Texas MedicaidMedium ImpactCoverage
Clarification on Reimbursement Limitations for Texas Health Steps Dental Preventive Services
Published March 7, 2026Effective September 1, 2023
AI Summary
Texas Medicaid (TMHP) clarifies that orthodontists and oral maxillofacial surgeons cannot bill for Texas Health Steps preventive dental procedure codes D1110, D1120, D1206, D1208, and D1351. This limitation has been in effect since September 1, 2023, and is not a new benefit change.
Action Required
Immediately: Orthodontists and oral maxillofacial surgeons must stop billing Texas Medicaid for procedure codes D1110, D1120, D1206, D1208, and D1351. Update billing system rules to prevent submission of these codes for Texas Health Steps preventive dental services. Contact the member's specific MCO for details on administrative procedures as they may differ from traditional Medicaid.
Affected Billing Codes
D1110D1120D1206D1208D1351
Plan Types
Medicaid
States
TX
Specialties
oral-maxillofacial-surgery, dentistry