Adult Dental Benefit Changes as of January 1, 2020
- Increasing the annual maximum dollar limit on adult dental services from $510 to $1,000. This applies to Medicaid beneficiaries who are age 21 and older who are not pregnant.
- Allowing up to two visits for preventive services per calendar year that do not count towards the $1000 annual maximum dollar limit.
- Preventive services codes include: D1110 Prophylaxis – Adult “cleaning”, D1206 Topical Fluoride Varnish, D1208 Topical Application of Fluoride, D1320 Tobacco Counseling for the Control and Prevention of Oral Disease, and D0120 Periodic Oral Exam.
- A copayment does not apply when a visit only includes the above codes.
For additional language, please see the Dental page.