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Arkansas MedicaidMedicaid · Reimbursement · Coding · AR · Dentistry, Oral & Maxillofacial Surgery, PediatricsMedium impact

REVISED Dental Rate Increase Retro Effective 9/1/2025

Effective date
Sep 1, 2025
Identified
Sep 29, 2026

Summary

This is historical material: an Arkansas Department of Human Services dental notice, dated June 30, 2026 and updated July 2, 2026, that raises Arkansas Medicaid dental rates under Act 1025 of 2025 for oral surgeons (provider type 79) and for children, retroactive to September 1, 2025. The notice lists about 150 procedure codes with their new rates, and the starred orthodontic rates were loaded incorrectly and were to be corrected in the system on July 9, 2026, with a claims analysis to follow. A separate notice on the developmental disability (IDD) rate increase, also retroactive to September 1, 2025, is still to come.

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What to do

Action · 5 steps
01Already effective, retro to 9/1/2025: Billing team, pull dental claims for Arkansas Medicaid members billed since 9/1/2025 by oral surgeons (provider type 79) and for children, and compare the paid amounts with the rate table in the notice for each code listed.
02The notice says the state will run a claims analysis and retroactively adjust claims, so watch for those adjusted payments and post them in the billing system.
03Billing team: for the starred orthodontic codes (D8070, D8080, D8090, D8210, D8220), the notice says the rates were loaded with an incorrect amount and were to be corrected on July 9, 2026, so check that those payments match the notice rates; that date has passed, so confirm the correction against current payments.
04Billing team: watch for the separate Official Notice on the IDD rate increase, which the notice says is coming and will also be retro effective 9/1/2025, and review those claims when it is published.
05The notice does not state any change to patient billing.

Codes mentioned

D0120D0140D0145D0150D0190D0210D0220D0230D0240D0250D0272D0330D0340D0350D0470D1110D1120D1206D1208D1320D1351D1510D1516D1517D1526D1527D1575D2140D2150D2160D2161D2330D2331D2332D2335D2391D2392D2393D2394D2710D2752D2920D2930D2931D2934D3220D3221D3310D3320D3330D3410D4341D4346D4355D4910D5110D5120D5211D5212D5410D5411D5611D5612D5621D5622D5640D5650D5730D5731D5750D6930D7111D7140D7210D7220D7230D7240D7241D7250D7270D7280D7285D7286D7310D7472D7473D7510D7630D7640D7740D7961D7962D8070D8080D8090D8210D8220

Original notice

REVISED Dental Rate Increase Retro Effective 9/1/2025
humanservices.arkansas.gov · Always check the source before changing claims.
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