Join Our Network
Want to join the MassHealth Dental network?
MassHealth provides access to comprehensive dental care for more than 2 million children, adults, seniors, and individuals with disabilities throughout the Commonwealth. We are the largest dental program in the Commonwealth, covering approximately one out of three Massachusetts residents
BeneCare administers the MassHealth Dental Program under a contract with the Executive Office of Health and Human Services. This includes MassHealth, the Children’s Medical Security Plan (CMSP), and the Health Safety Net (HSN).
Become Part of our Team
If you are ready to enroll, you will need some of the following to get started:
- Federal and State Tax ID
- Your NPI (National Provider Identifier Standard)
And a copy of your:
- Liability insurance
- Specialty certificate
- Diploma
- Office owners will need a W-9 and EFT (Electronic Funds Transfer) information.
Depending on your enrollment, additional forms may be needed. If necessary, a Provider Relations team member will reach out to you. Once you have gathered the documentation outlined above, click the Credentialling Application button below to be redirected to the credentialling application.
When your application is complete, please print out all forms and documents, sign where indicated, and send to us via one of the methods listed:
FAX to: 833-627-7347
or
MAIL to: MassHealth Dental Program
c/o BeneCare Dental Plans
P.O. Box 631
Worcester, MA 01613