Summary
Effective for dates of service on and after August 23, 2021, the Medical Assistance Program Dental Fee Schedule adds procedure codes D1321, D3471, D3472, D3473, D3501, D3502, D3503, D7961 and D7962, and end-dates procedure code D7960. Dentists bill the Department using the MA Program Dental Fee Schedule, and the schedule identifies the codes that require prior authorization. Counseling codes D1320 and D1321 cannot be billed for the same beneficiary on the same date of service. Procedure code updates do not apply to dental services in Federally Qualified Health Centers or Rural Health Clinics, which continue to be paid their provider-specific prospective payment system rate when they bill T1015 with the U9 modifier.
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