Business Profile

Insurance Companies

Delta Dental of California Enterprises

Headquarters

This business is NOT BBB Accredited.

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Important information

Customer Complaint:
BBB’s profile for Delta Dental of California Enterprises was created February 1991. A review of complaints was completed in March 2025. For questions related to your dental plan, consumers are encouraged to visit the following link.

https://www1.deltadentalins.com/members/after-your-visit.html

Complaints

This profile includes complaints for Delta Dental of California Enterprises's headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

202 total complaints in the last 3 years.
77 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

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:04/24/2025
Type:Service or Repair Issues
Status:
ResolvedMore 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.
On March 21st, ***************************************************** ************. I broke a tooth and was seeking an option for emergency services. Upon intake, the technician stated that I was required to get x-rays for the dentist to make a recommendation. I was told, as the sign states in the lobby, the x-rays are free. I notified the technician that I have a terrible gag reflex and could not do the bite wing x-rays and an alternative must be used. The technician did not know of an alternative and tried to proceed. I told her ahead of time that I would vomit if she continued, so she went to get a different technician. The next technician said we were gonna get through this one way or another, and as predicted I vomited all over myself. The technician took me back to the dentist where I was given an evaluation and recommendation for a root canal, extraction and implant. As the tooth was still mostly intact, I said that I would like a less invasive procedure and the dentist said a root canal and crown was not that much cheaper and less effective in the long run. Nevertheless, I was taken to the business manager who asked how I was and I explained all of the above information and she said that she would consult with the dentist and send me a estimate of the two options and that I did not owe anything for the day. Given the experience I had with Aspen Dental, I decided to seek a second opinion and was able to receive treatment from a different dental practice. Then weeks later I was sent a bill for $263 without any explanation except that it was a charge for x-rays and an examination. My insurance was not billed and no resolution was offered given the embarrassment I suffered with the x-rays.
Business Response
Date: 04/24/2025
Hello,

To ensure accurate processing of this request, please provide the member identification number or date of birth to proceed.

Thank you,

Delta Dental

Triage Coordinator

Grievance and Appeals
Customer Answer
Date: 04/24/2025

Complaint: 23245425

I am rejecting this response because: Date of birth is *********

Sincerely,

**** *****
Business Response
Date: 04/25/2025
Hello,
we are unable to locate this member in our system. Please see the attached letter.

Delta Dental.
Customer Answer
Date: 04/28/2025
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. The complaint was incorrectly filed for Delta Dental when it should be Aspen Dental.

Sincerely,

**** *****
Initial Complaint
Date:04/17/2025
Type:Service or Repair Issues
Status:
ResolvedMore 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.
The policy was effective 3/15 and cancelled the product on 3/19. I was told that the cancellation would become effective 3/31 and I would receive a refund. I have called numerous times and was told that cases were created to cancel my account but no one is working cases. I want my refund.
Business Response
Date: 04/17/2025
Hello, we have received your complaint. Delta Dental will respond to the member directly within 30 days regarding this complaint. Thank you.

Customer Answer
Date: 04/17/2025

Complaint: 23216208

I am rejecting this response because: I want a direct resolution through the BBB website as I have been waiting for Delta Dental to resolve this for over a month. I was lied to and promised resolution when I called in to resolve this matter. DD has been unethical in the services they offer and the cancellation policy. I want to know when my refund will be released.

Sincerely,

******* ******
Business Response
Date: 04/21/2025
Hello, Delta Dental will respond to the member directly within 30 days from April 17, 2025, regarding this complaint. Thank you.
Customer Answer
Date: 04/26/2025
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,

******* ******
Initial Complaint
Date:04/15/2025
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 stating that I have not made payment on for my insurance, and they state that I am behind on my payments and have suspended my insurance due to lack of payment. I have called them; my daughter has called them twice and gave them all the information on the cashed checks they of my insurance premiums I have paid diligently. First, they sent me a letter back early last year saying that I had overpaid by one month, I used that credit this year. After I attempted to use the credit, they sent me late notice saying I had not paid. So, I had bill pay to send the check for $53.12, on March 6, 2025, as you see they have endorsed and cashed the check. I sent the April payment April 10, 2025, they are saying they don't have that payment either. But as you can see from both the endorsed/cashed checks that they have both received both payments. My daughter tried to get them to just give her someone email address in billing to send it to or the lady she spoke to. The lady said they don't have email addresses. That is a lie, if you have a business, you have email addresses that your employees use to communicate while working in an office environment. They told her to mail it by **** and that was just another way they have of saying they don't have and have cashed my checks. I want my account brought up to date, and the credit applied where I overpaid from last year accredited to my account for May's premium. And a call from Delta Dental stating why this is happening and why they are having accounting issues with people's money. Seems they are trying to pull the old bait and switch to cancel my policy but keep my money. I am on a fixed income making less than $1200 a month, so that amount of money is like a war chest to me.
Business Response
Date: 04/16/2025
Good Morning,
To ensure accurate processing of this request, please provide the member identification number or date of birth to proceed.
Thank you,
***** *.
Triage Coordinator
Grievance and Appeals
Initial Complaint
Date:03/29/2025
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.
During a scheduled cleaning, my dentist said they did not want to do the cleaning because it would hurt my teeth. Despite consistent cleaning and flossing, there is damage that needs to be repaired by a deep cleaning before a standard cleaning can be done. They are telling me this is a medical necessity and they should not be performing bi-yearly cleanings until completed.I called Delta Dental to discuss and they told me that the procedure would be covered at 90%. This was not the case when the first half of the procedure was completed...I had to pay $500 out of pocket because "the antibiotic" was not covered, but this is a necessary part of the procedure. If I was told that the procedure is covered at 90% and that is a needed part of the procedure, that is ************* addition, the dentist states that this is a medical necessity for the health of my teeth and does not understand why a dental insurance company wouldn't cover the antibiotics here...my care cannot continue without it and I cannot do my scheduled cleanings that that was guaranteed to me by the insurance company. The dentist states that they would lose their license if they did a cleaning without performing this procedure first. Between the misleading phone call and Delta Dental's anti-patient policy, I need the BBB's assistance in getting the necessary antibiotics covered here.
Business Response
Date: 04/01/2025
Hello

Please provide your enrollee id.

Thank you
Customer Answer
Date: 04/03/2025

Complaint: 23132966

ID: *********

Sincerely,

****** *******
Business Response
Date: 04/07/2025
Hello

Our records indicate there is an open complaint on file for you already under (APP-401018). Please allow up to 30 days for this to be reviewed and resolved.

Thank you
Customer Answer
Date: 04/11/2025

Complaint: 23132966

I am rejecting this response because:
I attempted to take care of this through Delta before the second appointment and it was not fixed. At this point Ive already spent over $1000 out of pocket that shouldnt have had to be paid.
I already waited well over 30 days for Delta to approve and rectify. I notified that *** I was contacting the BBB because this wasnt being properly handled. I will not close the BBB complaint until this is properly resolved with coverage for the service.
Sincerely,

****** *******
Initial Complaint
Date:03/26/2025
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 signed up for a plan covering deep cleaning, no waiting period. My dentist got an approval reference no, before doing the work. I had it done. Afterwards DD claimed I switched to a cheaper plan which didn't cover the work - already approved. That's not true and makes no sense: why would anyone do that, knowing by doing it work already done, won't be covered and the cost would be more than the new plan? ... wouldn't. In fact, DD has brokers/middlemen, and doesn't make this clear. I later learned I had signed up on their website with a broker, making troubleshooting really complicated because they have no access to the broker's database. After much more than 50 hours -- being on hold, calls, emails, eventually preparing to sue, they cleared me of any charges. Now, almost a year later, my dental office tells me DD are refusing to pay them, the dental office for the 2nd half of the cleaning - which they had had preapproved with DD (though they covered the first cleaning)! This is a company whose edict apparently is "the customer is always wrong". The money requested is not for me but to go directly to the dental office on the attachment. (I believe it is $209 but DD can check with them). Dealing with DD has been a nightmare and judging by reviews and complaints I am not in the minority. Thanks BBB, *******
Business Response
Date: 03/27/2025
Hello

Can you clarify if you had another insurance at the time of this visit besides Delta Dental ?

Thank you
Customer Answer
Date: 03/27/2025

Complaint: 23117726

I am rejecting this response because:
I did not have other dental insurance at the time in answer to their question.

Sincerely,

******* ******
Business Response
Date: 03/28/2025
Hello

Thank you, I will look into this that is why the claim is denying at this time it is requesting information from your other carrier.

Thank you
Customer Answer
Date: 03/28/2025

Complaint: 23117726

I am rejecting this response because:
Again, there is no other carrier and I have never had any other dental insurance than DD - which I cancelled as you should know, in short order. But, it showing that inaccuracy fits in with the rest of the total confusion and denial I came then to expect from DD.

Sincerely,

******* ******
Initial Complaint
Date:03/24/2025
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.
They are refusing to pay the claim that has been submitted multiple times in every format requested by Delta Dental
Business Response
Date: 04/07/2025
Hello

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

Thank you
Customer Answer
Date: 04/08/2025

Complaint: 23102662

I am rejecting this response because:
Subject: BBB, Claims of ****** ***** ******* ******

This was an Out of the Country claim. Please speak to ***** Fairly my claims advocate. She's been helping me with this claim for all these months. If you require any further information on the claim please let me know.
Hello, Enrollee ******* *****. Member Identification Number
122268454601
D.O.S 6/15/2024

Sincerely,

****** Elena ***********
Business Response
Date: 04/14/2025
Hello

We have received your complaint. Delta Dental will respond to you directly within 30 days regarding your complaint.

Thank you
Initial Complaint
Date:03/20/2025
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.
This complaint concerns two claims:1) Claim #************** - May 10, 2024 I have all-on-fives on both upper and lower arches. On May 10, I went to BioDental for my six-month cleaning. These two items (D6080) are the only items in dispute. The other items on the claim were previously sent and processed. Both arches (upper and lower) were removed/cleaned/replaced. I paid $300 ($150/arch) to BioDental and BioDental sent the paperwork to Delta. The *** states that the payment to me was not approved because "Benefits could not be determined because proof of payment was missing." On December 2, I sent a copy of my invoice from BioDental dated 5/10/2024 as well as the receipt for $300 charged to my credit card, along with a copy of the claim to Delta Dental at **************************************** via **** Priority Mail via tracking at a cost of $10.45. **** Tracking #********************** shows the item was delivered at 10:43AM on December 4, 2024. There was no further action on this claim. I'm still awaiting my $300 payment.2) Claim #************** December 6, 2024. Similarly, this was a six-month visit to have both arches removed/cleaned/replaced. I paid $300 on my credit card to BioDental. While the $150/arch ($300 total) is legitimate, payment to me was not approved due to: "We need to know the tooth or areas of the mouth that were treated." These are the only "teeth" I have as there are two arches in my mouth (upper and lower) with all of my teeth - reflected in all my previous claims for the past year.I called Delta Dental this morning at 7:57AM PT. After a polite 30 minutes on the phone, neither ***** nor ******* could assist --- other than advising me to file a grievance with the company, which I have done. While I believe in crossing "t's" and dotting "i's", this appears to be a case of obfuscation and denial for the sake of corporate profit. I have been a Delta customer for many years. Why is compensation for this preventive procedure so difficult.
Business Response
Date: 03/20/2025
Hello

Your complaint was received. Please allow 30 days for grievance and appeals to review.

Thank you
Customer Answer
Date: 03/20/2025

Complaint: 23092007

I am rejecting this response because: This is not a response to my claim. It is merely setting a longer time frame to address it.
I cannot judge my satisfaction until I receive a legitimate response from Delta Dental rather than an extended time frame.

Sincerely,

***** *******
Business Response
Date: 03/25/2025
Hello

Thank you for your response. As stated your complaint was sent to our grievance and appeals department for review. You will receive a response from them directly it will not be through this portal.

Thank you
Initial Complaint
Date:03/19/2025
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.
I had purchased dental insurance through ****************, and it is Dental Dental. I paid two premium payments in January, and the insurance was supposed to begin on 02/01/2025. It is not found in Delta Dentals system. I have called ****** and Delta Dental numerous times. ****** has tried conference calls with Delta Dental on a number of occasions, some with me on the phone. Today, our conference call resulted in Delta Dental acknowledging that they could see ******'s enrollment through ******'s system, but yet Delta Dental did not have it in their system. Both the ****** representative and me were at a loss that the Delta Dental representative was unable to do anything about this. I have dental bills that should have been covered and now are in my mail inbox, and these expenses were incurred in February, as I was told that it would go through in a number of business days. I purchased this insurance in January, and we are now in mid-March and I have no further resolution for this situation, and my dentist bill is waiting to be ******* be clear: I have two charges in my PNC account for payments for the Delta Dental premium back in January. I refuse to do any more payments until Delta Dental resolves this and provides us with our dental insurance.Please assist me in getting this enrollment completed. I simply just want insurance coverage that should have stared on 02/01/2025. Thank you!
Business Response
Date: 03/20/2025
Hello

Can you please provide us with your date of birth so we can try and locate the account?

Thank you
Initial Complaint
Date:03/17/2025
Type:Sales and Advertising 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 called their customer service line in December to cancel my policy and I was told that I had to call the insurance marketplace to do so, because that is how I obtained my insurance. So I called the customer service for the ********************** marketplace and cancelled. They were supposed to email me a confirmation number, but they failed to do so. Delta Dental is still sending me bills, even though I cancelled my insurance three months ago and have never even bothered to use the policy.
Business Response
Date: 03/17/2025
Hello

Please respond with your enrollee id number

Thank you

Customer Answer
Date: 03/18/2025

Complaint: 23074879

I am rejecting this response because:
I have a call log from January from when I spoke to someone from MD Health Connection. That call was 10 minutes. I called them again the date of the complaint and I was told the account was still active. You mean to tell me that after 10 minutes of time, you couldn't resolve an issue that the customer called about?!?! Anyway, I have a case number from the second call #*************. I cannot login to view my account to retrieve my ID number. I don't keep the bills because I usually login to pay them. So, it must have been successful this time.

Sincerely,

***** ******
Business Response
Date: 03/19/2025
Hello

Can we have a date of birth to better assist you then please.

Thank you
Customer Answer
Date: 03/19/2025

Complaint: 23074879

09/25/1990

Sincerely,

***** ******
Business Response
Date: 03/20/2025
Hello

Thank you *****, I have located the account. From what I see is your account is set to terminate on 3/31/25, I understand your concern regarding the billing. Delta Dental could not make changes until we had this information from Maryland Individual Exchange. Please advise if you would like for us to proceed with creating a complaint for you.

Thank you
Customer Answer
Date: 03/20/2025

Complaint: 23074879

Yes, I would like you to assist me with a complaint.

Sincerely,

***** ******
Initial Complaint
Date:03/13/2025
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.
Submitted multiple claims to this **** affiliated company in one envelope. They denied one and then claimed they never got the others. They want me to get copies and resubmit. They lost them or threw them away so they did not have to process so they can track them down.
Business Response
Date: 03/17/2025
Hello

Please respond with your enrollee id.

Thank you
Customer Answer
Date: 03/18/2025

Complaint: 23062543

I am rejecting this response because: The information requested from Delta Dental is 120 365 038 501 (member ID) *************

Sincerely,

****** *******
Business Response
Date: 03/19/2025
Hello

Thank you can you provide us with the dates of service you are appealing.

Thank you

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Delta Dental of California Enterprises is NOT a BBB Accredited Business.