Skip to content Credex Healthcare’s leading expertise in credentialing services spans all specialties, including dental healthcare. Its dental credentialing services are beneficial for solo dental practices, clinics, and dental groups who desire to verify their credentials for immediate and efficient enrollment in insurance panels.
Our end-to-end dentist credentialing services ensure that your payer enrollment and medical group admission will be prompt and stress-free through our seamless credentialing workflows and strict adherence to compliance and regulatory standards.
Dental professionals credentialed across the U.S., diversifying payer relationships and optimizing provider billing
Average dental credentialing processing time, from initial registration to revalidation and recredentialing
First-time approval rate serving as a testimony towards thorough regard to payer requirements and regulatory standards
Dental credentials processed, granting every dentist and oral surgeon the opportunity to expand their practice and payer networks
Credex Healthcare is well-versed in creating solutions for every credentialing need of dental professionals in the U.S. Whether you are a Doctor of Dental Medicine (DMD) or Doctor of Dental Surgery (DDS), our expertise in credentialing will make the process easier and worry-free with our integrated hospital credentialing, insurance and payer enrollment services.
Our Comprehensive Dental Credentialing Services Include:
We always ensure that your practice gets onboarded at any facilities that need your dental expertise, with our credentialing company streamlining the process so you can perform any procedure and consultations without any practice delays.
Any patients from different socio-economic backgrounds can get dental services using their Medicaid, Medicare, or any private insurance, with your practice receiving compensation from these payers as we ensure that you are enrolled in no time.
Whether you are a single dentist or someone joining a dental core group, we can streamline the credentialing process for you, with strict compliance with DNP requirements and NPDB checks.
Credex Healthcare is in close communication with key regulatory bodies to ensure that your credentials are error-proof and ready for full verification.
A reliable dental board credentialing service opens the opportunity to access commercial, national, and regional payers
Maintain your reimbursement rates and enrollment status with insurers through Credex Healthcare’s renewals and recredentialing services
Our extensive expertise as a dental credentialing company is proven through our comprehensive range of services, such as streamlined payer enrollment, facility privileging, NCQA-aligned recredentialing, and dental practice credentialing. Whether you are working in an established dental facility or wanting to start a dental clinic, our end-to-end services can address all your credentialing needs.
Our credentialing services for dentists and dental surgeons apply to all kinds of facilities, such as core care groups, dental clinics, and community health centers.
Regardless of whether you are seeking patient access to government (Medicare and Medicaid) or commercial payers (Cigna, Aetna, Delta Dental Plans), our dental credentialing company ensures that you are compensated with favorable rates on time.
Our personalized credentialing services for practices with two or more dental providers understand the complex needs of processing multi-group credentialing.
From license verification to background screening, most of the processes in our verification services are automated, ensuring that your submissions are error-free.
We can help you start your cross-state dentistry practice with our teledentistry credentialing services, following the guidelines of Telehealth & Teledentistry Regulations
Credex Healthcare can assist you in gaining access to insurance panels and commercial payers, preventing “revenue lag” and delays in reimbursement.
Strict Regulatory Compliance
With Credex Healthcare, you can navigate the credentialing process easily through our background and verification management and DPA-compliant standards.
Reduced Delays and Costs
Credex Healthcare, a reliable dental credentialing company, maximizes its efficient service delivery to reduce administrative delays and cost as compared to manual self-credentialing.
Customized Credentialing Solutions
Our credentialing workflows provide targeted solutions to the needs of every dental provider, regardless of their practice size and specialty.
Through a decade of competence and expertise in the field of dental credentialing services, we at Credex Healthcare has been committed to ensuring that each credentialing application that we handle is always approved and can jumpstart a thriving healthcare career for dental practices across all states in the U.S.
Our knowledge of different licensure and background compliance standards has made every credentialing process easier and faster.
Through over a decade of existing as a trusted dental credentialing company, we have built our relationships with various insurers nationwide.
Teledentistry Excellence
Dental consultations are now possible virtually across state borders as we help providers get credentialed to practice teledentistry from the comfort of their locale.
After credentialing, billing is the next important system to establish, with Credex Healthcare offering revenue optimization services to maximize your cash flow without hassles.
Credex Healthcare provides multi-group credentialing services to enroll multiple dental healthcare providers to different payer networks.
Dentist’s comprehensive pain n management ecessitates high-risk compliance to controlled substance prescription.
12+
Years of Dental Credentialing Excellence
100% Success
Dental professional credentialing applications
99.5%
Facility Credentialing Compliance
80%
Less Administrative Cost for Credentialing
100%
Customized Dental Credentialing Solutions
Dental Surgery
Christian
Oral Medicine
Leslie Sanchez
Dental Anesthesia
Beth
“I only understood the value of credentialing when I suddenly had to change my practice from being in a clinic network to establishing my own practice near my place. I never have to spend a fortune as Credex did an amazing job working on my credentials.”
Pedodontist
Judith Humphries
Endodontist
Rick Cosner
CAQH Portal Setup
Prepare documentation of your credentials and ensure that your CAQH profile is updated.
Primary Source Verification
Depending on dental payer requirements, your credentials will be authenticated and verified through their original sources.
Background Audits and Checks
This is done to rule out any malpractice history, criminal records, disciplinary sanctions, and other infractions that could affect your application.
Insurance Enrollment
After the approval of credentials, the provider will be enrolled in an insurance company in which multiple payers are accepted under the provider’s service.
Our dentist credentialing services ensure that your credentials are verified, and you are paid for your service in the USA.
Credex Healthcare offers a personalized credentialing process for providers and healthcare groups with unique credentialing needs.
Credex Healthcare understands the intricacies of dental credentialing, including the payer requirements, compliance standards, and documentation checklists.
Credex Healthcare is in touch with various commercial payers and understands the regulations of Medicare and Medicaid.
Credex Healthcare’s dental board credentialing services understands the complexities of enrolling dental services to insurance panels, with our expertise and experience striving to make every step of the credentialing process easier and compliant for all dental facilities wishing to have payers in their services.
No matter how challenging it can be to attract and access potential payers for dental services, Credex Healthcare helps you get the benefits that come after successfully verifying your credentials.
Ready to have your dental credentials checked?
Set up a free appointment with Credex Healthcare right away to learn more about the benefits of credentialing and maximizing your revenue through payers that trust your dental services.
Schedule Your Free Consultation Now.
The fundamental elements of dental credentialing, such as initial registration and background check, are similarly found in medical credentialing. Dental credentialing services can take 60 to 90 days to complete an application, which typically starts with CAQH profile setup and ends with payer enrollment. Although it will still depend on the specialty of the application being pursued, as well as procedures included as part of the provider’s postgraduate training record. Also, delays in credentialing can also affect the timeline of processing. A reliable dental credentialing company avoids such inconvenience by providing compliant and efficient workflows that integrate technology and strict regulatory standards.
A comprehensive range of dental credentialing services must include the fundamental elements of initial registration to renewal, solo and group dental credentialing, teledentistry credentialing, multi-provider credentialing, revalidation services, and payer network research. A dental credentialing company may also offer additional services such as billing optimization, automated monitoring system, contract negotiation assistance, and continuing medical education updates.
The two government health insurance programs have distinct processes in order for a dental provider to be admitted within their respective networks. For Medicaid, you need to obtain a National Provider Identifier (NPI), enroll through the CMS’ PECOS system, choose specific enrollment type, and get in touch with a dedicated Administrative Contractor for further steps. For Medicare, on the other hand, the process varies across states. It is important to contact the administrator or agency of your state that regulates dental coverage. From there, you must follow their instructions on how you get reimbursed after successfully enrolling.
Yes. Dental providers who desire to practice telemedicine are required to undergo a distinct credentialing process which is quite complex to that of a traditional in-person provider, as the nature of the service crosses state borders. This could include complex licensure management, specific telehealth requirements management set by commercial payers, such as Cigna, Aetna, and Delta Dental, HIPAA-compliant DEA registrations, and proxy credentialing for providers practicing under large teledentistry platforms. Additionally, the provider must also be mindful of changing regulations of teledentristry laws of the states that the providers are working with, ensuring that the professional is providing virtual care while complying with the existing rules.
Unless you are certified by insurance companies, you will be leaving money on the table
When it comes to making sure that people get quality healthcare, credentialing is very important
Credentialing providers is foundational for quality patient care, efficient revenue cycle management, and adherence to
Fill the form and someone from our team will get back to you. Or you can also call us on (833) 477-1261.
