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Updates to Coverage for Oral Screening, Dental Prophylaxis and Topical Fluoride

Nebraska Medicaid·NE · Dentistry, Oral & Maxillofacial Surgery·Medical Policy
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Nebraska Medicaid updated frequency limits for oral screenings and dental prophylaxis from every 180 days to every 365 days (2 times per year) for most age groups, while maintaining special provisions for patients with Special Health Care Needs. Topical fluoride coverage also changed to 2 times every 365 days.

Action Required

Action needed
By July 1, 2025: Billing team must update system frequency limits for Nebraska Medicaid patients - change oral screenings (D0190/D0191) and dental prophylaxis (D1110/D1120) from every 180 days to 2 times every 365 days. Update topical fluoride (D1206/D1208) to 2 times every 365 days. Use D9997 to identify Special Health Care Needs patients who may qualify for more frequent services with documented medical necessity.

Affected Billing Codes

D0190
D0191
D1110
D1120
D1206
D1208
D9997