Welcome, DentaQuest Dentist
We respect the contributions of providers. By providing you with advanced technological tools, we eliminate the administrative burden associated with participating in government-sponsored programs. Beyond representing an act of public service in your community, we want your participation in our network to represent a sound business decision.
Important Dentist Information Regarding TennCare:
Non-Discrimination Provider Training
DentaQuest began administration of the TennCare Medicaid dental benefits program on October 1, 2013. One of the most important duties assigned to DentaQuest was to contract with Tennessee providers to create a network to meet the state’s requirements for appropriate access while also ensuring high-quality, efficient dental care for eligible TennCare beneficiaries.
In creating this network, DentaQuest invited eligible dentists across the state to participate in an appropriately sized network. We have finalized contracts with providers across the state to meet appropriate access requirements and have notified providers who were not invited to participate.
Throughout the length of our contract with TennCare, we will continually evaluate the network and providers to ensure appropriate access, quality and efficiency. Toward that end and depending on need, we may extend invitations to additional providers.
Please read below for important information about Claims Processing and Verifying Member Eligibility.
We understand providers may have questions about the implementation of the new TennCare dental network.
Beginning January 1, 2014, providers must be contracted and credentialed in DentaQuest’s dental network in order to submit and receive reimbursement for TennCare dental claims for all dates of service on or after January 1. Contracted and credentialed providers can submit claims through DentaQuest’s free web portal. Please call our provider information line at 1-855-418-1623 if you need assistance.
For dental services delivered between October 1 and December 31, 2013 (90-day transition period), DentaQuest will process and reimburse claims whether or not the provider was in the new TennCare dental network administered by DentaQuest. Please send claims with dates of service on or after October 1 to DentaQuest at:
Paper Claims via US Mail
12121 North Corporate Parkway
Mequon, WI 53092
Electronic Claims via Clearinghouse
Use Payer ID: CX014
Verifying Member Eligibility
Contracted and credentialed providers can verify member eligibility through DentaQuest’s free web portal
. Providers have the ability to verify a member’s eligibility status by calling:
DentaQuest's Provider Services Line
TennCare Provider Services Line
Use the interactive voice response functionality or speak to a representative.
Press 2 to access provider services, then 1 for member eligibility only.