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Important Update: Attention Dental Providers: Area of the Oral Cavity and Tooth Anatomy Requirements Reversed

Nevada Medicaid·NV · Dentistry, Oral & Maxillofacial Surgery·Provider Announcement
Effective date
Mar 17, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has reversed dental billing changes that were implemented on February 10, 2025, regarding Area of the Oral Cavity (AOTOC) and Tooth Anatomy requirements. Dental providers should return to billing procedures as they were prior to February 10, 2025, and disregard previous Web Announcement 3552.

Action Required

Action needed
Immediately: Dental billing team must revert to pre-February 10, 2025 billing procedures for Area of the Oral Cavity and Tooth Anatomy requirements. Stop following guidance from Web Announcement 3552. Update billing system to process dental procedure codes as they were before February 10, 2025. Monitor for future web announcements regarding policy updates after DHCFP completes their review.