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MICHIGAN PROVIDERS

The Network for Quality Dental Care in Michigan

DentaQuest is a leading dental insurance provider in Michigan, providing dental coverage to eligible members of various Medicaid, Medicare-Medicaid, Medicare Advantage and Marketplace plans. We have built a national oral health ecosystem committed to quality patient care, efficient processes and continuous improvement on the fundamentals to help your practice perform at its best.

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Dental provider during a teeth cleaning session

Serving Patients Across Michigan

Michigan dental providers enrolled in the DentaQuest network serve members of the following health plans and government programs in Michigan.

  • Aetna Better Health Medicaid Adult
  • Blue Cross Complete
  • Molina MI Adult Medicaid and Healthy Michigan Plan

  • Molina Medicare Complete Care (HMO D-SNP)
  • Molina Medicare Complete Care Select (HMO D-SNP)
  • Molina Medicare Choice Care (HMO)
  • Molina HealthCare of MI Medicare Advantage and DSNP
  • Wellcare Medicare Advantage

  • DentaTrust/DentaSpan

  • Aetna Better Health Dual (MMAI) (available in Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, Wayne, or any county in the Upper Peninsula)
  • Aetna Michigan Health Link Duals
  • Molina Health Link MMP HMO (available in Wayne and Macomb counties)

Appointment and timely access to care standards

Please schedule your patients within the timeframes outlined below

  • Emergency appointments: Immediately, 24/7
  • Urgent appointments: Within 48 hours
  • Routine appointments: Within 21 business days 
  • Preventive appointments: Within six weeks 
  • Initial appointments: Within eight weeks 
     

TRAINING AND EDUCATION

DentaQuest’s robust training empowers you to make a positive impact on the oral health of your community while benefitting your practice.

Live Training Schedule

Join us for our upcoming Network Webinars and Micro-Learning sessions.

View the invite to learn more and to register.

Micro-Learning Network Series

You are cordially invited to join our exciting new micro-learning webinar series. These webinars are approximately 15 minutes, making them perfect for your lunch break. Expand your knowledge with fresh subjects or deepen your understanding of familiar topics. Come learn and grow with us!

Get Paid Faster with Direct Deposit

Electronic Funds Transfer (EFT) which is commonly referred to as direct deposit, is the fastest, easiest and safest way to receive your claim payments. After a claim is successfully submitted, funds will be deposited within 3 business days. Your remittance will be available online in the Provider Web Portal and no longer mailed to you.

How to Enroll

  1. Go to the self registration page and create a Provider User Account.
  2. Next, log in to, or register for the provider portal at govservices.dentaquest.com
  3. From the main menu, select administration → Electronic Funds Transfer. Fill out the form, upload a copy of a voided check with your banking information and submit.

You will receive a confirmation notification with a Request Number after successfully completing the form. Please allow up to five business days for processing.

Improving the oral health of all

Good oral health is a human right. With prevention and regular access to quality dental care DentaQuest is helping patients live healthier lives, one smile at a time. Watch the video to learn more about our mission.

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Reporting Fraud, Waste & Abuse or Misuse of Services

DentaQuest is committed to detecting, reporting and preventing potential fraud and abuse. To report a fraud incident, please call the DentaQuest Fraud Hotline: 800-237-9139.

 

To report Medicaid Fraud and Abuse:

  • Call toll free: 855-MI-FRAUD (643-7283) for questions
  • Submit an ONLINE COMPLAINT or visit www.Michigan.gov/fraud and click on File a Complaint - Medicaid Complaint Form
  • Write to Inspector General: SEND A LETTER
    Office of Inspector General
    PO Box 30062
    Lansing, MI 48909
Preventistry Pulse

PREVENTISTRY PULSE

The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.