MedicaidDocumentationMedium impact
Attention Provider Type 22 (Dental): Guidance for Procedure Code D1355
Nevada Medicaid·NV · Dentistry·Provider Enrollment
Effective date
Jun 11, 2026
We identified it
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.
Action Required
Immediately: Dental providers must ensure D1355 is only billed after documented caries risk assessment showing moderate/high risk or identification of early lesions. Update documentation protocols to include proper medical records per Medicaid Services Manual Chapter 100, section 103.13 and ADA recommendations for audit compliance.