Dental

How to Get Credentialed with Aetna Dental in Indiana

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Indiana-Specific Requirements

Aetna Dental: DMO and PPO networks. PPO network only in this state (DMO not available). Apply via Aetna provider portal (aetna.com/providers) or Availity. Uses CAQH ProView. Processing typically 45-90 days via CVS Health/Aetna credentialing. State licensing: Indiana State Board of Dentistry issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts CDCA or ADEX clinical exam. Requires jurisprudence exam. Nitrous oxide permit separate. Part of CVS Health. DMO plans available in select states (AZ, CA, CO, CT, FL, GA, IL, KS, MD, MO, NJ, NV, NY, OH, OK, PA, TN, TX, UT, VA). PPO available nationwide. Aetna Vital Savings discount dental plan is separate from insurance products.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Indiana.

2

Complete Your CAQH ProView Profile

Aetna Dental requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Aetna Dental.

4

Track & Follow Up

Credentialing typically takes 60-120 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

Work history and education

DEA License

Conditional

Required if performing sedation or prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active dental license required

NPI Certificate

Active NPI number required

Enrollment Forms

Aetna Dental Provider Participation Agreement

Participation agreement to join the Aetna Dental PPO or DMO network.

Required
Online Open →

Contact Information

Aetna Dental Credentialing

National

Aetna Dental General

National

Quick Links

Need Help?

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Aetna Dental in Other States

Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida

Other Payers in Indiana

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Anthem Blue Cross and Blue Shield of Indiana Indiana Medicaid UnitedHealthcare Community Plan
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