MedicaidBilling CodesMedium impact
MAB2024060501
Pennsylvania Medicaid (DHS)·PA · Dentistry, Oral & Maxillofacial Surgery·Provider Bulletin
Effective date
May 28, 2024
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) updated their dental fee schedule effective May 28, 2024, adding new procedure codes D2991, D0190, and D0191, and changing coverage limits for orthodontic retainer replacements (D8703/D8704) from once per day to once per lifetime for patients under 23.
Action Required
Immediately: Billing team must update dental billing system to include new procedure codes D2991, D0190, and D0191 for Pennsylvania Medicaid claims. Update system limits for D8703 and D8704 from daily to lifetime frequency limits for patients under 23. Download updated fee schedule from PA.gov website and verify all dental procedure code limits match new requirements.