Welcome, DentaQuest Dentist


Join Our Network:

Enroll by Mail:

We encourage you to complete your credentialing application online.  However, we understand an online solution is not everyone’s preference. you prefer to complete a paper application, please call your provider relations representative.

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Important Information about BlueCross BlueShield of Michigan

BCBSM Provider Guide

Electronic Claim Submission!

DentaQuest is please to begin a new partnership with BlueCross BlueShield of Michigan (BCBSM) to provide state-of-the-art dental care to Michigan Medicare Advantage (BCN & MA) residents beginning January 1st 2018. To support this partnership, DentaQuest has launched a new dental provider portal for electronic filing needs. Please note: If you participate in other MI plans you will continue to be supported by DentaQuest's on the existing portal, using the log in that you previously registered. To obtain a log in and password to submit claims for BCBSM members, please use the link below to begin the new user set up process. 
  • To submit electronic claims for BCBSM Medicare Advantage members via a clearinghouse or directly to DentaQuest via our Trading Partner Portal, you must use Payer ID: BBMDQ

Important Notice to All Michigan Providers:

2018 Benefit Changes to Meridian Health Plan
  • Meridian adult Medicaid plan:  effective 1/1/2018- periodontal codes D4341-$121.60, D4342-$82.40, and D5221, D5222, D5223, D5224 denture codes will be added as covered benefits
  • Medicare Advantage plans:
    • Two new plans will be added:
      • Meridian Essential $400, effective 1/1/18
      • Meridian Elite, effective 1/1/18 (will match the current Meridian Extra product but will include denture coverage (D5000 series); limits are $500 on preventive/diagnostic services /$1500 additional for comprehensive services)
    • Changes to Meridian Complete - effective 1/1/18
      • Adding Endo D3000 series codes and Fluoride D1206
      • D5221, D5222, D5223, and D5224 denture codes will be added
      • Removed prior authorization requirements for D4355
Aetna Better Health Office Reference Manual has been updated 10/04/2017. Covered Benefit Exhibit tables were edited to fix grammatical errors and to clearly indicate documentation requirements.
Meridian Office Reference Manual has been updated 1/3/2018; New plans, covered benefits and updated 2018 CDT codes have been included in the benefit exhibit tables.

Be sure your office is verifying current covered benefits for each plan.

Please remember to refer to the health plan's Office Reference Manual (ORM) for the most current covered benefits (CDT codes) to ensure that you will receive allowable reimbursement for rendered services. A copy of the ORM is available on this page in the Provider Resources section.

News & Updates

DentaQuest is pleased to announce that effective January 1, 2018, we’ll be administering dental benefits for Blue Cross Blue Shield of Michigan and Blue Care Network Medicare Advantage programs.
  • DentaQuest will handle all issues relating to general provider inquires, provider education, portal training, claims, claim payments, electronic fund transfer and provider complaints & appeals.
  • Dentemax will continue to be the network for Blue Cross’ Medicare Advantage programs. Dentemax will handle contract and amendments, credentialing, provider updates and fee schedule inquires and requests.
DentaQuest‘s new provider portal system will go live on January 1, 2018, to support Blue Cross’ Medicare Advantage plans only.

If you have questions, you may contact Provider Services at 1-844-876-7917.

Effective January 1, 2018, DentaQuest will be administering the dental benefits for Dental Care Plus Plans in Michigan: DentaTrust (High or Low option) and DentaSpan (High or Low option).

Important Note:  Class IV  Orthodontics (under age 19) is NOT a covered benefit in the Low Option or High Option plans.  Refer to ORM for current covered benefits


Contact Information:

DentaQuest Customer Service: 844-870-3977
DentaQuest Credentialing Help Desk: 800-233-1468