Answer
Date: 12/06/2024
Plan is under husbands name. Please see attached
Business Response
Date: 12/06/2024
Delta Dental Plan of ************* (DDMI) is in receipt of the follow-up information regarding the consumer's review. DDMI considers this review to be important and utilizes every opportunity to identify the consumer's concerns. From the attachment, it appears that the complaint may be intended for Delta Dental Insurance Company.
Customer Answer
Date: 12/06/2024
[A default letter is provided here which indicates your rejection of the business's response.

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this proposed action would not resolve my complaint. For your reference, details of why I am rejecting this response appear below:

[You must provide details of why you are not satisfied with this resolution. Please type details here:]

Regards,

******** *********
Customer Answer
Date: 12/09/2024
I do not understand what you are asking from me. This does not tell me. I have a brain injiry and phone calls are difficult. Respond via email for what you need from me please.
Customer Answer
Date: 12/09/2024
ot eill not allow me to send the picture. it will not allow me to send it as a file. please send me an email so i can reply and send it that way. I am very, very ill and i also csnnot hear on the phone.
Business Response
Date: 12/10/2024
Hello

Please respond with your enrolle id

Thank you
Customer Answer
Date: 12/10/2024

Complaint: 22612444

I am rejecting this response because:

I am not able to send pictures thru this website. Someone will have to email me requesting a copy of the card in which i have already emailed multiple times. The account holder is ****** ********* if you can look it up that way.

Sincerely,

******** *********
Business Response
Date: 12/12/2024
Good morning

After further review the claim for 7/25/24 for ******* ********* is processed correctly. Your plan allows to exams per year, there was an exam done 1/16/24 as well as 6/6/24. The claim for July would be considered a third exam and therefore would not be covered. As far as your other daughter there is no record of her having three exams in 2018, she had two regular visits that were covered.

Thank you .

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Delta Dental Insurance Company - Georgia is NOT a BBB Accredited Business.