Join Our Dental Provider Network
We take great pride in growing a robust provider network essential for the delivery of quality, accessible and affordable dental and health care services. With nearly 1.5 million members, we can help you to gain new patients and build your practice.
Dental Practitioner Specialties for Enrollment:
General Dentist, Endodontist, Oral Maxillofacial Surgery Orthodontist, Pediatric Dentist, Periodontist, Prosthodontist
- Once enrollment documents & contract are submitted, please allow up to 30 days for processing.
- If there’s a change to your Tax ID or your Individual NPI changes to a Group NPI, you’ll need a new contract.
- To follow up on enrollment status, email Julie Parish, Ancillary & Contracts Liaison
- For providers located outside of our 31 county service area, please contact Dentemax
American Dental Association (ADA) Claims Form
For your convenience, we've provided a link to download SAMPLE claims forms and completion instructions online. Please note that any changes to the form and changes to the completion instructions are highlighted in yellow.
Practitioner Demographic Change Form
In order to keep your practice information current, we recommend that you fill out this demographic change form and mail or fax back to us.
For tip sheets, process documentation and other need-to-know dental information, please check out our staff training materials.
- Navigating the Blues Dental GuidebookOpen the PDF
- For latest news and updates, take a look at our Dental Newsletter
If you are still receiving paper payments and remittances, we encourage you to transition to EFT/ERA’s as soon as possible. Visit www.instamed.com or call 1-866-467-8263 for more information.