MedicaidCoverageMedium impact
Clarification about reimbursement of licensed dentists for orthodontic care
Oregon Health Plan·OR · Dentistry·Provider
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Medicaid clarified that both pediatric dentists and general dentists can bill for orthodontic care within their scope of practice, expanding beyond the January 2024 memo that only mentioned general practice dentists. The fee-for-service claim processing system was updated in January 2024 to allow licensed dentists to receive reimbursement for orthodontic services.
Action Required
Immediately: Dental providers (pediatric dentists and general dentists) should begin providing orthodontic treatment to qualifying Oregon Medicaid members if within their scope of practice. Contact Jessica Dusek at Jessica.D.Dusek@oha.oregon.gov or 503-510-0252 with questions about orthodontic billing eligibility.