This page collects the Aetna Dental numbers, portal, payer IDs, mailing addresses and filing rules a dental front desk needs, taken from the payer's own provider materials and last checked on September 25, 2026.
Plan types: DMO (Dental Maintenance Organization), PPO, Aetna Advantage Dental, Aetna Advantage Student Dental, Basic Dental, Family Preventive, Discount Dental, Medicare Advantage dental (HMO, PPO, D-SNP) · States: nationwide
Aetna Dental phone numbers for dental offices
Department | Phone | Hours |
|---|---|---|
National Dentist Line (claims, benefits, contact info) | ||
Medicare Provider Services (dental Medicare Advantage) | ||
Dentist Contracting Hotline (network, EFT status) | ||
Etech Line (provider website registration) | Mon-Fri 8am-5pm | |
National Electronic Attachment (NEA) support |
Fax numbers
Department | Fax |
|---|---|
EFT/ERA enrollment form |
Aetna Dental provider portal
The provider portal is Aetna Dental secure provider portal: https://www.aetna.com/provweb/.
Check eligibility
Submit claims
Check claim status
Request authorizations and referrals
Register for electronic transactions
Access office guides and forms
Patients use a separate member portal: https://direct.aetna.com/member/.
Aetna Dental payer IDs for electronic claims
Payer ID | Use for | Notes |
|---|---|---|
60054 | Aetna dental claims (commercial) | Submit via ClaimConnect (DentalXChange) or another clearinghouse. Accepts 837D claims and 270/271 real-time eligibility. |
68246 | Aetna DMO plan encounters | For encounter reporting; zero-dollar billed claims accepted. |
Aetna Dental claims and appeals mailing addresses
Send | Address |
|---|---|
Claims | Aetna Dental, PO Box 14094, Lexington, KY 40512-4094 |
Claims | Aetna Dental Encounters, P.O. Box 14530, Lexington, KY 40512 |
Claims | Aetna Medicare, PO Box 981106, El Paso, TX 79998-1106 |
Appeals | Aetna Dental, P.O. Box 14020, Lexington, KY 40512-4597 |
Timely filing limits
Aetna Dental does not publish one filing deadline for every plan on its provider pages. The limit depends on the employer group or plan, so confirm it on the patient's plan documents or with provider services before you rely on it. Our guide to timely filing limits covers the common ranges.
EFT and ERA enrollment
Complete the Dental ERA and EFT Authorization Agreement with a voided pre-printed check or bank letter (no deposit slips or starter checks) and fax it to 859-455-8650, or enroll online through Payer Enrollment Services at aetnadental.com. Processing takes about 30 days; check status at 1-800-776-0537. Ohio providers must enroll in EFT or sign an opt-out form.
Credentialing and network enrollment
Contact: https://www.aetnadental.com/professionals/join-aetna-dental-network/apply-for-participation.html
Apply online for the DMO and/or PPO network; a Network Representative responds within 30 days. Aetna uses 3Won/ProVault for contracting and credentialing, verifying licensure, DEA, malpractice history, NPDB/OIG, education and work history. Recredentialing occurs every 3 years with ongoing monitoring.
Plan clauses to check during verification
Missing tooth clause
Whether a missing tooth clause applies depends on the group plan. Ask whether the plan excludes replacing teeth lost before coverage began, and note the answer before you present a bridge or implant. See how to spot the missing tooth clause.
Waiting periods
Managed dental plans in the Specialty Dental Office Guide (DMO, Aetna Advantage, Basic Dental, Family Preventive, Discount): no deductibles or waiting periods.
Downgrades (alternate benefit)
DMO: Alternate Benefit Provision pays the least expensive professionally acceptable service; patient pays the difference with informed consent. Aetna says it does not automatically downcode or bundle claims.
Frequency limits
Frequency limits vary by plan. Confirm cleanings, exams, bitewings, full-mouth X-rays and fluoride limits, and the date of the last service billed.
Verification checklist for Aetna Dental
Call 1-800-451-7715, enter NPI or TIN, press 2 for benefits, enter the patient's Aetna ID and date of birth, then press 2 again for a fax-back.
Use the provider portal (aetna.com/provweb) or ClaimConnect for real-time 270/271 eligibility instead of waiting on hold.
DMO plans use a Dental Care Schedule with an Alternate Benefit Provision; confirm the procedure is on the schedule before assuming coverage.
For Medicare Advantage dental patients, call Medicare Provider Services at 1-800-624-0756 (TTY 711), not the commercial line.
Check EFT/ERA enrollment status at 1-800-776-0537 rather than resubmitting; processing takes up to 30 days.
Aetna's managed dental plans (DMO, Advantage, Basic, Family Preventive) have no deductibles or waiting periods; PPO plans may differ.
Record the representative's name, the call reference number and the date for every phone verification.
Related guides
Aetna Dental Medicare Advantage uses a separate provider line (1-800-624-0756) and the same PPO fee schedule and network as commercial dental.
Parent company: CVS Health.
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Sources
Every number and address above comes from Aetna Dental's own website or provider documents, checked on September 25, 2026. Payers change phone trees and PO boxes, so confirm with the payer before you mail anything time-sensitive.