You asked, we delivered. Your online dental claims, eligibility and benefits website has changed!
Based on your input, we launched a brand new dental provider website. All the functions from our previous sites are now consolidated into a new dental web portal powered by Availity including enhancements and upgrades, making it easier to do business with us.
The new and improved website is available NOW. Visit www.availity.com/dentalproviders.
What you need to know
- You get one easy website for claims and attachments.
- Check eligibility and benefits, manage claims, view remittances, and complete secured administrative tasks online.
- If you currently do not have an account set up with Availity, you can easily create one. Once you are set up, remember to bookmark the new site for quick access every time.
- Training is free online and available at your convenience no need to schedule.
- More detailed information about the new web portal is available in the FAQs.
To register for the new portal, visit www.availity.com/dentalproviders and select Register in the upper right corner. Already registered? If so, now is the time to make sure your tax IDs and other important information are registered on the new web portal.
How To Become A Provider
For over 30 years dental and vision providers have looked to Golden West to complement their private practices. Through our partnership with these doctors we have incorporated their feedback into our programs. Little wonder then that we are considered the "Doctor Friendly Plan."To find out why, just give us a call at 1-866-947-9398 or email our Network development department. Our dedicated and experienced staff will answer all of your questions and provide you with everything you need to join Golden West Dental & Vision.
Provider Maintenance Form
Click here to complete the Online Provider Maintenance Form
Click here to view Online Provider Maintenance Form Updates
Click here to view the Provider Maintenance Form Instructions
National Provider Identifier (NPI)
Click here for instructions and application for a National Provider Identifier (NPI) with National Plan and Provider Enumeration System NPPES) - National Provider Identifier (NPI) Application
Click here to submit or update your NPI to Golden West: National Provider Identifier (NPI) Online Submission Form.
If you have received your NPI, please select the link above to complete our online submission form to register your NPI with us. This form helps to guarantee that our internal systems accurately reflect your NPI and demographical information. By registering your NPI with us, you can help secure a seamless conversion to NPI, minimizing any potential payment disruptions in your operations with us.
Important Notice: Provider EFT Enrollments - Federal Mandate and Other Enhancements
Language Assistance Program for your Office
01-101 Dental Prophylaxis
01-102 Interim Caries Arresting Medicament Application
02-701 Crowns Inlays and Onlays
02-901 Core Buildup includes post and core procedures
03-001 Endodontic Therapy
03-401 Biological Materials to Aid in Soft Tissue and Osseous Tissue Regeneration (Endodontic)
04-201 Bone Grafts for Surgical Services (Periodontal)
04-202 Gingivectomy or Gingivoplasty
04-203 Biological Materials to Aid Soft and Osseous Tissue Regeneration
04-204 Mucogingival Surgery and Soft Tissue Grafting
04-205 Osseous Surgery (Periodontal)
04-206 Clinical Crown Lengthening
04-207 Gingival Flap Procedure and Apically Positioned Flap
04-208 Periodontic Surgical Procedures, miscellaneous
04-209 Guided Tissue Regeneration
04-301 Scaling and Root Planing
04-302 Local Delivery of Antimicrobial Agents
04-901 Periodontal Maintenance
06-001 Implant Fixed Prosthetics - Crowns and Fixed Bridges
06-101 Implant Body (Fixture)
06-102 Implant Maintenance Procedures
06-103 Management of Peri-Implant Defects
06-104 Implant Supported Removable Prosthetics
06-701 Abutment Crowns and Fixed Partial Dentures
07-101 Removal of Teeth
07-201 Removal of Third Molar Teeth
07-800 Occlusal Orthotic Device
07-901 Bone Grafts for Dental and Oral Surgical Services
08-001 Orthodontia - Medically Necessary Orthodontia Care
08-002 Orthodontia - Non-Medically Necessary Orthodontia Care
09-400 Occlusal Guard
09-600 Therapeutic Parenteral Drug Administration
Admin-02 Claims and Pre-determination Submission Requirements
Clinical Policy-01 Generally Accepted Standard of Dental Care
Clinical Policy-02 Accidental Dental Injury