Transparent pricing
Get on your first PPO panel for $99.
Scale on your terms.
PPO applications start at $99 — the panels most new offices need first. Specialty, HMO, and Medicaid networks are priced separately. Running a roster? Roll everything into a flat monthly subscription. No setup fees, no per-form upcharges, no surprise re-credentialing bills.
- HIPAA-compliant, SOC 2-aligned
- Human experts in the loop
- Cancel any time
Plans
Pick the model that matches your scale.
Both plans get the same submission engine, the same human experts, and the same live tracking. The difference is how you'd rather pay for it.
Per application
PPO networks start at $99. HMO, Medicaid, and specialty networks priced separately — talk to us for a quick quote on your mix.
- AI-assisted application submission to one chosen payer
- Document review by a human credentialing expert
- CAQH ProView attestation update
- Primary source verification handling
- Live status tracking dashboard
- Email + in-app updates on every status change
- Application appeals if the payer requests corrections
- Re-credentialing reminder at the 3-year window
Best for: 1–3 enrollments, single-provider offices, one-off network additions.
Flat monthly subscription
Per-provider, per-month — quoted off your roster, location count, and payer mix. Talk to us for a number.
- Unlimited payer applications per provider per month
- Parallel submission to every dental network you choose
- Continuous CAQH attestation (every 120 days)
- Document expiry monitoring (license, malpractice, DEA)
- Automatic re-credentialing renewals at the 3-year window
- Priority human-expert escalation on payer pushback
- Multi-location and multi-provider dashboards
- BAA on request, SOC 2-aligned controls
- Dedicated onboarding for DSOs and group practices
- Quarterly enrollment audit and panel optimization review
Best for: DSOs, multi-provider practices, ongoing re-credentialing, multi-state operations.
Opening a new office?
Get billing in-network before your second month of rent is due.
Most new dental offices need the same first wave: 4–6 PPO panels — Delta Dental, Aetna, Cigna, MetLife, Guardian, United Concordia. That’s the patient pool. That’s the cash flow.
At $99 per PPO, you’re looking at a few hundred dollars to fundamentally change your first 90 days.
Start your first PPONew-office credentialing roadmap
From keys-in-hand to in-network billing
- 1
Upload your provider profile
Day 1Licenses, NPI, W-9, malpractice COI, CV. We turn it into a CAQH-ready profile so every payer sees the same clean record.
- 2
AI submits to your PPO panel mix
Day 2–3Pick the networks. We file all of them in parallel — not one at a time. Live status visible from hour one.
- 3
Human experts work the inevitable pushback
Week 2–3A payer wants extra docs? Form 88-J kicked back? Same expert who submitted handles every back-and-forth — at no extra charge.
- 4
First in-network claims paid
Week 6–8Most PPOs approve in 4–6 weeks once submitted. You go from cash-only to billing in-network on the practice's primary panels.
Adding Medicaid (Denti-Cal, DentaQuest, MCNA) or specialty HMO panels later? They’re priced separately because the workload is genuinely different — we’ll quote your full mix in under a business day.
Included in every plan
The same engine. The same experts. Either price model.
Whether you pay $99 or run a roster on subscription, every application gets the full OneExpert workflow.
AI form-fill across every payer
Our AI populates the right form for each network — Delta Dental, Aetna, Cigna, MetLife, Medicaid programs — from a single uploaded profile.
Human expert escalation
Every application gets eyes from a credentialing expert before submit. When payers push back, we work the appeal — no extra invoice.
Live status tracking
A real-time dashboard shows where every application stands. No more weekly call-the-payer-yourself routine.
Document expiry monitoring
We track your license, DEA, malpractice COI, and board certifications. You get alerts 90, 60, and 30 days before expiration.
CAQH ProView attestation
We keep your CAQH profile attested every 120 days and synced with payer databases — no more lapsed-attestation hold-ups.
Re-credentialing renewals
Three years from approval, we file the re-attestation automatically. On subscription it's included; per-app it's the same flat fee.
BAA on request
Standard Business Associate Agreement available for any covered entity that needs one — sent on request, signed within a business day.
Encrypted document vault
AES-256 at rest, TLS 1.3 in transit. Granular permissions for office staff and DSO admins. SOC 2-aligned controls throughout.
Audit-ready paper trail
Every submission, status change, and payer reply is logged with a timestamp. Export the full record any time you need it for an audit.
vs. traditional credentialing
How OneExpert compares to DIY and legacy services.
The cost difference matters less than the time difference. A practice losing 3 months of in-network claims is losing more than any credentialing service charges.
| DIY in-house | Legacy credentialing service | OneExpert | |
|---|---|---|---|
| Cost per payer application | $0 + ~6 hrs of staff time | $200–$600 typical | From $99 (PPO) |
| Time to first network approval | 90–180 days | 60–120 days | Often within weeks |
| Submission model | Serial — one payer at a time | Mostly serial, with delays | Parallel — all payers at once |
| Live status tracking | None | Email updates, weekly | Live dashboard, real-time |
| Re-credentialing renewal | Calendar reminders, manual | Often re-billed as new | Auto-renewed, no upcharge |
| Document expiry alerts | Spreadsheet | Rarely included | Built in |
| Human credentialing expert | You | Yes — but slow rotation | Yes — same expert end-to-end |
| Multi-location support | Manual replication | Per-location billing | One profile, many locations |
For a deeper look at what gets enrolled and how, see our complete credentialing checklist or browse the insurance panel credentialing service.
Pricing FAQ
Questions, answered.
Want broader credentialing answers? See the full dental credentialing FAQs.
- Is there really no setup fee or hidden charge?
- No setup fee. PPO applications start at $99 — that covers the AI submission, the human expert review, primary source verification, and follow-up if the payer asks for corrections. HMO, Medicaid, and specialty networks are priced separately because the workload (extra forms, longer attestations, primary-source rounds) is genuinely different — but always quoted up front, never a surprise. Subscription pricing is a single monthly figure per provider with everything bundled.
- Does every application cost $99?
- No — and we'd rather be straight about it. $99 is the starting price for PPO networks (Delta Dental, Aetna, Cigna, MetLife, Guardian, etc.) which is what most new offices need first. HMO, Medicaid (including Denti-Cal/Medi-Cal Dental), and specialty plans cost more because the credentialing process for each is more involved. Reach out via our contact form and we'll quote your specific payer mix in under a business day.
- When does per-application make sense vs. flat monthly?
- Per-application makes sense when you're a single provider doing 1–3 enrollments — say, you're joining a few new PPOs or adding one Medicaid panel. Flat monthly subscription wins as soon as you have a roster of providers, multiple locations, or you want continuous re-credentialing handled without having to re-engage every time. DSOs and growing group practices almost always come out ahead on the subscription.
- Does the per-application price include re-credentialing in 3 years?
- We include the 3-year re-credentialing reminder and one renewal submission for the same payer at the same price you originally paid. If you're on the flat monthly plan, every re-credentialing is automatic and included — no extra invoice when the renewal window opens.
- What if a payer rejects my application?
- We work the rejection at no extra charge. If a payer requests additional documentation, returns the form for corrections, or escalates for primary source verification, the same human expert who submitted handles the appeal end-to-end. Your application fee covers the work until the application is either approved or formally closed by the payer.
- Are there any payers we don't support?
- We work with every major US dental network — Delta Dental, Aetna, Cigna, MetLife, United Concordia, Humana, Guardian, Anthem, Blue Cross Blue Shield plans, Ameritas, Principal, Sun Life, plus state Medicaid programs like Denti-Cal/Medi-Cal Dental, DentaQuest, MCNA, and Liberty Dental. If you have a regional or self-funded plan we haven't worked with yet, we'll still take it on at our normal rate for that network class.
- Do you offer DSO or group pricing?
- Yes. For DSOs, multi-provider groups, and practices adding 5+ providers per quarter, we build a custom monthly subscription that covers every provider and location under one contract. Talk to us via the contact form for a quote — we'll come back with a number based on roster size, payer mix, and onboarding timeline.
- What payment methods do you accept?
- We accept ACH and credit card. Monthly subscriptions are billed on the 1st with net-15 terms. Per-application orders are billed up front when the application is queued. We send a W-9 on request for accounts payable.
- Can I cancel a subscription any time?
- Yes. Subscriptions are month-to-month — no annual contract required. Cancel at any time and any in-progress applications are completed at no additional charge. Re-credentialing windows that fall after cancellation are handled separately at the per-application rate.
Ready when you are
Start at $99 per PPO. Run your roster on a flat monthly plan.
Upload your documents once. We handle the applications, the attestations, and the renewals. Live status from day one.
Questions on pricing? Email hello@oneexpert.ai — typical reply under 4 business hours.