ok-2465: Oklahoma Health Care Authority — Medical Providers-Fee for Service
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The proposed policy changes update dental imaging requirements to reflect the current standard of care and ensure appropriate billing for surgical extractions. Current OHCA policy defines full mouth images as two bitewings and panoramic images. The revision clarifies that a full mouth series consists of 10–12 periapical images and 2–4 posterior bitewings, consistent with current dental practice. The changes also establish a prior authorization requirement for complex extractions (codes D7210 and D7250) due to program integrity concerns. No changes are made to policy or billing expectations for simple extractions (code D7140).
The agency’s own summary, as published.
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