Welcome to CredentialConnect by DentalXChange

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 or license renewal receipt
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
   • Dates of coverage

If you are already credentialed and would like to grow your practice by joining our PPO, Medicare Advantage Network or Value Added Orthodontic Discount Program, we ask you to:

PPO Network

1. Complete and return the Delta Dental of Idaho contract addendum

Value Added Orthodontic Discount Program (Orthodontist only)

1. Complete and return the Delta Dental of Idaho contract addendum

Medicare Advantage Network

1. Complete and return the Delta Dental of Idaho contract agreement
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