MedicaidBilling CodesMedium impact
Attention Provider Type 22 (Dentist): Update to Procedure Codes D1351, D1353, D5223, and D5224
Nevada Medicaid·NV · Dentistry·Provider Enrollment
Effective date
Aug 11, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid fixed a system error that was incorrectly denying dental claims for patients with Intellectual and Developmental Disabilities (IDD) using procedure codes D1351, D1353, D5223, and D5224. The system has been updated and previously denied claims will be automatically reprocessed.
Action Required
No immediate action required - Nevada Medicaid will automatically reprocess previously denied claims with codes D1351, D1353, D5223, and D5224 for IDD members with dates of service on or after September 9, 2024. Billing team should monitor future remittance advice for reprocessing results and be aware that reprocessed claims may still face other denials.