pF DENTAL CONSULTING

Professional
dental Credentialing Service

Dental practices must get credentialed in order to participate with a wide variety of insurance providers and their specific plans. Insurance providers include HMO, PPO, DMO, DHMO, Medicaid and within each type, there are several insurance providers. Not only that there are many different plans offered by insurance providers.

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About Us

Dental Credentialing?

Dental credentialing is vital when verifying a dentist’s professional record. This includes verification of the dentist’s career, education, training history, malpractice history, license verification and so on. Whenever a dentist applies for practice within a dental office, they are required to complete an application with important details that are asked for.

Services

The provider’s documents
required for verification are:

01.

SCHOOL INFORMATION

02.

BOARD CERTIFICATIONS

03.

MALPRACTICE

04.

LICENSE

05.

CURRICULUM VITAE

06.

COACHING

PROVIDER ENROLLMENT

Understanding the Credentialing and Contracting process is critical to the financial success of your practice.  

GENERAL DENTAL

Provider Enrollment often more than three months to complete. Keep in mind that the plans don’t retroactively date to your enrollment. Claims filed prior to the contract effective date will be denied or paid at an out of network rate for the services provided.


GENERAL DENTAL

Most insurance companies require healthcare providers to be contracted. Out of network or non-contracted providers are usually denied payment. If you are paid it is typically at a rate of 50% of fee schedule, leaving your patients with substantially higher out of pocket costs.

 

GENERAL DENTAL

You will suffer significant costs by anticipating payments for professional services prior to the finalization of the Credentialing and Contracting process. Don’t wait – Get started now​

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New Providers cannot see patients and submit claims until their credentialing and insurance provider enrollment is complete.  Our proven system substantially decreases turn-around time. 
Our Credentialing Contracting Specialists are dedicated to making sure that your new provider has staff privileges and provider ID numbers in the shortest time possible.  We do not rest until your work is complete.  Ask about our New Grad Specials. We will start working for you today.
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CREDENTIALING AND
INSURANCE ARE NECESSARY

GENERAL DENTAL

Endodontic

Orthodontic

Pediatric

Periodontics

Prosthodontics