Welcome, DentaQuest Dentist
We respect the contributions of our 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 Information:
Provider Resources:
HIP, Hoosier Care Connect, and Hoosier Healthwise Office Reference Manual
Information about HIP: Please visit the FSSA Indiana HIP website for program information, FAQs, and much more!
Information about Hoosier Care Connect: Please visit the FSSA Indiana Hoosier Care Connect Website for program information.
Information about Hoosier Healthwise: Effective January 1, 2017, DentaQuest began administering dental benefits for Anthem and MDwise. This program covers children up to the age 19, pregnant women and low income parents/ caretakers of children under the age of 18. Please visit the Hoosier Healthwise website for additional information.
Indiana Medicaid Fee Schedule: Covered services rendered to the HIP members will be reimbursed at 130% of the current Hoosier Healthwise fee schedule, while Hoosier Care Connect and Hoosier Healthwise members will be reimbursed at 100% of the current Hoosier Healthwise fee schedule. Click on this link to view the published Hoosier Healthwise Fee Schedule. Click on this link to view an illustrative rendering of the covered services and associated fees for the HIP and Hoosier Care Connect programs. The published Hoosier Healthwise Fee Schedule is the official source of the fee schedule; in the event of a conflict shall supersede.
To Check HIP Member Eligibility: For those providers not yet registered with DentaQuest, please continue to verify member eligibility using CoreMMIS.
HIP State Plan Basic Co-Payments: Copayments for outpatient dental services are assessed for each category, even if they are delivered by the same provider, at the same location, on the same date. When multiple services within one category are preformed, only one co-payment can be assessed within that category, per date of service.
| Category: |
Codes: |
Co-Pay: |
| Diagnostic |
D0120 - D0486 |
$0 |
| Preventive |
D1110 - D1999 |
$0 |
| Fillings and other basic restoratives |
D2140 - D2394 |
$4 |
| Major restoratives |
D2910 - D2990 |
$4 |
| Endo |
D3220 - D3430 |
$4 |
| Perio |
D4210 - D4910 |
$4 |
| Dentures |
D5110 - D5226, D5281 |
$4 |
| Prosthetic adjustments, repairs, rebase, relines |
D5510 - D5761, D6930, D6980 |
$4 |
| Maxillofacial Prosthetics |
D5951 - D5993 |
$4 |
| Oral Surgery |
D7111 - D7999 |
$4 |
| Adjunctive |
D9110 - D9920 |
$4 |
HIP, Hoosier Care Connect and Hoosier Healthwise Periodontal Treatment – Click here for Periodontal Treatment Criteria.
Provider Portal User Guide – Click here for details.
DentaQuest Provider Smoking Cessation – Click here for details.
MDwise IHCP dental networks to be limited to credentialed providers - Click here for details
Join Our Network:
DentaQuest has an improved Online Enrollment and Credentialing Tool!
Enroll by Mail:
We encourage you to complete your credentialing application
online. However, we understand an online solution is not everyone’s preference. If you prefer to complete a paper application, please
click here.
CAQH Sign Up
The Council for Affordable Quality Healthcare (CAQH) offers a single credentialing application and an online database that contains information necessary for insurance companies to credential a provider. This allows you to submit and maintain your credentialing information at one location rather than filing with many organizations. There is no cost to file an application with CAQH and it can be completed online. Click here to visit the CAQH website.