Forms and Publications
Dental Professional Forms
Dental Professional Forms
- Credentialing Application
- Re-Credentialing Packet
- Confidential Filed Fee Schedule
- International Dental Program Instructions for Dentists
- Identity Theft—Protect Your Practice from Patient Fraud
- Claim Attachment Cover Sheet for Electronic Claims
- Electronic Claims Submission Guide
- Non-covered Services for Minnesota Healthcare Programs Enrollees
- Minnesota Health Care Programs Non-pregnant Adult Dental Benefits