Welcome to DDS Enroll by DentalXChange

Delta Dental of Idaho has partnered with DentalXChange to offer network dentists a FREE and simple solution for credentialing and network enrollment. Best of all, the process is quick and easy!

Delta Dental & DentalXChange | Better Tools for Your Practice
 

Re-credentialing with Delta Dental of Idaho

Per national insurance guidelines, we ask our dentists to recredential every 3 years. When it's time to re-credential, your office will receive a letter in the mail and an email from credentialing@dentalxchange.com.
The following documents are required to re-credential:

  1. Delta Dental of Idaho Credentialing Application
    • Complete all fields on the online app. Do NOT leave anything blank!
    • Anything left blank will be returned to you for completion.
    • You may note "N/A", if appropriate
  2. State Dental License
  3. Drug Enforcement Administration (DEA) Registration, if applicable
  4. Current Malpractice Insurance Declaration Page for your dental liability coverage,
    The declaration page must show your:
    • Name
    • Policy number
    • Coverage amounts
    • Dates of coverage
 

Becoming an Delta Dental of Idaho Network Dentist

If you are interested in reviewing requirements to become a dentist, or when you are contracting/credentialing for the first time with Delta Dental of Idaho, you will need to upload current versions of the following documents:

  1. Delta Dental of Idaho Credentialing Application
    • Complete all fields on the online app. Do NOT leave anything blank!
    • Anything left blank will be returned to you for completion
    • You may note "N/A", if appropriate
  2. State Dental License
  3. Drug Enforcement Administration (DEA), if applicable
  4. Current Malpractice Insurance Declaration Page for your dental liability coverage,
    The declaration page must show your:
    • Name
    • Policy number
    • Coverage amounts ($1 million/$3 million required)
    • Dates of coverage
 

Joining the Delta Dental Idaho Medicare Advantage Network

If you are already credentialed and would like to grow your practice by joining our Medicare network, we ask you to:

  1. Complete and return the Delta Dental of Idaho contract addendum
  2. Credentialing Profile (part 1 & part 2)
  3. Work history statement (or CV) from the last 5 years
  4. Copy of malpractice insurance certificate
  5. Specialty certificate (if any) and/or hospital privileges (if any)
  6. Copy of the state license and DEA license

Questions?

Delta Dental of Idaho's professional relations team is here to help! They can be reached by email at ProviderRelations@deltadentalied.com or at 800.576.6412 ext. 471.