Dental
Welcome to the AmeriHealth Caritas DC dental provider network. We are committed to offering a dental benefit program that provides access to high quality oral health care. We are proud that you will provide dental services to our enrollees directly through your agreement with us.
As of January 1, 2019, the plan does not accept paper, handwritten, or faxed applications.
Want to become a participating dental provider?
Professional providers must email the following information to dentalapplications@amerihealthcaritasdc.com.
- Your recently updated and attested CAQH ID number
- Your W-9 (PDF) for your office or group and Ownership Disclosure Form (PDF)
- Your individual Medicaid ID number and a group Medicaid ID number for your office or group
- Your typewritten Practitioner Information (PI) Form (PDF), as handwritten applications are no longer accepted
- Your signed Dental Provider Agreement (PDF) (contract) if not already contracted or if not part of an existing contracted group
For more information about our dental program or to access our dental portal, please refer to the resources below:
- Dental implant benefit policy (PDF)
- Dental periodicity schedule (PDF)
- Dental portal
- Dental provider supplement (PDF)
- Dental quick reference guide (PDF)
- Handicapping labio-lingual deviation (HLD) score sheet (PDF)
- HPV prevention in children (PDF)
- HPV vaccine recommendations (PDF)
- Oral Care Connect® Pay-for-Performance Dental Program
- Periodontal services referral to Howard University College of Dentistry (PDF)
- Primary dental provider overview (PDF)
- Provider information form (PDF)
- Restorative dentists evaluation form (PDF)
- Same-day dental sealant workflow (PDF)
- Silver diamine fluoride coverage (PDF)
- Supporting enrollees with special needs (PDF)
- Universal caries risk assessment form (PDF)
Dental communications
- September 26, 2024
Dental provider satisfaction survey — one day left reminder (PDF) - September 16, 2024
Dental provider satisfaction survey (PDF) - September 16, 2024
Periodontal services referrals to Howard University College of Dentistry (PDF) - September 3, 2024
Dental provider satisfaction survey (PDF) - August 19, 2024
Dental provider satisfaction survey (PDF) - March 12, 2024
New ADA guideline recommends NSAIDs to manage dental pain in adults (PDF) - December 20, 2023
Accessing assigned enrollees list from SKYGEN provider web portal (PDF) - November 9, 2023
Caries risk assessment form and instructions (PDF) - September 19, 2023
Periodontal services referrals to Howard University College of Dentistry (PDF) - August 2, 2023
D8680 orthodontic retention submission practices (PDF) - June 30, 2023
Dental provider supplement updates (PDF) - April 20, 2023
Orthodontic benefit terminates at age 21 (PDF) - February 3, 2023
Dental provider manual updates (PDF) - January 26, 2023
Periodontal services referrals to Howard University College of Dentistry (PDF) - December 14, 2021
Changes to the DC dental value-based compensation program for 2022 (PDF) - August 5, 2021
Effective October 1, 2021, the fee for CDT D3110* will be reduced to $5 (PDF) - July 9, 2021
Procedure codes that do not require pre-authorization (PDF) - May 3, 2021
Network outreach (PDF) - April 28, 2021
Effective December 1, 2020, providers can submit corrected claims via the provider web portal or through clearinghouse files (EDI) (PDF) - June 15, 2020
Updates to dental provider manual (PDF) - February 11, 2020
Limited oral evaluation dental provider notification (PDF) - February 11, 2020
Service provided by dentist other than requesting dentist (PDF) - December 6, 2018
AmeriHealth Caritas is now using the ADA® credentialing service, powered by CAQH ProView® (PDF)