Member E-mail Form

Thank you for visiting the DentaQuest website! We are available to assist you with your Colorado Medicaid Dental insurance.

Do you have a question about what dental services are paid for (dental benefits)? Use this form to send DentaQuest your question.

First Name:

What is your relationship to the member?:

E-mail Address:

Phone:
( ) - Second three digits Last four digits

Select your state:

Select subject for your message:

Please note that communications sent on our website are not secure. Please do not include personal identifying information in this form.