MedicaidBilling CodesMedium impact
Attention Provider Type 22 (Dentist): New Dental Procedure Codes Open for Billing for Intellectual and Development Disabilities (IDD) Recipients
Nevada Medicaid·NV · Dentistry·Billing & Coding
Effective date
Sep 9, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has approved new dental procedure codes specifically for patients with Intellectual and Developmental Disabilities (IDD), effective September 9, 2024. These codes cover dental case management, prosthodontics, oral surgery, preventative care, periodontics, and operative procedures, but all require prior authorization.
Action Required
Immediately: Nevada dental practices (Provider Type 22) must update billing systems to include the new IDD-specific dental codes and configure prior authorization requirements for all listed procedures. Update encounter forms and staff training materials to reflect that these codes are only for IDD recipients and require prior auth. Claims without prior authorization will be denied.