This page collects the DentaQuest 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: Medicaid (state dental benefit administrator), CHIP, Medicare Advantage (dental benefit for MA plans, e.g. Clover, WellCare, AmeriHealth Caritas VIP Care D-SNP), Marketplace/Individual (DentaQuest Marketplace EPO/PPO), Commercial group dental (Personal Dental Plan)
DentaQuest phone numbers for dental offices
Department | Phone | Hours |
|---|---|---|
General Inquiries (corporate) | ||
Utilization Management | ||
Fraud, Waste & Abuse Hotline | ||
Texas Medicaid/CHIP Provider Services | ||
Texas Superior HealthPlan (STAR, STAR+PLUS) | ||
Florida Provider Services | ||
Georgia Provider Services | ||
Michigan Healthy Kids Dental: Aetna Better Health, WellCare | ||
Michigan Healthy Kids Dental: Blue Cross Complete | ||
Michigan Healthy Kids Dental: Molina Healthy Michigan Plan | ||
Michigan Credentialing Help Desk | ||
Virginia Cardinal Care Smiles (Medicaid) | ||
Virginia D-SNP (Aetna Medicare Better Health, Sentara Community Complete) | ||
Virginia Exchange/Commercial |
Fax numbers
Department | Fax |
|---|---|
Claims and payment issues | |
All other matters | |
Claims processing (Florida page) | |
Texas claims and appeals | |
Florida non-emergent review and referral | |
Florida non-emergent review and referral (toll-free) | |
Florida ER review and referral |
DentaQuest provider portal
The provider portal is DentaQuest Provider Portal: https://providers.dentaquest.com/.
Check eligibility
Submit claims and check status
Request prior authorization
View remittance (ERA)
Update practice information
Patients use a separate member portal: https://member.dentaquest.com/.
Timely filing limits
DentaQuest 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
Register as a DentaQuest Trading Partner to submit 837D batch claims and receive 835 ERAs. Separate ERA enrollment forms exist per plan (DentaQuest, BCBS of Michigan, DCPG, EyeQuest). EDI questions: EDITeam@greatdentalplans.com.
Credentialing and network enrollment
Contact: Michigan Credentialing Help Desk 800-233-1468 (no national credentialing contact found)
Network enrollment is generally routed through NetworkDevelopment@dentaquest.com, per the Florida, Georgia and Virginia provider pages.
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
Waiting periods are set by the group plan. Confirm the waiting period for basic and major services and the patient's effective date.
Downgrades (alternate benefit)
Ask whether posterior composites are paid at the amalgam rate and whether crowns downgrade to a base-metal benefit, so the patient estimate is right the first time.
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 DentaQuest
Provider phone numbers are state- and plan-specific; Texas, for example, has separate lines for general Medicaid/CHIP and Superior HealthPlan.
Use the state dropdown at dentaquest.com/en/providers to reach the right state page instead of relying on one national number.
State Office Reference Manuals are the authoritative source for payer ID, claims address and timely filing; open the PDF directly to confirm.
For Michigan Healthy Kids Dental, the provider line depends on the patient's Medicaid health plan (Aetna, Blue Cross Complete, Molina, WellCare).
Medicaid timely filing is set by each state program; check the state manual rather than assuming a national rule.
Record the representative's name, the call reference number and the date for every phone verification.
Related guides
DentaQuest USA Insurance Company, Inc. is the insuring entity; Sun Life Financial has been the parent since 2022.
Great Dental Plans: the greatdentalplans.com domain is used for DentaQuest EDI email.
EyeQuest: DentaQuest's vision brand, which shares ERA enrollment infrastructure.
DentaQuest verification: navigating Medicaid dental benefits
The missing tooth clause: how to spot it during verification
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Sources
Every number and address above comes from DentaQuest'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.