Dental

How to Get Credentialed with Dental Network of America in Wisconsin

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

Wisconsin-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: Wisconsin Dentistry Examining Board issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts CDCA, ADEX, or WREB clinical exam. Requires jurisprudence exam. Collaborative arrangement for dental hygienists in underserved settings. 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 Wisconsin.

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.

Free Consultation

Need help enrolling with Dental Network of America?

Our specialists handle the entire Dental Network of America enrollment process: applications, follow-ups, and approvals in Wisconsin.

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

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 Dental Network of America.

View Dentist Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-800-880-1188

Mon-Fri 8am-5pm

Provider Services

National

1-800-880-1188

Claims & Billing

National

1-800-880-1188

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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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