A Provider Friendly Program for Utah

MCNA Dental is a leading dental benefit management company committed to providing high quality services to state agencies and managed care organizations for their Medicaid, Medicare, and CHIP members. We serve over 4 million children and adults with the singular mission of improving their general health by ensuring access to quality dental care.

MCNA is one of two dental plan administrators serving the children and adults enrolled in the Utah Medicaid Dental Program. The program began on September 1, 2018, for the Wasatch Front Counties (Davis, Salt Lake, Utah, and Weber Counties), and the phased rollout will continue on January 1, 2019, for the entire state. We are now building a network of Medicaid providers to serve the Utah Medicaid Dental Program enrollees.

As a company founded and operated by dentists, we recognize the dedication that Medicaid providers such as you have to the oral health of Utah’s children and adults. We would like to extend an invitation for you to consider joining our network.

Need more information? Visit our corporate website at

Provider Network Enrollment

Your dental office may enroll in our Utah Medicaid network now via fax, email, or mail.

Provider Resources and Documents

Frequently Asked Questions

How do I sign up with MCNA?

Follow the steps outlined in the above section. If you have questions and would like to speak with an MCNA Dental representative, please call our Provider Hotline at 1-844-902-6262.

What is MCNA Dental’s payor ID for electronic submission of claims and pre-authorization requests using a third-party clearinghouse?

MCNA’s payor ID is 65030.

Is there a special application to access MCNA’s Provider Portal?

No, you do not need to complete a special application to access the Provider Portal. Once you have successfully completed MCNA’s credentialing process and are an active provider in our network, you automatically qualify for a free account on our Provider Portal and all of the benefits it entails! All you need to do is visit MCNA’s Provider Portal at and complete the simple process of validating your information, then you are ready to go!

How do I contact MCNA if I have questions or need help?

Please call our dedicated Utah Provider Hotline at 1-844-902-6262. It is available Monday through Friday, from 6 a.m. to 6 p.m.

Documents and Guides

Provider Manual
ADA Claim Form Instructions
Quick Reference Guide


ADA 2012 Claim Form
Behavior Management
Clinical Conditions Certification
Conscious Sedation
Fee Schedule Attestation
Incident Report
Non-Covered Services
Provider Appeal
Provider Complaint
Request Member Outreach

Provider Training Sessions

MCNA Dental hosts regional training sessions and online webinars to discuss our program and other important information. Please RSVP to reserve your seat at one of our upcoming sessions. To RSVP, email with your name, contact information, and desired session date.

Regional Sessions

Location Available Sessions Venue
Ogden August 7, 2018
10:00 AM or 2:00 PM
Comfort Suites
2250 S 1200 W, Ogden, UT 84401
Provo August 8, 2018
10:00 AM or 2:00 PM
Springhill Suites
1580 Freedom Blvd 200 W, Provo UT 84604
West Jordan August 9, 2018
10:00 AM or 2:00 PM
Fairfield Inn and Suites
7141 FLSmidth Dr, West Jordan, UT 84047
Salt Lake City August 10, 2018
9:00 AM or 1:00 PM
Hampton Inn Salt Lake City
425 S 300 W, Salt Lake City, UT 84101

Online Webinars

No online webinars currently scheduled. Please check back soon or contact us to schedule one-on-one training.

We are here to help you!

If you have any questions, please call our toll-free Utah Provider Hotline at:


You can call Monday through Friday, 6 a.m. – 6 p.m. (excluding national holidays).
If calling after hours, please leave a message for our representatives. Your call will be returned on the next business day.