Need Help? We’re Here for You.

 

As an NJDA member, you have access to responsive, individualized support for challenges related to insurance, licensure, practice management, regulatory compliance, and more. Submit the form below and we'll confirm receipt within 24–48 hours. 

Some questions can be addressed quickly, while others require more in-depth research, including review of NJ regulations, consultation with subject matter experts, or coordination with external resources. More complex inquiries may take up to one (1) week for a complete response, depending on the nature of the issue. We will keep you informed throughout the process and will not close your inquiry until guidance has been provided. 

Please Note:

  • NJDA does not intervene directly with insurance carriers or act on behalf of members in disputes.
  • We will provide guidance, recommended next steps, and available resources to help navigate the situation.
  • NJDA does not provide legal advice. If your inquiry requires legal interpretation or representation, we recommend consultation through NJDA's legal partner with Mandelbaum Barrett. 

For additional information, please visit the NJDA Member Inquiry FAQ Page.  

Access to the FAQ page requires login using your ADA credentials. 

 

How to Reach Us  

Submit the inquiry form below with as much detail as possible. The more context you provide, the more efficiently we can assist you. 

Prefer to call? Reach us at 732-422-2709. If we're unavailable, leave a detailed message and we'll follow up as soon as possible, though submitting the form is strongly encouraged to ensure we have all the necessary information to begin our review. 

 

Not a Member Yet? 

Our support services are available to NJDA dues-paying members only. If you're interested in joining, please contact membership@njda.org to learn about membership and its benefits. 

Member of the General Public?

We're happy to point you in the right direction, but please note our services are designed for NJDA member dentists. For general inquiries, visit us here. 

 

NJDA Member Inquiry Form

Please complete this form so our team can assist you and provide timely follow-up. All information will be kept confidential and used only for NJDA support and reporting. 

Member Dentist Information

Point of Contact

Important Note Regarding HIPAA Compliance and Expectations

  • Do NOT include any Protected Health Information (PHI) such as patient names, date of birth, address, and insurance ID when uploading documents. If files containing PHI are submitted, your inquiry will be deleted and not reviewed. You will be notified via email to resubmit your inquiry request. Please redact PHI in your documents before submitting.     
  • When submitting Explanation of Benefits, please know that we will offer insight on based on your request. We do not contact the insurer on your behalf to settle a claim. However, we will connect you with the ADA’s Third Party Concierge if it requires a direct response beyond what we can provide.   

Issue Description & Steps Taken So Far

To allow for a thorough and efficient review, your response must include ALL of the following:

  • A clear description of the issue
  • Is there a response deadline? If so, when?
  • What actions have you already taken (e.g., claim submitted, appeal filed, calls made)
  • Any responses received (from insurance, patients, or other parties)
  • The current status of the issue  

Examples:

Insurance Inquiry: 

Our office is in-network with a PPO plan and recently completed a crown procedure that was later denied by the carrier as cosmetic/non-covered. The patient was informed of possible financial responsibility before treatment, but we need clarification on whether the contracted write-off still applies or whether we may bill the patient our full office fee. We reviewed the Explanation of Benefits and the patient's signed financial agreement, but the carrier's denial language does not clearly address fee limitations for non-covered services. We need guidance before finalizing the patient balance and responding to the patient. 

New Jersey Regulation Inquiry: 

Our office is reviewing scheduling protocols for our registered dental hygienists and needs clarification on whether prophylaxis and radiographs may be performed under general supervision when the dentist is not physically present in the office. We are updating staffing assignments next month and need confirmation before finalizing schedules. We need guidance to ensure our office workflow is fully compliant with New Jersey regulations. 

Advocacy Inquiry:

The practice has been experiencing ongoing difficulty recruiting and retaining registered dental hygienists, which has affected scheduling availability and patient access to care. We have posted open positions for several months, adjusted compensation, and worked with recruitment resources, but staffing shortages continue. We would like NJDA to be aware of this workforce issue and to consider continued advocacy for policies that strengthen New Jersey’s dental workforce pipeline and improve access to licensed hygienists across the state.

File Upload (Optional)

You may upload up to five (5) supporting documents.

Examples of documents include:

  • Explanation of Benefits (EOB)
  • Denial Letters
  • Policy Language, correspondence with insurers, etc.