FLORIDA PROVIDERS

THE NETWORK FOR QUALITY DENTAL CARE IN FLORIDA

DentaQuest is a leading dental insurance provider in Florida, providing dental coverage to eligible members of various Medicaid, CHIP, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal plans. We have built a national oral health ecosystem committed to quality patient care, efficient processes and continuous improvement on the fundamentals to help your practice perform at its best.

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Dental provider during a teeth cleaning session

Serving Patients Across Florida

Florida dental providers enrolled in the DentaQuest network serve members of the following health plans and government programs in Florida.

CHIP

Individual Plan

Marketplace/Exchange

DentaQuest Marketplace EPO Family High
DentaQuest Marketplace EPO Family Low
DentaQuest Marketplace EPO Pediatric High

Medicaid

Statewide Medicaid Dental Health Program - Adults (21 and older)
Statewide Medicaid Dental Health Program - Children (0-20)

Medicare

FL AmeriHealth Caritas VIP Care (HMO D-SNP)
Florida Complete Care
Florida Wellcare Medicare Advantage
Solis Health Plans

Contact Details

DentaQuest Provider Services: (877) 468-5581

DentaQuest Recruitment: NetworkDevelopment@dentaquest.com

DentaQuest Fraud Hotline: (800) 237-9139

Claims Fax: (262) 834-3589

Non-Emergent Review & Referral Fax: (262) 241-7150 or (888) 313-2883

ER Review & Referral Fax: (262) 387-3736

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Required Training

DentaQuest’s robust training empowers you to make a positive impact on the oral health of your community while benefitting your practice.

Cultural Competency and Non-Discrimination Training

DentaQuest does not discriminate against members, providers or employees on the basis of race, color, birthplace, language, sex, religion, beliefs, age, or disability. This training provides instruction on the federal and state regulations which prohibit discrimination in programs and activities that are funded by federal and state dollars.

Start the Cultural Competency and Non-Discrimination Training

General Compliance and Fraud, Waste & Abuse Training

DentaQuest is committed to being vigilant against suspected fraud. If ignored, fraud inflates the cost of healthcare and can undermine access to affordable healthcare coverage. This training covers the laws, regulations and penalties pertaining to Non-Compliance and Fraud, Waste & Abuse (FWA) as well as how to report, prevent, and correct it.

Start the General Compliance and Fraud, Waste and Abuse Training

Provider Portal Training

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Live Training Schedule

May 13, 2026

DentaQuest Provider Training Medicaid Plans

Hosted by: Dennis Ruiz
Time: 10:00 a EST | 1 hour
Or call in (audio only): 339-666-3919
Phone conference ID: 522 122 383#

May Medicaid meeting link

June 11, 2026

Q2 DentaQuest Provider Training WellCare Medicare Plans

Hosted by: Jeannette Meza
Time: 10:00 p EST | 1 hour
Or call in (audio only): 339-666-3919
Phone conference ID: 220 752 440#

June Medicare meeting link

June 25, 2026

Q2 DentaQuest Provider Training Florida Healthy Kids

Hosted by: Monica Gonzalez
Time: 12:00 p EST | 1 hour
Or call in (audio only): 339-666-3919
Phone conference ID: 338 361 204#

June FHK meeting link

Important Documents and Links

Florida AmeriHealth Caritas Medicare Advantage Office Reference Manual

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Medicare Waiver of Liability Statement

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We use the Florida Medicaid Preferred Drug List (PDL). The PDL is the list of drugs that a provider will use when prescribing medicine. A doctor can prescribe most of these medicines to a member without getting an approval from us. The PDL is updated frequently.

View the Preferred Drug List

DentaQuest's Plan Dashboard

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Continuation of Care Claims
Submit an ADA claim form with all services listed and include the keyword MCNACOC (exactly as shown, no spaces) in Box 35 or the electronic remarks section. Attach supporting documentation, including the member’s prior approval letter with the approved case fee. For payment inquiries, call (877) 468-5581.

Florida Medicaid Health Care Alert - Ambulatory Surgical Center and Outpatient Hospital - August 29, 2025

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Join our provider network.

We keep it simple. From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice and alleviating administrative hassle so you can focus on treating patients.

Join us