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Provider File License # Name Effective Date:, 20 Delta Dental of Minnesota Enter Date:, 20 P.O. Box 9304 Minneapolis, MN 55440-9304 Operator: Confidential Filed Fee Schedule Notes: For Delta Dental
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Instructions for filling out box 9304 - deltadentalmn:

01
Start by obtaining the appropriate form that requires you to fill out box 9304 - deltadentalmn. This could be an enrollment form, claim form, or any other document specific to deltadentalmn.
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Locate box 9304 on the form. It might be labeled as "Box 9304" or under a specific section related to dental insurance information.
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Carefully read the instructions or guidelines provided alongside box 9304. This will ensure that you accurately fill out the necessary information.
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In box 9304, provide the required dental insurance details specific to deltadentalmn. These details may include your policy number, group number, or any other unique identification information associated with your deltadentalmn plan.
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Double-check the information you entered in box 9304 for accuracy. It is crucial to avoid any mistakes as it may lead to processing delays or denial of benefits.

Who needs box 9304 - deltadentalmn?

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Individuals who have dental insurance coverage with deltadentalmn.
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Box 9304 - deltadentalmn is a section on a tax form used for reporting dental benefits provided by Delta Dental of Minnesota.
Employers or individuals who have dental insurance coverage through Delta Dental of Minnesota are required to report information in box 9304.
Box 9304 - deltadentalmn should be filled out with the total amount of dental benefits received from Delta Dental of Minnesota during the tax year.
The purpose of box 9304 - deltadentalmn is to provide the IRS with information on dental benefits received from Delta Dental of Minnesota for tax reporting purposes.
The total amount of dental benefits received from Delta Dental of Minnesota during the tax year must be reported on box 9304.
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