Does Medicaid Pay for a Full Dental Exam?

Seeing a patient for the first time often requires a full oral examination to best determine their course of treatment. 

There are some procedure codes that can be used for reimbursement if they apply to your situation.

What Procedure Codes Can Be Billed for an Oral Examination?

For patients over the age of 21 with limited Medicaid coverage use:

Procedure Code 'D0150' 

Comprehensive Oral Evaluation:

Use if there has been at least a 24 month gap in care.

Procedure Code 'D0140'

Limited Oral Evaluation – Problem Focused:

Use once every two years as long as it's problem-focused. 

Use these codes to establish care, then bill for recommended procedures as a result of the evaluation.

Use This Guide for Coding Claims with Confidence:

See How Do I Submit My Dental Medicaid Claims for Payment to get a full recap. 

Need More?
Your Medicaid Mentor – Jessica Emmerich, is here to offer you support. Email, call, or text her at 573-536-2474.