Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Nevada MedicaidMedicaid · Documentation · Provider Enrollment · NV · DentistryMedium impact

Attention Provider Type 22 (Dental): Guidance for Procedure Code D1355

Act
immediately
Effective date
Jun 11, 2026
Identified
Jun 21, 2026

Summary

Nevada Medicaid has issued guidance reminding dental providers about the proper clinical use of procedure code D1355 (Caries Preventative Medicament Application – per tooth). The policy emphasizes that this code should only be used after caries risk assessment shows moderate/high risk or when early lesions are identified, and requires proper documentation per ADA guidelines.

Get alerts when payers change rules like this one

We check Nevada Medicaid and other payers every day and email you when a change matches your specialty and state.

Get Nevada Medicaid alertsPolicy Monitoring is free. No card required.

What to do

immediately · 2 steps
01Dental providers must ensure D1355 is only billed after documented caries risk assessment showing moderate/high risk or identification of early lesions.
02Update documentation protocols to include proper medical records per Medicaid Services Manual Chapter 100, section 103.13 and ADA recommendations for audit compliance.

Codes mentioned

D1355

Original notice

Attention Provider Type 22 (Dental): Guidance for Procedure Code D1355
medicaid.nv.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Nevada Medicaid policiesNV policy changesDentistryCode D1355

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account