Dental

How to Get Credentialed with DentaQuest in Ohio

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

Ohio-Specific Requirements

DentaQuest: Medicaid managed dental and commercial networks. DentaQuest administers Medicaid dental benefits in this state. Providers must be enrolled in state Medicaid before applying to DentaQuest. State Medicaid dental fee schedule applies. Apply via DentaQuest provider portal (dentaquest.com/providers). Uses CAQH ProView in most states. Processing typically 30-60 days. State licensing: Ohio State Dental Board issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts CDCA or ADEX clinical exam. Requires jurisprudence exam. Opioid prescribing CE required. Primary Medicaid dental benefits administrator. Operates in 30+ states. Providers must first be enrolled in their state Medicaid program before applying to DentaQuest network. Now part of Sun Life. State-specific Medicaid dental requirements and fee schedules apply.

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 Ohio.

2

Prepare Your Application

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

3

Submit Your Application

Submit your completed enrollment package to DentaQuest.

4

Track & Follow Up

Credentialing typically takes 30-60 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

DentaQuest Provider Enrollment Form

Provider enrollment form for DentaQuest Medicaid and managed dental programs.

Required
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