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FAQs

Frequently asked questions

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If you're an insured member covered under an AARP® Medicare Supplement Insurance Plan from UnitedHealthcare, call UnitedHealthcare at 800-523-5800.

If you have a preferred provider organization (PPO) plan or a group/union plan, log in to your account and select Print ID card or Email ID card

For the Smile Savings Plan, sign in to your DentalPlans.com account to print your membership ID card or bring it up on your mobile device at your dental visit. You can also request that a membership ID card be mailed to you — contact DentalPlans.com at 800-494-9294.

If you have a PPO or union plan, log in to your account and select the Benefits tab.

For a dental savings plan, you pay your provider directly at a discount for qualifying procedures. You don't need to worry about tracking benefits or deductibles.

If you didn't pay the initial payment for the first month of your coverage when you enrolled on the exchange, we’ll mail you an invoice after we process your enrollment.

When you receive the invoice, you can pay through your online account. Log in (or register for an account if you haven't yet) and select My Account, then Billing and Payments.

Prefer to pay by phone? Submit a secure payment through our automated system using your credit card or bank account:

  1. Call 888-857-0328
  2. Enter your member ID and date of birth
  3. Choose Billing and payments
  4. Follow the prompts to complete your payment

For some plans you can review an estimate of your cost ahead of your visit. Locate your plan on the Use your plan page to find details about checking estimated costs.

Submit a claim to Dentegra for processing and we'll determine what portion, if any, is covered by your plan and how much you may owe your provider.

Download and complete the  Dentegra claim form (PDF, 247 KB), then mail it to the address on the form. If you have a PPO plan, review more detailed instructions about how to file a claim.

Remember, if you have a dental savings plan, you don't need to file any claims. Your discount only applies when you visit a provider in the Dentegra network.

If you have questions about the services you received, we recommend that you talk to your provider first. If you still have concerns about your claim, contact us or complete the  grievance form (PDF, 288 KB).

About the Dentegra network

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. 

Plans and fees

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.

 

Provider Tools

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. 

Claims and payments 

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.

Managing your practice

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.