MedicaidReimbursementMedium impact
Fee-for-service rate increase for general anesthesia provided during a dental visit, effective October 1, 2023
Oregon Health Plan·OR · Anesthesiology, Dentistry·Provider
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is increasing the fee-for-service reimbursement rate for CPT code 00170 (general anesthesia during dental visits) to a flat $800 fee effective October 1, 2023. This rate only applies to services provided in dental clinic settings using appropriate non-facility Place of Service codes.
Action Required
By October 1, 2023: Billing team must ensure CPT code 00170 for general anesthesia during dental visits is billed with appropriate non-facility Place of Service codes to receive the new $800 flat rate. Update billing system to reflect new reimbursement rate for dental clinic settings only. For urgent cases before October 1, request exceptions from Medicaid Dental Policy Analyst Jessica Dusek at Jessica.D.Dusek@oha.oregon.gov or 503-510-0252.