MedicaidAdministrativeHigh impact
Oral Surgeons Billing Change
Kentucky Medicaid·KY · Oral & Maxillofacial Surgery, Dentistry·Coding
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid is ending the ability for oral surgeons to bill D-codes on CMS1500 forms effective December 31, 2024. Starting January 1, 2025, all oral surgeons must use ADA claim forms for D-code billing to standardize dental billing processes.
Action Required
By December 31, 2024: Oral surgeons billing Kentucky Medicaid must stop using CMS1500 forms for D-codes and transition to ADA claim forms. Billing team must update billing software and workflow processes to use ADA forms for all D-code submissions starting January 1, 2025. Contact clearinghouses to ensure ADA form capability is enabled.