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Delta Dental reports $7.6M in claims and identifies 6,866 members with no dental care in year

State Employee Health Commission · October 16, 2025
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Summary

Northeast Delta Dental reported $7.6M in claims paid for Oct. 1, 2024'''Sep. 30, 2025, average enrollment of 13,865, network savings of about $5M, and 6,866 members with no dental services during the period.

Northeast Delta Dental presented the semi-annual dental plan report covering Oct. 1, 2024 to Sept. 30, 2025. Total claims paid were $7.6M with average enrollment of 13,865; network savings (difference between submitted fees and approved fees) were reported at approximately $5M. Claims processing metrics and customer service measures were also detailed.

The report provided oral wellness risk stratification among continuously enrolled members: 38% low risk, 21% moderate risk, 11% high risk, and 30% with no care. The vendor noted favorable trends in some members moving from no-care to low-risk status and flagged ongoing concerns about members with no utilization.