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ILLINOIS PROVIDERS

The Network for Quality Dental Care in Illinois

DentaQuest is a leading dental insurance provider in Illinois, providing dental coverage to eligible members of various Medicaid, Medicare Advantage, Medicaid-Medicare, Marketplace and Personal 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

Attention IL Medicaid Providers: As a result of the COVID-19 Public Health Emergency (PHE), revalidations that were due in calendar year 2020 were paused. Starting on September 3, 2024, all providers will be required to revalidate based upon their enrollment date. IL Medicaid providers are required to revalidate with IMPACT every 5 years. HFS will be sending notices via email to all providers 90 calendar days prior to their IL Medicaid Enrollment end date and a second notice will be sent via email 30 calendar days prior to their revalidation end date. Please be on the lookout for these notices and follow all instructions. Please refer to IMPACT's website for Step-by-step instructions and FAQ or call the Provider Enrollment Center at 877-782-5565. Failure to revalidate will result in termination.

Serving Patients Across Illinois

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

  • Dental Care Plus Group HMO
  • Dental Care Plus Group PPO
  • IL Personal Dental Plan - PPO
  • CIGNA+OSCAR
  • DentaQuest Marketplace Family High
  • DentaQuest Marketplace Family Low
  • DentaQuest Marketplace Pediatric High
  • Aetna Better Health of IL
  • BlueCross BlueShield of Illinois
  • Illinois All Kids/Medicaid Dental
  • Molina Healthcare of IL Medicaid
  • Clear Spring Health Community Advantage Plan (HMO)
  • Clear Spring Health Essential (HMO C-SNP)
  • Clear Spring Health Essential HMO
  • Essence Healthcare
  • Illinois WellCare Medicare Advantage
  • Aetna Premier MMAI
  • BlueCross BlueShield of Illinois (MMAI)
  • Humana IL Gold Plus
  • Molina Healthcare of IL - MMAI

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.

Important Documents and Links

Attention IL Medicaid Providers: 

As a result of the COVID-19 Public Health Emergency (PHE), revalidations that were due in calendar year 2020 were paused. Starting on September 3, 2024, all providers will be required to revalidate based upon their enrollment date. IL Medicaid providers are required to revalidate with IMPACT every 5 years. HFS will be sending notices via email to all providers 90 calendar days prior to their IL Medicaid Enrollment end date and a second notice will be sent via email 30 calendar days prior to their revalidation end date. Please be on the lookout for these notices and follow all instructions. Please refer to IMPACT's website for Step-by-step instructions and FAQ or call the Provider Enrollment Center at 877-782-5565. Failure to revalidate will result in termination.

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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Preventistry Pulse

PREVENTISTRY PULSE

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