Dental

How to Get Credentialed with Dental Network of America in Kentucky

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

Kentucky-Specific Requirements

Dental Network of America: PPO and managed dental networks (affiliated with HCSC/BCBS). DNoA network extends to this state through national PPO and self-funded employer dental plan arrangements. Apply via DNoA provider portal or through affiliated BCBS plan. Uses CAQH ProView. Processing typically 30-60 days. State licensing: Kentucky Board of Dentistry issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts CDCA or ADEX clinical exam. Requires jurisprudence exam and CPR certification. Subsidiary of Health Care Service Corporation (HCSC), which operates BCBS plans in IL, MT, NM, OK, and TX. DNoA network extends nationally and is used by many self-funded employer dental plans. Network participation may overlap with BCBS dental benefits in HCSC states.

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 Kentucky.

2

Prepare Your Application

Complete Dental Network of America's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Dental Network of America.

4

Track & Follow Up

Credentialing typically takes 60-90 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

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