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Provider Letter 2026-12: Re: D1354 Reimbursement Rate Update
Act
by Jul 31, 2026
Effective date
Aug 1, 2026
Identified
Jul 15, 2026
Summary
Oklahoma Health Care Authority (OHCA) is reducing reimbursement rates for dental code D1354 (interim caries arresting medicament application) effective August 1, 2026. Rates are decreasing from $76.22 to $18.29 for children and from $83.93 to $20.14 for adults—a 76% reduction. Billing teams must update fee schedules and claims processing systems immediately to avoid payment delays and claim denials.
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What to do
by Jul 31, 2026 · 5 steps
01Billing team must update all claims processing and billing software to reflect new D1354 reimbursement rates ($18.29 for children, $20.14 for adults).
02Update fee schedules in the billing system, encounter forms, and any automated claim submission tools.
03Notify all dental providers in the practice of the rate change and document the effective date.
04Any claims for D1354 submitted on or after August 1, 2026 using old rates will be denied or subject to recoupment.
05Contact OHCA Dental Unit at 405-522-7401 with questions or if system updates cannot be completed by the deadline.
Codes mentioned
D1354
Original notice
Provider Letter 2026-12: Re: D1354 Reimbursement Rate Update
oklahoma.gov · Always check the source before changing claims.