MedicaidReimbursementLow impact
Dental billing code fee-for-service (FFS) reimbursement updates, effective Jan. 1, 2026
Oregon Health Plan·OR · Dentistry·Plan contract
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated fee-for-service reimbursement rates for multiple dental billing codes (CDT codes) effective January 1, 2026. Providers should continue submitting claims using usual charges with required supporting documentation per existing administrative rules.
Action Required
No immediate action required: Continue submitting dental claims using usual charges per Oregon Administrative Rule 410-120-1280. Ensure supporting documentation is provided for coverage criteria and manually priced CDT codes per OAR 410-123-1620. Reference the updated Oregon Fee-for-Service Fee Schedule for current covered dental service rates.