FAQs

When you join Dentegra, you'll get access to patients with individual plans, group plans and network access plans. You'll enjoy the benefits of competitive payouts, easy administration and — for network access plans — zero claims and no deductibles, maximums or limitations.

For more details about the benefits of becoming a Dentegra provider, visit For providers.

We'd love to have you! Contact us and we'll put you on the fast track. Email providerinfo@dentegra.com, or call 866-238-1580. 

You can search for your practice in our Find a dentist tool. 

If you're not listed but should be, email providerconcierge@dentegra.com or call 800-592-0164. 

An NPI is a unique 10-digit identifier required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to help simplify administration. You'll provide your NPI when you contract with Dentegra.

Apply through the National Plan and Provider Enumeration System (NPPES) — visit the NPPES site to get started.

If you're a solo practitioner, you'll need a Type 1 NPI. If you'll be paid under a business or corporate name or employer identification number (EIN), you'll need a Type 2 NPI. 

If they're an insured member covered under an AARP® Medicare Supplement Insurance Plan from UnitedHealthcare, the patient is automatically eligible for the Dentegra dental discount. Ask them to show their plan ID card. Heads-up: the ID card has the AARP logo and UnitedHealthcare logo but doesn't display the Dentegra logo.

For patients who have other Dentegra plans, check their eligibility by logging in to Provider Tools, or call our Customer Service team at 877-280-4204.

Check your fee schedule. If you need a copy, email our Network Development team at providerinfo@dentegra.com or call 866-238-1580.

Log in using your username and password. You'll need to register and create an account first, if you haven't already.

Go to Log in, then select Create an account and follow the prompts. If you still need assistance with registering, contact Customer Service at 877-280-4204.

Visit the Log in page and select Forgot username or password, as appropriate. Follow the prompts to recover your username or reset your password.

If you're still having trouble accessing Provider Tools, contact Dentegra Web Support at 855-275-0343. 

Yes! Anyone you authorize in your practice may register for Provider Tools access. 

On the registration form, have them put their name as the user, and the practice information should match our records exactly to avoid receiving an error message. 

The fastest way to get paid is to log in to Dentegra's Provider Tools and use the Submit claim feature to file the claim electronically. 

You can also complete the  Dentegra claim form (PDF, 247 KB) and mail it to Dentegra at P.O. Box 1850, Alpharetta, GA 30023-1850.

(Remember, network access plans don't require claims — sweet!)

Not all claims require documentation, but for certain procedures you'll need to include specific documentation, such as radiographs, or your claim will be automatically denied. Before you submit a claim, review the list of procedures that require additional documentation and be sure to include all required documentation for those procedures to avoid automatic denial of the claim.

No, pre-treatment estimates are not required for any Dentegra plans. 

No, you won't submit any claims for a patient who qualifies for a dental discount under this plan (or for any network access plan). The patient pays you directly for all services based on the contracted fee schedule.

Review more details about the AARP Medicare Supplement Insurance Plan from UnitedHealthcare.

Use the ICD-10-CM code for each claim you submit. If you need more information, visit Centers for Medicare & Medicaid Services.

To report a change of address, email providerconcierge@dentegra.com or call 800-592-0164.

If you can, notify us at least 30 days before the change. Email providerconcierge@dentegra.com or call 800-592-0164

We'll follow up with you to complete the update process.

As an agent or broker appointed to sell Dentegra plans in a qualifying state, you can sell the dental plans we offer through the federal Marketplace or your state's health care exchange.

Dentegra offers both a "low" and "high" preferred provider organization (PPO) dental plan in a number of states. For general information about our health care exchange plans, visit Health Care Exchange (Marketplace) plans.

Check for plan availability in your state and download the brochures on the Sales resources page.

We make it really easy! To get started, visit the Log in page and choose Create an account, then follow the prompts to complete registration.

When you're registered, you can submit a request for an appointment through your online account. We'll verify your information, then send you a broker agreement that you sign and return.

For instructions, visit For brokers.

Typically we process your appointment within 14 business days. You can log in to your account to check the status of your appointment.

No, we don't charge any fees to process your appointment or sell Dentegra plans.

To receive credit, before the client enrolls in an exchange plan, make sure that:

• You're registered and certified with the Marketplace as a broker or agent in the state where the plan is sold
• Your appointment with Dentegra is approved and active in the state where the plan is sold
  
  

When you or your client complete the enrollment application, include your National Producer Number (NPN) and other required broker information (per state marketplace guidelines). An incorrect NPN or broker information could delay or deny any compensation.

Email producerservices@dentegra.com, or call us toll-free at 844-497-8048, 8 am to 7 pm Monday through Friday.

If you have a specific question about your commissions, email producer-commissions@dentegra.com.

If your clients are existing Dentegra members, direct them to the Members section of this FAQs page, or have them contact us.