Providers
Forms and FAQ's
Forms
Helpful Benefit Hints - Information to help you get the most out of your dental plan.
FAQ's
Q- How will I know what plan my patient is on?
A- Your patient's ID card will specify the Fee Schedule (Network), plan type, and other plan specific information, such as options and deductibles.
Q- How do the fee schedules work?
A- Low, Medium and High columns on your Fee Schedules are for the co-pay plans. The Total Fee columns on your Fee Schedules designate the Total Contracted Fee for any plan on that Fee Schedule. This column is used to calculate benefit percentages for the co-insurance plans. Additional information on the fee schedules can be found on the Plans Overview document or in your Administrative Guide.
Q- How do I obtain an Adminitrative Guide?
A- You may download one from our website in the Forms section above. You may also request one from our Professional Relations Corporate Office by calling 800-999-9789.
Q- Do I have a representative that can assit me with issues?
A- All Dental Select Preferred Providers have a personal Professional Relations Specialist assigned to assist with any questions or issues that may arise.
Utah - Sharon Smith 801-641-6250
Texas - Helen Andrews-Mims 866-746-0393
Q- Dental Select recently added new plans. Why?
A- Due to the rising cost of medical insurance premiums, many companies are choosing to shift to voluntary plans paid by the employee or are eliminating dental coverage completely. These new plans offer additional dental plan choices WITHOUT reducing your total reimbursement, allowing patients more options and access to dental health benefits.
Q- How do I add a plan to my affiliation?
A- You may add a plan by contacting your Professional Relations Specialist or our Corporate Office for an additional plan contract. Contracts may be faxed or mailed - please locate the contact information below.
Q- How do I terminate a plan?
A- All requests must be submitted in writing on your company letterhead. There is a 90 day termination period during which time the provider is responsible for contacting all existing patients who may be affected. Upon receipt of the termination request, the Provider will no longer be listed in the Dental Select Provider Directories for that specific plan or plans. You may fax, mail or email your requests - please locate the contact information below.
Q- How do I request a plan to be closed to new patients?
A- You may elect to close a plan or plans at any time to new patients. All requests must be submitted in writing on your company letterhead and are effective immediately upon receipt of notification. You may fax, mail or email your requests - please locate the contact information below.
Q- How do I submit an address change?
A- Address or other contact information changes may be submitted in writing directly to our Professional Relation Corporate Office via fax, mail or email - please locate the contact information below.
Professional Relations Contact Information
Corporate Office
5373 South Green Street, Ste 400
Salt Lake City, Utah 84123
Phone: (801) 495-3000 or (800) 999-9789
Fax: (801) 290-5108 or (888) 998-8708
Email: provider@dentalselect.com
Professional Relations Specialist - Utah
Sharon Smith
Phone: (801) 641-6250 or (800) 999-9789 x152
Fax: (801) 290-5108 or (888) 998-8708
Email: sharons@dentalselect.com
Professional Relations Specialist - Texas
Helen Andrews-Mims
Phone: (281) 997-9636 or (866) 746-0393
Fax: (800) 945-9193
Email: helenm@dentalselect.com
Forms
Helpful Benefit Hints - Get the most out of your dental plan
Specialists - Explanation of Plans
FAQ's
Q- How will I know what plan my patient is on?
A- Your patient's ID card will specify the Fee Schedule, plan type, and other plan specific information, such as options and deductibles.
Q- How do the fee schedules work?
A- Low, Medium and High columns on your Fee Schedules are for the co-pay plans. The Total Fee columns on your Fee Schedules designate the Total Contracted Fee for any plan on that Fee Schedule. This column is used to calculate benefit percentages for the co-insurance plans. Additional information on the fee schedules can be found on the Plans Overview document or in your Administrative Guide.
Q- How do I obtain an Adminitrative Guide?
A- You may download one from our website in the Forms section above. You may also request one from our Professional Relations Corporate Office by calling 800-999-9789.
Q- Do I have a representative that can assit me with issues?
A- All Dental Select Preferred Providers have a personal Professional Relations Specialist assigned to assist with any questions or issues that may arise.
Utah - Sharon Smith 801-641-6250
Texas - Helen Andrews-Mims 866-746-0393
Q- Dental Select recently added new plans. Why?
A- Due to the rising cost of medical insurance premiums, many companies are choosing to shift to voluntary plans paid by the employee or are eliminating dental coverage completely. These new plans offer additional dental plan choices WITHOUT reducing your total reimbursement, allowing patients more options and access to dental health benefits.
Q- How do I add a plan to my affiliation?
A- You may add a plan by contacting your Professional Relations Specialist or our Corporate Office for an additional plan contract. Contracts may be faxed or mailed - please locate the contact information below.
Q- How do I terminate a plan?
A- All requests must be submitted in writing on your company letterhead. There is a 90 day termination period during which time the provider is responsible for contacting all existing patients who may be affected. Upon receipt of the termination request, the Provider will no longer be listed in the Dental Select Provider Directories for that specific plan or plans. You may fax, mail or email your requests - please locate the contact information below.
Q- How do I request a plan to be closed to new patients?
A- You may elect to close a plan or plans at any time to new patients. All requests must be submitted in writing on your company letterhead and are effective immediately upon receipt of notification. You may fax, mail or email your requests - please locate the contact information below.
Q- How do I submit an address change?
A- Address or other contact information changes may be submitted in writing directly to our Professional Relation Corporate Office via fax, mail or email - please locate the contact information below.
Professional Relations Contact Information
Corporate Office
5373 South Green Street, 4th Floor
Salt Lake City, Utah 84123
Phone: (801) 495-3000 or (800) 999-9789
Fax: (801) 290-5108 or (888) 998-8708
Email: provider@dentalselect.com
Professional Relations Specialist - Utah
Sharon Smith
Phone: (801) 641-6250 or (800) 999-9789 x152
Fax: (801) 290-5108 or (888) 998-8708
Email: sharons@dentalselect.com
Professional Relations Specialist - Texas
Helen Andrews-Mims
Phone: (713) 340-2222 or (866) 746-0393
Fax: (800) 945-9193
Email: helenm@dentalselect.com
Forms
Helpful Benefit Hints - Get the most out of your dental plan
Specialists - Explanation of Plans
Pedodontists - Explanation of Plans
FAQ's
Q- How will I know what plan my patient is on?
A- Your patient's ID card will specify the Fee Schedule (Network), plan type, and other plan specific information, such as options and deductibles.
Q- How do the fee schedules work?
A- Low, Medium and High columns on your Fee Schedules are for the co-pay plans. The Total Fee columns on your Fee Schedules designate the Total Contracted Fee for any plan on that Fee Schedule. This column is used to calculate benefit percentages for the co-insurance plans. Additional information on the fee schedules can be found on the Plans Overview document or in your Administrative Guide.
Q- How do I obtain an Adminitrative Guide?
A- You may download one from our website in the Forms section above. You may also request one from our Professional Relations Corporate Office by calling 800-999-9789.
Q- Do I have a representative that can assit me with issues?
A- All Dental Select Preferred Providers have a personal Professional Relations Specialist assigned to assist with any questions or issues that may arise.
Utah - Sharon Smith 801-641-6250
Texas - Helen Andrews-Mims 866-746-0393
Q- Dental Select recently added new plans. Why?
A- Due to the rising cost of medical insurance premiums, many companies are choosing to shift to voluntary plans paid by the employee or are eliminating dental coverage completely. These new plans offer additional dental plan choices WITHOUT reducing your total reimbursement, allowing patients more options and access to dental health benefits.
Q- How do I add a plan to my affiliation?
A- You may add a plan by contacting your Professional Relations Specialist or our Corporate Office for an additional plan contract. Contracts may be faxed or mailed - please locate the contact information below.
Q- How do I terminate a plan?
A- All requests must be submitted in writing on your company letterhead. There is a 90 day termination period during which time the provider is responsible for contacting all existing patients who may be affected. Upon receipt of the termination request, the Provider will no longer be listed in the Dental Select Provider Directories for that specific plan or plans. You may fax, mail or email your requests - please locate the contact information below.
Q- How do I request a plan to be closed to new patients?
A- You may elect to close a plan or plans at any time to new patients. All requests must be submitted in writing on your company letterhead and are effective immediately upon receipt of notification. You may fax, mail or email your requests - please locate the contact information below.
Q- How do I submit an address change?
A- Address or other contact information changes may be submitted in writing directly to our Professional Relation Corporate Office via fax, mail or email - please locate the contact information below.
Professional Relations Contact Information
Corporate Office
5373 South Green Street, 4th Floor
Salt Lake City, Utah 84123
Phone: (801) 495-3000 or (800) 999-9789
Fax: (801) 290-5108 or (888) 998-8708
Email: provider@dentalselect.com
Professional Relations Specialist - Utah
Sharon Smith
Phone: (801) 641-6250 or (800) 999-9789 x152
Fax: (801) 290-5108 or (888) 998-8708
Email: sharons@dentalselect.com
Professional Relations Specialist - Texas
Helen Andrews-Mims
Phone: (713) 340-2222 or (866) 746-0393
Fax: (800) 945-9193
Email: helenm@dentalselect.com
