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Nevada MedicaidMedicaid · Coverage · Provider Enrollment · NV · DentistryHigh impact

Attention Provider Type 22 (Dental): Endodontics Claims May Have Paid in Error

Act
immediately
Effective date
May 18, 2026
Identified
Jun 21, 2026

Summary

Nevada Medicaid will now correctly deny endodontic procedure claims (D3110-D3999) when a tooth extraction was previously performed and paid on the same tooth number. Claims that paid incorrectly from August 2023 through May 2026 will be automatically reprocessed and may result in recoupments.

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What to do

immediately · 3 steps
01Billing team must review all Nevada Medicaid endodontic claims (D3110-D3999) from August 14, 2023 through May 18, 2026 to identify potential recoupments from automatic reprocessing.
02Update billing system to flag endodontic procedures when prior extractions exist on same tooth.
03Monitor future remittance advices for reprocessed claim results and prepare appeals if necessary.

Codes mentioned

D3110D3999D7111D7140D7210D7220D7230D7240D7241D7250

Original notice

Attention Provider Type 22 (Dental): Endodontics Claims May Have Paid in Error
medicaid.nv.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Nevada Medicaid policiesNV policy changesDentistryCode D3110Code D3999Code D7111Code D7140Code D7210Code D7220Code D7230Code D7240Code D7241Code D7250

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

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