Updated September 1, 2026
Verify DentaQuest - Individual eligibility in real time.
DentaQuest - Individual supports electronic real-time eligibility. Send the check to payer ID CX014 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: DentaQuest · Dentalcare Plus - Individual · Doral Dental of Wisconsin · Medicaid Illinois Dental · Tenn Dent
Seconds
The same DentaQuest - Individual check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
6 billing names
DentaQuest - Individual shows up on cards under 6 names. Every one routes to payer ID CX014, and so do 9 older payer IDs still printed on cards. No guessing which card this is.
Medicaid plans
DentaQuest - Individual runs Medicaid plans in Tennessee. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying DentaQuest - Individual by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID CX014, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a DentaQuest - Individual eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where DentaQuest - Individual reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID CX014
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, DentaQuest - Individual included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What DentaQuest - Individual supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Yes
- Claim status (276/277)
- Not through our network
- Electronic remittance (835)
- Yes, after a one-click enrollment, typically over four weeks
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
DentaQuest - Individual · DentaQuest · Dentalcare Plus - Individual · Doral Dental of Wisconsin · Medicaid Illinois Dental · Tenn Dent. Older cards may show payer ID 10780, 10794, 12240, CKIL1 and CKKY3. All of them route to payer ID CX014.
Payer site: www.dentalcareplus.com
How to verify DentaQuest - Individual, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID CX014.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
DentaQuest - Individual runs Medicaid plans across Tennessee. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
DentaQuest - Individual, quick answers
Does DentaQuest - Individual support real-time eligibility?
Yes. Eligibility checks to DentaQuest - Individual clear electronically in seconds through payer ID CX014.
What payer ID do I use for DentaQuest - Individual?
CX014 for eligibility transactions. The same payer also appears on cards as DentaQuest, Dentalcare Plus - Individual, Doral Dental of Wisconsin.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does DentaQuest - Individual require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which DentaQuest - Individual plans does this cover?
DentaQuest - Individual runs Medicaid plans in Tennessee. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get DentaQuest - Individual remittances electronically?
Yes. DentaQuest - Individual sends electronic remittance advice (835) after a one-click enrollment, typically over four weeks.
What if the patient's card shows a different DentaQuest name?
Alternate billing names route to the same payer ID, CX014. The same check covers them.
More questions about verifying DentaQuest - Individual? Schedule 15 minutes with us and bring your toughest plan.
Check any DentaQuest - Individual patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Tennessee dental payers
16 other payers operating in Tennessee also verify in real time, 4 of them with Medicaid plans.
- BlueCross BlueShield of TennesseeSB890
- BlueCross BlueShield of Tennessee (Chattanooga HMO Plans)SB891
- Delta Dental of TennesseeDELTN
- Devoted HealthDEVOT
- Farm Bureau Health PlansRP061
- HealthSmart Benefit SolutionsHSBS
- HealthSpring63092
- Medicaid TennesseeTN
- Medicaid Tennessee BlueCare TennCare SelectMC390
Medicaid plans in Tennessee: BlueCross BlueShield of Tennessee, Medicaid Tennessee, Medicaid Tennessee BlueCare TennCare Select, UnitedHealthcare Community Plan Tennessee.
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.