How did you buy your dental insurance?
On my own - plans for individuals and families
All Personal Choice PPO and Keystone Health Plan East HMO medical plans include pediatric dental essential health benefits. Select the Concordia Advantage network to find network dentists.
Search Concordia Advantage
Search for Keystone HMO CHIP dental providers
Through my job - group dental benefits
For Personal Choice PPO group medical plans that include pediatric dental essential health benefits and for Independence adult and family dental PPO plans, select the Concordia Advantage network to find network dentists.
Search Concordia Advantage
For Keystone HMO and POS group medical plans that include
pediatric dental essential health benefits and for the Independence adult dental DHMO plan, select the Keystone DHMO network to find a Primary Dental Office (PDO). A PDO must be selected prior to receiving services. PDO referrals are required for specialist services.
Search Keystone DHMO
Dental Provider Manual
Policies and procedures to assist providers in filling dental claims, referral requests and other services.
View 2022 Dental manual [pdf]
Arkansas CDT code manual
Access the procedures code and nomenclature for dental providers in Arkansas.
2022 CDT code manual
Claims and benefits information
Contact the dental claims administrator electronically or through the mail.
View information
Helpful contact numbers
A quick reference to phone numbers and dental representative coverage areas.
Contact numbers
Dental provider forms
Access forms for dental providers.
View forms
Dental Coverage for Dentists
Determine dental eligibility, check claim status, correct errant claims and submit new claims.
Access member benefits
Dental fee schedule
View the current PPO, PPP, and FEP Blue-Grid fee schedules and reimbursement guides.
Maintaining oral health
Visiting the dentist every six months may seem complicated, but it’s easier than you might think. Visiting the dentist regularly for cleanings and checkups can help identify health issues early.
What to expect at the dentist
Visiting the dentist on a regular basis for cleanings, X-rays and other needed services will prevent pain and discomfort in the future when small problems, if left untreated, could turn into larger problems or even dental emergencies.
A routine dental appointment lasts approximately 30 minutes. A dental hygienist will look into your mouth and determine if X-rays are needed. They will gently scrape away any plaque, clean your teeth with an electric toothbrush and apply dental floss. The dentist will take a final look at your teeth and determine if a second appointment is needed to fill cavities or provide other needed services.
You won’t be asked to pay for your dental appointment at the dental office. Healthy Michigan Plan members may be billed a small co-pay for their visit through their MI Health account.
Visiting the dentist may look a little different if you haven’t had an appointment in a couple of years. Many dentists are taking extra precautions to protect your health.It’s important to go to the dentist even if you don’t notice anything wrong.
Regular dental exams can:
- Find problems with your teeth and gums before they cause pain and are costly to treat
- Help you maintain your dental health
- Spot warning signs of medical conditions in the mouth unrelated to your teeth
- Establish a place to go if you have a dental emergency
For these reasons, it’s important to see your dentist twice a year — even if there are no obvious problems or you no longer have your natural teeth.
Make it a habit to schedule and keep regular appointments with your dentist. Taking action now may help you avoid major issues in the future. Be sure to schedule your next appointment before you leave the dentist. Add the appointment to the calendar in your phone and block a bit of time before and after for your commute.
Dental services are a covered benefit for Healthy Michigan Plan members and pregnant members 21 years and older. Pregnant women under 21 are covered by Healthy Kids Dental benefits. For help finding an in-network dentist in your area, visit Find a Doctor, then click Find a dentist.
Form a positive, lasting relationship with your dentist, who is there to support you in maintaining a smile you can be proud of.
How to access dental services
Click below to learn who to call for dental services.
Dental emergencies
When you have a toothache or other dental problem, your first thought is to get it fixed — and fast. Fast treatment means the emergency room, right? Not when it comes to problems with your teeth or mouth. The emergency room can handle just about anything, but for mouth-related issues, your dentist is the better option. Dentists have the specialized equipment and training to figure out what’s wrong and how to fix it.