How to Get Credentialed with DentaQuest in Pennsylvania
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 3 year(s)
Delegated
No
Pennsylvania-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Pennsylvania.
Prepare Your Application
Complete DentaQuest's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to DentaQuest.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with DentaQuest?
Our specialists handle the entire DentaQuest enrollment process: applications, follow-ups, and approvals in Pennsylvania.
Required Documents Checklist
CV/Resume
Work history and education
DEA License
ConditionalRequired 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.
RequiredFree Tools for Your DentaQuest Enrollment
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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 DentaQuest.
View Dentist Credentialing Checklist →Contact Information
Provider Credentialing
National1-888-468-5509
Mon-Fri 8am-5pm
Provider Services
National1-888-468-5509
Claims & Billing
National1-888-468-5509
Quick Links
DentaQuest in Other States
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.