Author: NC Medicaid Dental Program, 919-855-4280
Effective with date of service Jan. 1, 2019, the following dental procedure codes were added for the NC Medicaid and Health Choice Dental Programs. These additions are a result of the Current Dental Terminology (CDT) 2019 American Dental Association (ADA) code updates. Clinical Coverage Policy 4A, Dental Services will be updated to reflect these changes.
The following procedure code was end-dated effective with date of service December 31, 2018.
The following procedure codes descriptions were revised effective with date of service January 1, 2019.
Providers are reminded to bill their usual and customary charges rather than the Medicaid rate. For coverage criteria and additional billing guidelines, please refer to Clinical Coverage Policy 4A, Dental Services on the NC Medicaid Division of Health Benefits website at https://medicaid.ncdhhs.gov/providers/clinical-coverage-policies.