Dental payer directory

The dental payers and administrators a US dental group may encounter: who owns them, which products or networks they support, and where participation research starts. A shared corporate logo does not establish participation: verify the dental product, contracting entity, network, billing and rendering providers, locations, and effective dates rather than importing a medical-network status. Payer portals, forms, IDs, and procedures change frequently. Timely-filing limits and other participation terms come from the applicable current payer materials and your executed agreement. Use this page as a starting point, then verify the product, entity, provider, location, and effective date with the payer.

Delta Dental member companies

Delta Dental is a federation of 39 independent member companies under the Delta Dental Plans Association.¹ Delta Dental’s join page routes a dentist by state, but the resulting contract, credentialing, network reciprocity, product access, and servicing arrangement must be confirmed with the identified member company; a national claim-access network does not necessarily mean a separate contract with every member company.

Item	Detail
Networks	Delta describes Premier and PPO as nationwide networks; confirm the member’s product, the dentist’s contracted network, reciprocal access, and the servicing company’s allowance for the claim
Credentialing	Start with the member company to which Delta routes the service location; the reviewing company, delegated arrangement, and platform can differ (e.g., DDS Enroll for Delta Dental Ins. Co. states; DentalXChange for Tennessee)
Recredentialing	Cadence and event-triggered updates follow the applicable member-company agreement and current credentialing instructions
Multi-state note	Start with the member company routed for each service location, then document the actual contracting company, networks and products, reciprocal access, fee schedules, and effective dates

Commercial carriers

Carrier	Ownership	Dental networks	Enrollment	Notes
MetLife	MetLife, Inc.	PDP Plus (DPPO), 500,000+ access points	metlifedentalprovider.com	Credentialing runs on SKYGEN Dental Hub since April 2025
Cigna Dental	The Cigna Group	Total Cigna DPPO / DPPO Advantage (tiered); Cigna Dental Care (DHMO)	cigna.com credentialing	CAQH-based; maintains a dedicated DSO credentialing channel
Aetna Dental	CVS Health	DPPO; DMO (DHMO)	aetnadental.com	CAQH ProView application
Guardian	Guardian Life	DPPO and DHMO; 130,000+ providers	guardianlife.com/dental	Owns Avesis (government programs administrator)
United Concordia	Highmark Inc.	126,000+ dentists, 393,000+ access points	unitedconcordia.com	TRICARE dental incumbent (see below)
UnitedHealthcare Dental	UnitedHealth Group (via Dental Benefit Providers, Inc.)	UHC dental networks across commercial, MA, Medicaid	uhcdental.com	Servicing via the UHC Dental Provider Portal / dbp.com
Humana Dental	Humana Inc.	DPPO, 135,000+ unique dentists (2024)	provider.humana.com	Weighted toward Medicare Advantage dental
Ameritas	Ameritas Life (mutual)	Classic Network (“Ameritas Dental Network” in Texas); 5.2M+ members	ameritas.com	In-house credentialing; its provider FAQ publishes a processing estimate, not an effective-date guarantee; underwrites private-label dental for other brands
DentaQuest (commercial)	Sun Life U.S.	Commercial and marketplace plans alongside its Medicaid book	dentaquest.com	Acquired by Sun Life, June 2022

Network sizes are carrier-reported figures²

Medicaid and government-program dental administrators

Medicaid dental can run through state FFS, a comprehensive MCO, a dental-only prepaid plan, an administrative-services vendor, a dental subcontractor, or a mix that varies by population, product, geography, and date. “DBA” is an industry label, not a uniform legal or contracting role. Verify the state program and product documents before treating an organization below as the plan, contract party, credentialing body, claim receiver, or payor.

Administrator	Ownership	Footprint (as reported, August 2026)	Notes
DentaQuest	Sun Life U.S.	33M+ members, ~36 states	Describes itself as the largest Medicaid/CHIP dental administrator; selected in 2024 for California’s Medi-Cal Dental Managed Care
MCNA Dental	Independent, dentist-founded	~5M members: TX, FL (CHIP), IA, ID, LA, NE, AR, UT	Statewide Medicaid+CHIP dental plan in Texas and Louisiana
Liberty Dental Plan	Independent	Medicaid, MA, and commercial nationwide	One of two statewide dental plans in Florida’s SMMC dental program
SKYGEN	Independent	35M+ lives on its SaaS platform; ~10M via TPA services	Technology/TPA layer behind other payers; also runs the multi-payer Dental Hub credentialing utility
Avesis	Guardian	~3M Medicaid/CHIP/MA members	Typically a subcontractor to medical MCOs
Envolve Dental	Centene	Dental administrator for Centene Medicaid plans in multiple states	Enrollment via the relevant Centene plan’s provider process

Sources for ownership and footprint claims.³

Government dental programs

Program	Administrator	Notes
TRICARE Dental Program	United Concordia (Highmark)	~1.8M family members; five-year, ~$3B contract re-won October 2023
TRICARE Active Duty Dental Program	United Concordia	~1.4M service members
Traditional Medicare	CMS	Dental excluded by SSA § 1862(a)(12), except the narrow “inextricably linked” scenarios under 42 C.F.R. § 411.15(i)(3)⁴
Medicare Advantage dental	Plan-specific (Delta member companies, DentaQuest, Liberty, Avesis, Humana’s own network, others)	Supplemental benefit; 22.6M enrolled (2024), enrollment and benefit depth both trending down⁵
Medicaid / CHIP dental	State FFS programs and the DBAs above	Dental mandatory under 21 via EPSDT (42 U.S.C. § 1396d(r)); adult coverage optional and state-set⁶

Data sources for the market

Source	What it maintains
NADP statistical reports	Enrollment by product and segment (full reports paid)
CareQuest Medicaid Adult Dental Coverage Checker	Secondary state-by-state adult Medicaid dental coverage tracker; verify against the current state program
ADA Health Policy Institute	Dental spending, payment mix, utilization, workforce
KFF Medicare Advantage spotlights	MA supplemental dental benefit prevalence

Sources

Delta Dental Plans Association, member companies; join our network; Delta Dental of Tennessee credentialing.
Carrier pages: MetLife dental and provider enrollment; Cigna DPPO and DSO credentialing brochure; Aetna Dental participation; Guardian dental; Highmark on United Concordia; UHC dental join; Humana dental network; Ameritas provider FAQ.
DentaQuest about; Sun Life, DentaQuest acquisition completion (June 2022) and Medi-Cal selection; MCNA; Liberty Dental programs and Florida provider guide; SKYGEN; Avesis; Envolve Dental provider manual.
SSA § 1862(a)(12), text; CMS, Medicare dental coverage; CY2023 PFS final rule, fact sheet.
NADP 2025 enrollment report, release; KFF, MA 2025 Spotlight.
42 U.S.C. § 1396d(r), text; TRICARE contract: United Concordia release (October 2023).

CPOD & Legal

Payers

Clearinghouses & Vendors

EDI & Code Sets

Banking & Payments

Glossary & Appendices

Dental payer directory

Delta Dental member companies

Commercial carriers

Medicaid and government-program dental administrators

Government dental programs

Data sources for the market

Sources

​Delta Dental member companies

​Commercial carriers

​Medicaid and government-program dental administrators

​Government dental programs

​Data sources for the market

​Sources

Delta Dental member companies

Commercial carriers

Medicaid and government-program dental administrators

Government dental programs

Data sources for the market

Sources