MedicaidPrior AuthMedium impact
Provider Letter 2024-17: SoonerSelect Dental DentaQuest Changes
Oklahoma SoonerCare·OK · Dentistry, Oral & Maxillofacial Surgery·Provider Letter
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
DentaQuest is implementing new prior authorization requirements for specific dental procedures under Oklahoma's SoonerSelect Medicaid program. Four dental codes now require prior authorization or pre-payment review with specific documentation, with exceptions for board-certified oral surgeons.
Action Required
Before October 1, 2024: Billing team must update systems to require prior authorization for D7230 and D7240 (impacted tooth removal) and implement pre-payment review for D7413 and D7414 (malignant lesion excision). Ensure documentation requirements are met: radiographic images, clinical notes, treatment plans, and for lesion excisions, pre-operative photos and pathology reports. Note exemption for board-certified oral surgeons who maintain documentation for post-payment audits.