A New Level of Service

Access to over 7,500 dentist listings in our region and over 120,000 nationally.

Our Access PPO dental network increased by 20% in the last year.*

* Dominion Dental Services, Inc. Internal Performance Report, 2011.

93% of claims were processed in fewer than 15 days.*

* Dominion Dental Services, Inc. Internal Performance Report, 2011.

Over 94% group retention rate.*

* Dominion Dental Services, Inc. Internal Performance Report, 2011.

ID cards and member packets are mailed within 4 days of enrollment.*

* Dominion Dental Services, Inc. Internal Performance Report, 2011.

Access to over 5,500 vision provider listings in our region and over 47,000 nationally.

Less than 0.2% of our customer calls are related to service issues.*

* Dominion Dental Services, Inc. Internal Performance Report, 2011.
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Applications & Forms

Please complete the appropriate application and provider agreement(s) below based on your state of business and the network(s) you are interested in joining. If you are interested in learning more about becoming a participating dentist, please contact our Professional Services Department directly at 888-681-5100.

Provider Applications
DC | DE | MD | PA | VA

Select Plan (DHMO) Provider Agreement 
DC: General Dentists | Specialists | Orthodontists
DE: General Dentists | Specialists | Orthodontists
MD: General Dentists | Specialists | Orthodontists
PA:  General Dentists | Specialists | Orthodontists
VA: General Dentists | Specialists | Orthodontists

PPO Provider Agreement 
DC, DE, VA | MD | PA