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New Accounts - Provider | Member

Coventry Medicare

Molina-Dental

Currently, Avesis will be administering routine dental benefits to Molina Medicare Advantage members.

Below you will find a sample image of the ID card that members will present for services. Molina Medicare Advantage members will be in one of the following dental groups: Medicare Options, Medicare Options Plus, and Healthy Advantage.

Members' benefits vary according to their individual coverage. As a participating provider, it is imperative that you verify eligibility and benefits on all members each time they present in your office. Please remember that only the services covered by the member's benefit plan will be paid by Avesis.

Plan benefits include preventive services such as exams, cleanings and x-rays. Services that require prior authorizations are treatment plans over $500. Please click on the link below to view specific plan information.

CA Molina Options Plus NM Molina Options Plus
CA Molina Options Plus Sacramento OH Molina Options Plus
FL Molina Options Plus TX Molina Options Plus
IL Molina Options Plus UT Molina Options Plus
MI Molina Options Plus UT Molina Healthy Advantage
NM Molina Options MAPD WA Molina Options Plus
WI Molina Options Plus

If you are not currently an Avesis contracted provider and are interested in participating in these programs, please complete the Provider Credentialing and Contracting paperwork located on the left hand side of the page. All Participating Providers must have an NPI number. If you do not have an NPI number, please click here to apply. If you have any questions please contact one of our Provider Services Representatives at 1-855-214-6779.

Send Completed Materials by mail to Provider Services:

Mail To:

Avesis Third Party Administrators, Inc.
10324 Soulth Dolfield Road
Owings Mills, MD 21117