MedicaidReimbursementHigh impact
Changes to teledentistry codes D9995 and D9996 effective Jan. 1, 2027
Oregon Health Plan·OR · Dentistry, Oral & Maxillofacial Surgery·Provider
Effective date
Jan 1, 2027
We identified it
Aug 20, 2026
Summary
Effective Jan. 1, 2027, Oregon Health Authority will discontinue additional compensation for teledentistry add-on codes D9995 and D9996. These codes will pay $0 for fee-for-service claims (except as encounters for safety net clinics), though reimbursement for the actual clinical services delivered during telehealth encounters will continue. Providers must continue billing these codes with appropriate Place of Service codes for documentation purposes, but should not expect separate telehealth fees.
Action Required
By Dec. 31, 2026: Billing team must update billing software and fee schedules to reflect that D9995 (synchronous teledentistry) and D9996 (asynchronous teledentistry) will pay $0 for Oregon Health Plan fee-for-service claims effective Jan. 1, 2027. Ensure claims processing does not deny D9995/D9996 claims or bundle/reduce reimbursement for clinical evaluation codes when these modifiers are used. Providers must continue submitting these codes with the appropriate CDT code for the service and Place of Service code (e.g., POS 02 or POS 10) for encounter documentation. Coordinate with any dental subcontractors or CCOs to verify their systems are updated. Contact Oregon OHA Provider Services (800-336-6016, option 5) with questions. Failure to update systems may result in incorrect claim processing or system rejections for telehealth dental claims.