Dentistry
Track dental licenses, DEA registrations, specialist credentials, and payer enrollments for every provider in your practice. Credentialing Now replaces spreadsheets with a system designed for dentistry.
Dental practices face unique credentialing requirements across providers, specialists, and hygienists. Our platform handles the complexity so your team doesn't have to.
Track active dental licenses, renewal deadlines, and continuing education requirements for every dentist and dental hygienist across all states where your practice operates.
Monitor DEA registration expiration dates and state controlled substance license renewals for providers who prescribe or administer sedation and pain management medications.
Stay current with state dental board requirements including sedation permits, radiology certifications, infection control training, and jurisprudence exam renewals.
Manage RDH licenses, local anesthesia permits, and expanded function certifications for your hygiene team. Track scope-of-practice requirements that vary by state.
Track board certifications for dental specialists including oral surgeons, endodontists, periodontists, orthodontists, and pediatric dentists alongside their general dental credentials.
Manage CAQH ProView profile attestations and dental-specific payer enrollment for Delta Dental, MetLife, Cigna Dental, and other insurance networks your practice participates in.
Add your dentists, hygienists, and specialists. Upload existing licenses, DEA registrations, board certifications, and payer contracts. We'll help you get everything migrated.
The platform automatically monitors expiration dates for dental licenses, DEA registrations, specialist certifications, and payer enrollments. You'll get alerts before anything lapses.
With every provider's credentialing current and documented, your practice stays compliant with dental board requirements and your revenue keeps flowing without interruption.
Dental credentialing runs on its own rails: dental payer networks are separate from medical panels, and each state dental board sets its own licensure rules. Here's what a practice has to keep current for every dentist.
Every dentist needs an active license from the dental board in each state where they treat patients, and every payer application starts with it. Renewal cycles, continuing education hours, and jurisprudence exam requirements differ state by state, so a practice with providers licensed in more than one state is tracking multiple calendars at once.
Each dentist needs an individual Type 1 NPI, and the practice entity needs a Type 2 NPI for billing. Payers match enrollment applications against NPPES records, so the taxonomy code, practice address, and name on file must agree with what you submit — mismatches are a common reason dental applications bounce back.
Dentists who prescribe controlled substances — for sedation, surgical pain management, or post-operative care — need a current DEA registration, and many states layer a separate controlled substance license on top. A lapsed DEA number stops prescribing immediately, so renewal dates deserve the same attention as the dental license itself.
Dental PPO networks — Delta Dental, MetLife, Cigna Dental, and the rest — enroll dentists separately from medical panels, each with its own application, fee schedule, and timeline. Commercial enrollment commonly takes 60 to 150 days, and a dentist who starts seeing patients before an effective date is working out of network for those plans.
Medicaid dental coverage and enrollment work differently in every state — some run dental through managed care organizations, others fee-for-service, and adult dental benefits vary widely. If your practice sees Medicaid patients, each dentist needs a state-specific enrollment kept current through the state's revalidation schedule.
Payers require a current certificate of insurance at enrollment and again at re-credentialing, so an expired COI can quietly hold up an application. Specialists — oral surgeons, endodontists, periodontists, orthodontists, pediatric dentists — also document board certification, which some networks use to list them under the correct specialty.
Generally no. Dental payers credential and enroll dentists, and hygienist services are billed under the supervising dentist. But hygienist licensure still matters: an expired RDH license or local anesthesia permit is a state board compliance problem even if no payer application is involved, so most practices track hygienist credentials right alongside dentist credentials.
Commercial enrollment typically takes 60 to 150 days from a complete application to an effective date, and each dental network runs its own process. That means a new associate dentist should start enrollment paperwork well before their first day. Credentialing Now tracks each in-progress enrollment with follow-up notes and due dates that trigger reminder emails, so applications do not stall waiting on a payer response nobody chased.
The mechanics are similar, but the networks are different. Dentists enroll in dental-specific payer networks such as Delta Dental and commercial dental PPO plans, which operate separately from medical panels, and Medicaid dental coverage and enrollment rules vary by state. The building blocks are the same as medical credentialing: state licensure, NPI numbers, malpractice insurance, and exclusion screening.
No. Credentialing Now is tracking software, not a credentialing service. Your team files applications with each dental network; the platform stores the documents, tracks every license, DEA registration, and enrollment status, sends automated expiration alerts and a daily admin digest, and runs monthly OIG and SAM.gov exclusion checks so nothing falls through the cracks.
See how Credentialing Now handles the complexity of dental credentialing. Request a demo tailored to your practice.
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