Oregon Medicaid Covered Dental Services

Effective Jan. 1, 2025. Copyright Notice: Current Dental Terminology © 2025 American Dental Association. All rights reserved. Applicable FARS/DFARS apply.

Where applicable, please refer to Oregon Administrative Rules, Prioritized List placement and Guideline Notes listed for each code for complete information regarding benefit coverage and limitations.

Dental/Denturist Services Rules (Chapter 410, Division 123): https://secure.sos.state.or.us/oard/displayDivisionRules.action?selectedDivision=1711

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Rules (Chapter 410, Division 151): https://secure.sos.state.or.us/oard/displayDivisionRules.action?selectedDivision=8155

Prioritized List and Guideline Notes: https://www.oregon.gov/oha/hpa/dsi-herc/Pages/index.aspx

For medical-surgical services, refer to the code groups at https://www.oregon.gov/oha/HSD/OHP/Pages/Policy-Medical-Surgical.aspx.

To find fee-for-service reimbursement rates, view the OHP Fee-for-Service Fee Schedule at http://www.oregon.gov/oha/hsd/ohp/pages/fee-schedule.aspx. This schedule represents a given point in time and may not include payable codes that were added to MMIS after the posted fee schedule date.
Organization: State of Oregon
Last updated: 2024-12-27T21:06:59.551450