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    • This is a Non-Federal dataset covered by different Terms of Use than Data.gov.

    Oregon Medicaid Covered and Non-Covered Dental Codes

    Metadata Updated: February 28, 2022

    Effective 1/1/2022. Copyright Notice: Current Dental Terminology © 2021-2022 American Dental Association. All rights reserved. Applicable FARS/DFARS apply.

    "Not covered" codes are not part of the OHP Plus benefit package, or are for services that are incidental to another service and not reimbursed separately. Where applicable, please refer to Prioritized List placement, Guideline Notes and OARs listed for each code for complete information regarding benefit coverage and limitations.

    For services billed as medical, use the CMS-1500 claim format, CPT/HCPCS codes and ICD-10-CM diagnosis codes. (This list may not note every dental code that has a corresponding medical code.)

    To find fee-for-service reimbursement rates, view the OHP Fee-for-Service Fee Schedule at http://www.oregon.gov/oha/hsd/ohp/pages/fee-schedule.aspx. This schedule represents a given point in time and may not include payable codes that were added to MMIS after the posted fee schedule date.

    Access & Use Information

    Public: This dataset is intended for public access and use. Non-Federal: This dataset is covered by different Terms of Use than Data.gov. License: No license information was provided.

    Downloads & Resources

    Dates

    Metadata Created Date November 10, 2020
    Metadata Updated Date February 28, 2022

    Metadata Source

    Harvested from oregon json

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date November 10, 2020
    Metadata Updated Date February 28, 2022
    Publisher data.oregon.gov
    Maintainer
    Identifier https://data.oregon.gov/api/views/5t6q-5tkx
    Data First Published 2021-04-21
    Data Last Modified 2022-02-22
    Category Health & Human Services
    Public Access Level public
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://data.oregon.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Harvest Object Id c2af3e76-a393-421b-9e1f-20a3fec48195
    Harvest Source Id d747cd8f-d1d6-49a3-ab0b-ea17684f1121
    Harvest Source Title oregon json
    Homepage URL https://data.oregon.gov/d/5t6q-5tkx
    Source Datajson Identifier True
    Source Hash 1130f362ae7c957f114b690347378276fa544427
    Source Schema Version 1.1

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