Welcome, DentaQuest Dentist

 

Join Our Network:

Enroll by Mail:

We encourage you to complete your credentialing application online.  However, we understand an online solution is not everyone’s preference. you prefer to complete a paper application, please call your provider relations representative.
 

CAQH Sign Up

 

Important Notice to All Michigan Providers:

2018 Benefit Changes to Meridian Health Plan
  • Meridian adult Medicaid plan:  effective 1/1/2018- periodontal codes D4341-$121.60, D4342-$82.40, and D5221, D5222, D5223, D5224 denture codes will be added as covered benefits
  • Medicare Advantage plans:
    • Two new plans will be added:
      • Meridian Essential $400, effective 1/1/18
      • Meridian Elite, effective 1/1/18 (will match the current Meridian Extra product but will include denture coverage (D5000 series); limits are $500 on preventive/diagnostic services /$1500 additional for comprehensive services)
    • Changes to Meridian Complete - effective 1/1/18
      • Adding Endo D3000 series codes and Fluoride D1206
      • D5221, D5222, D5223, and D5224 denture codes will be added
      • Removed prior authorization requirements for D4355
Aetna Better Health Office Reference Manual has been updated 10/04/2017. Covered Benefit Exhibit tables were edited to fix grammatical errors and to clearly indicate documentation requirements.
 
Meridian Office Reference Manual has been updated 7/11/2017; Covered Benefit Exhibit tables now indicate Pre-Payment Review or Prior Authorization requirement.

Be sure your office is verifying current covered benefits for each plan.

Please remember to refer to the health plan's Office Reference Manual (ORM) for the most current covered benefits (CDT codes) to ensure that you will receive allowable reimbursement for rendered services. A copy of the ORM is available on this page in the Provider Resources section.
 
 

News & Updates

DentaQuest is pleased to announce that effective January 1, 2018, we’ll be administering dental benefits for Blue Cross Blue Shield of Michigan and Blue Care Network Medicare Advantage programs.
  • DentaQuest will handle all issues relating to general provider inquires, provider education, portal training, claims, claim payments, electronic fund transfer and provider complaints & appeals.
  • Dentemax will continue to be the network for Blue Cross’ Medicare Advantage programs. Dentemax will handle contract and amendments, credentialing, provider updates and fee schedule inquires and requests.
DentaQuest‘s new provider portal system will go live on January 1, 2018, to support Blue Cross’ Medicare Advantage plans only.

If you have questions, you may contact Provider Services at 1-844-876-7917.

DentaQuest ERA Enrollment Letter
DentaQuest Medicare Program FAQs

Effective January 1, 2018, DentaQuest will be administering the dental benefits for Dental Care Plus Plans in Michigan: DentaTrust (High or Low option) and DentaSpan (High or Low option).

 

Contact Information:

DentaQuest Customer Service: 844-870-3977
DentaQuest Credentialing Help Desk: 800-233-1468