PROVIDERS

Keeping Dental Benefits Administration Simple

We can't fulfill our mission to improve the oral health of all without our provider partners. We rely on you to deliver quality, prevention-focused dental care. You can rely on us for a network that's easy to work with, simplifies administration and gets claims paid fast.

Select a state to begin

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Enroll in our network

Complete the DentaQuest provider enrollment form to start the process of joining our network.

Enroll now

Update your information

Please ensure your contact details and practice information are up to date.

Update now

Become a Trading Partner

When you become a DentaQuest trading partner, you will be able to exchange HIPAA files directly with DentaQuest.

Notice regarding Change Healthcare

DentaQuest is operating normally. We are currently receiving and processing dental claims at typical volumes. Our administrative systems have not been affected.

If your dental office previously used the Change Healthcare clearinghouse, here are other methods to submit your claims to us:

Use alternate clearinghouse services: Vyne Dental or DentalXchange
Use our provider portal: Navigate to your portal by clicking the "Login" button in the upper right hand corner of this page.

Vision Providers

Our EyeQuest vision plans provide coverage for millions of Americans. Whether you are already in our network or looking to join, we have all the information you need to access the provider portal, enroll in the network and learn more about the vision plans we offer.

Vision Solutions

TRAINING AND EDUCATION

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

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

Dental provider during a teeth cleaning session

DentaQuest Dental Clinical Criteria & Guidelines

This evidence-based reference index is for informational and reference purposes only. It compiles publicly available clinical practice guidelines and professional association resources to support transparency and consistency in clinical review. Inclusion of referenced materials does not imply coverage or reimbursement. Coverage determinations are governed by applicable plan documents, contracts, policies, and medical necessity criteria. DentaQuest reserves the right to modify clinical criteria and coverage guidelines in accordance with contractual, regulatory, and policy requirements.

ADA Clinical Guidelines index

AAPD Reference Manual – Oral Health Policies

AAP – Comprehensive Periodontal Evaluation (CPE)

ADA Oral Cancer Living Guideline (2026)

ADA 2026 radiography patient selection (JADA)

ADA topic – X-rays/Radiographs

AAO Clinical Practice Guidelines – diagnostic records

AAE – Use of CBCT in Endodontics

AAPD Policy on the Role of Dental Prophylaxis

ADA – Topical fluoride for caries prevention

AAPD Policy on Use of Fluoride

ADA – Sealants for caries prevention

AAPD – EBD guideline: Sealants

ADA – Nonrestorative caries treatments (incl. SDF)

AAPD – EBD guideline: Silver Diamine Fluoride

AAPD – Policy on Dietary Recommendations

ADA – Restorative caries treatments

AAPD – Policy on Interim Therapeutic Restorations

AAPD – Pediatric Restorative Dentistry (Best Practice)

AAE – Guide to Clinical Endodontics

AAE – Vital Pulp Therapy Position Statement

AAPD – Pulp Therapy (EBD topic)

AAE – Regenerative Endodontics

ADA – Periodontitis treatment

AAP – 2017 Periodontitis Staging/Grading

AAP – Clinical & Scientific Papers

AAOMS – Clinical Papers

AAPD – Pediatric Oral Surgery Management

AAO – Clinical Practice Guidelines

National Clinical Criteria Guidelines and Practice Parameters

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EPSDT requires comprehensive dental services for beneficiaries under age 21, including relief of pain and infection, restoration of teeth, and maintenance of dental health. States must cover medically necessary services even if not listed in the state plan. Adult dental coverage varies by state.
Association guidelines are evidence sources; final coverage decisions are determined by applicable policy, DentaQuest clinical criteria, and medical necessity documentation.