Submit Aetna dental claims electronically for the fastest payment (payer ID 60054), or by mail to Aetna Dental, P.O. Box 14094, Lexington, KY 40512-4094. Dental providers manage eligibility, claims, and remittances on AetnaDental.com or through DentalXChange. Here is the full reference, plus how to stop chasing Aetna claims.
Last updated October 2026 · Reviewed by the PracticeAlpha billing team · Source: Aetna dental provider materials
Get a free AR analysisAddresses and payer IDs change, so confirm the current details on Aetna's provider materials before you rely on them.
| Detail | Aetna dental |
|---|---|
| Claims mailing address | Aetna Dental, P.O. Box 14094, Lexington, KY 40512-4094 |
| Electronic payer ID | 60054 |
| Electronic submission | Via your clearinghouse to payer ID 60054 (DMO encounters: 68246) |
| Provider portal | AetnaDental.com, plus DentalXChange ClaimConnect (Availity is Aetna's portal for medical providers) |
| Networks | Aetna Dental PPO and Aetna Dental DMO |
| Provider line | 1-800-451-7715 (Medicare dentist line: 1-800-624-0756) |
| Timely filing | PPO, PDN, and EPP: 90 days from the date of service; DMO encounters at least monthly |
| Medicare Advantage claims | Aetna Medicare, P.O. Box 981106, El Paso, TX 79998-1106; payer ID 60054 |
| Appeals | Aetna Dental, P.O. Box 14020, Lexington, KY 40512; fax 1-877-867-8729 (use the address on your EOB) |
| Aetna Voluntary plans | P.O. Box 14079, Lexington, KY 40512 |
Enter the date of service to see the filing deadline and how many days are left.
Limits are the ones Aetna publishes, as summarized on this page; the patient's own plan documents win if they differ. Corrected claims and appeals have their own deadlines (see below).
Have claims close to the limit? Free AR analysisSend us your aging list. We will tell you which Aetna claims are still recoverable, what is holding each one up, and what a fix is worth. Free, no obligation.
Get a free AR analysisWe handle Aetna provider credentialing and enrollment for dental practices and new associates, from the application to the effective date, so claims stop coming back out of network.
Aetna credentialing →Electronic submission is the fastest way to get Aetna dental claims paid. Send them through your clearinghouse to payer ID 60054. Paper claims go to Aetna Dental, P.O. Box 14094, Lexington, KY 40512-4094. Aetna Medicare Advantage dental claims route separately, to P.O. Box 981106, El Paso, TX 79998-1106, so confirm the plan type before you file.
Verify eligibility and benefits on AetnaDental.com before the visit. Checking the plan type (PPO vs DMO), remaining maximum, and covered services up front is the simplest way to avoid a denial or a bad patient estimate.
Spending your front desk's time chasing Aetna dental claims and eligibility? We verify before the visit, submit clean to payer ID 60054, and work every denial to payment. See what your Aetna AR is leaking.
Get a free AR analysisAetna's PPO office guide asks for claims no later than 90 days after the date of service for PPO, PDN, and EPP plans. DMO offices submit encounters at least monthly.
If a claim is rejected, correct it and resubmit it electronically, but do not send an exact duplicate: Aetna rejects exact duplicates of electronic claims submitted within 180 days of the original. For a claim that has already processed and needs to be reprocessed, request a reconsideration within 180 calendar days, by phone at 1-800-451-7715, online, or in writing to the address on the EOB.
Aetna recommends a pretreatment estimate for treatment plans over $350. Use a standard claim form with the pretreatment box checked, or send it electronically by leaving out the dates of service. California DMO plans do not offer predeterminations.
Attachments go electronically through Change Healthcare, DentalXChange, NEA FastAttach, or Tesia. Aetna's claim documentation guidelines ask for:
See our guide to dental claim attachments.
When more than one service can treat the condition, Aetna may cover only the less costly one. Its own examples: a posterior composite paid as an amalgam, a bridge paid as a removable partial denture, and an overdenture paid as a complete denture. Aetna says it does not downcode or bundle automatically, only after professional review, so documentation that supports the procedure you performed matters.
More on this in our guide to dental insurance downgrades.
Aetna offers one level of provider appeal, subject to state law. It is due within 180 days of receiving the adverse decision, or within 60 days of a reconsideration decision, unless your contract or state rules say otherwise. Send the Provider Complaint and Appeal Form with the EOB and the original claim. Aetna lists P.O. Box 14020, Lexington, KY 40512 and fax 1-877-867-8729, but its documents also show a separate appeals box, so use the address printed on your EOB. Aetna responds within 60 calendar days.
For what makes an appeal succeed, see our dental appeals guide.
Aetna's dental provider line is 800-451-7715. For claims, electronic submission with payer ID 60054 is faster than calling about paper claims.
Paper Aetna dental claims go to Aetna Dental, P.O. Box 14094, Lexington, KY 40512-4094. Electronic submission to payer ID 60054 is faster; Aetna Medicare dental routes separately. Confirm the current address on Aetna's provider materials.
Aetna's dental payer ID is 60054; DMO encounters use 68246. Aetna's 2026 Medicare Advantage guide also lists 60054 for Medicare dental claims, although an older Aetna FAQ still mentions 18014, so confirm in your clearinghouse's payer list.
Aetna's dental provider site is AetnaDental.com, where dentists check eligibility, submit and track claims, and view remittances. Aetna also links to DentalXChange's ClaimConnect. Availity is Aetna's portal for medical providers. The dental provider line is 1-800-451-7715.
Aetna's PPO office guide asks for claims no later than 90 days after the date of service for PPO, PDN, and EPP plans. DMO offices submit encounters at least monthly.
Aetna offers one level of provider appeal, due within 180 days of the adverse decision (or 60 days after a reconsideration decision), unless your contract or state law says otherwise. Send the Provider Complaint and Appeal Form with the EOB and the original claim to the address on your EOB, or fax 1-877-867-8729. Aetna responds within 60 calendar days.
Aetna does not publish a fax number for new dental claims. The fax 1-877-867-8729 is for disputes and appeals. Submit claims electronically to payer ID 60054 or by mail to P.O. Box 14094, Lexington, KY 40512-4094.
Mail them to Aetna Medicare, P.O. Box 981106, El Paso, TX 79998-1106, or submit electronically. Some Medicare plans are administered by Liberty Dental (Florida, Oklahoma, New York, Nevada) or DentaQuest (Virginia, Illinois, Michigan), which have their own payer IDs.