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MAB2022061301

Pennsylvania Medicaid (DHS)·PA · Dentistry·Provider Bulletin
Effective date
May 2, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medicaid now covers teledentistry services effective May 2, 2022, allowing specific dental procedures to be billed with Place of Service 02. New dental counseling codes D1310 and D1330 have been added to the fee schedule and must be billed together with a minimum 12-minute combined duration.

Action Required

Action needed
Immediately: Update billing system to use Place of Service (POS) 02 for all teledentistry services instead of modifier GT. Stop billing procedure code D9995 (end-dated May 1, 2022). For FQHCs and RHCs, bill T1015 with U9 modifier and POS 02 for teledentistry encounters. When billing new codes D1310 and D1330, ensure they are billed together with minimum 12-minute combined duration and appropriate place of service code. Document teledentistry technology used and obtain patient consent before services.

Affected Billing Codes

D0140
D1206
D1320
D1310
D1330
D9995
T1015
99407
D1321