Dental

How to Get Credentialed with Delta Dental in West Virginia

Network: Open
90-120 Days

Quick Overview

Timeline

90 - 120 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

West Virginia-Specific Requirements

Delta Dental: Premier and PPO networks available (separate fee schedules apply). Apply online via state Delta Dental affiliate provider portal. CAQH ProView accepted by most affiliates. Processing typically 30-60 days from complete application. State licensing: West Virginia Board of Dental Examiners issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State affiliate: Delta Dental of West Virginia (administered by Delta Dental of Pennsylvania). State note: Accepts CDCA or ADEX clinical exam. Requires jurisprudence exam and CPR certification. Public health supervision setting available for hygienists. Delta Dental is a federation of 39 independent companies. The state affiliate handles local credentialing and network management. Premier and PPO are separate networks; providers may participate in one or both.

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 West Virginia.

2

Prepare Your Application

Complete Delta Dental's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Delta Dental.

4

Track & Follow Up

Credentialing typically takes 90-120 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Delta Dental?

Our specialists handle the entire Delta Dental enrollment process: applications, follow-ups, and approvals in West Virginia.

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

Delta Dental Provider Application

Provider application to join the Delta Dental Premier or PPO network.

Required
Online Open →

Key Credentialing Terms

CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
Fee Schedule
A complete listing of fees and reimbursement rates that an insurance payer will pay for specific medical services and pr...
Network Status
A provider's participation status with a specific insurance payer, indicating whether they are in-network (contracted) o...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Participating Provider
A healthcare provider who has signed a contract with an insurance payer to provide services to the plan's members at neg...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...

Credentialing Checklist

Make sure you have everything ready before applying to Delta Dental.

View Dentist Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-800-765-6003

Mon-Fri 8am-5pm

Provider Services

National

1-800-765-6003

Claims & Billing

National

1-800-765-6003

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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