MedicaidDocumentationMedium impact
Provider Letter 2024-29: RE: Professional Dental Consultations
Oklahoma SoonerCare·OK · Dentistry·Provider Letter
Effective date
Dec 20, 2024
We identified it
Jun 20, 2026
Summary
Oklahoma Medicaid has clarified billing requirements for dental consultation code D9310, which requires a formal written consultation report to the referring provider. Consulting providers can alternatively bill D0140 for limited exams if they don't provide the required consultation documentation.
Action Required
Immediately: Dental billing team must ensure all D9310 claims include formal written consultation reports to referring providers with required elements: consultation request date, service dates, type of services rendered, results of all services, and treatment recommendations. Update billing workflows to verify documentation before submitting D9310 claims. Use D0140 for limited exams when formal consultation report is not provided.