Oregon Medicaid Covered Dental Services
Description
Effective Jan. 1, 2025. Copyright Notice: Current Dental Terminology © 2025 American Dental Association. All rights reserved. Applicable FARS/DFARS apply.
Where applicable, please refer to Oregon Administrative Rules, Prioritized List placement and Guideline Notes listed for each code for complete information regarding benefit coverage and limitations.
Dental/Denturist Services Rules (Chapter 410, Division 123): https://secure.sos.state.or.us/oard/displayDivisionRules.action?selectedDivision=1711
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Rules (Chapter 410, Division 151): https://secure.sos.state.or.us/oard/displayDivisionRules.action?selectedDivision=8155
Prioritized List and Guideline Notes: https://www.oregon.gov/oha/hpa/dsi-herc/Pages/index.aspx
For medical-surgical services, refer to the code groups at https://www.oregon.gov/oha/HSD/OHP/Pages/Policy-Medical-Surgical.aspx.
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.
Resources
| Name |
Format |
Description |
Link |
|
8 |
|
https://data.oregon.gov/api/views/495m-gmu2/rows.csv?accessType=DOWNLOAD |
|
23 |
|
https://data.oregon.gov/api/views/495m-gmu2/rows.json?accessType=DOWNLOAD |
|
40 |
|
https://data.oregon.gov/api/views/495m-gmu2/rows.rdf?accessType=DOWNLOAD |
|
55 |
|
https://data.oregon.gov/api/views/495m-gmu2/rows.xml?accessType=DOWNLOAD |