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MedicaidBilling CodesMedium impact

Dental Codes for Community Health Workers

Kentucky Medicaid·KY · Dentistry·Provider Letter
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Kentucky Medicaid has added CDT code D9994 to allow dentists to bill for Community Health Worker services at $22.53 per patient per 30 minutes. The code is effective July 1, 2023, but currently does not allow billing for group settings due to system limitations.

Action Required

Action needed
Immediately: Dental billing teams in Kentucky should add CDT code D9994 to their billing systems for Community Health Worker services at $22.53 per 30-minute session. Update fee schedules and train staff that this code can only be billed for individual patients, not group settings. Verify the updated 2023 Dental Fee Schedule at the provided URL.

Affected Billing Codes

D9994