Important - effective January 1, 2009! Click here for CDT-2009 information.

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Dentists: Want to join ?

• Get an informational brochure.
• Get an application package.
• Get a training seminar schedule.
• Get a calendar of events.

Policy Explanation Codes

You will notice new Policy Explanation Codes (PECs) are being used on the newly designed documents such as the Notice of Payment and Pre-determination. These codes explain why a procedure was denied, disallowed, or modified, and will replace the Adjudication Reason Codes previously used on State Government Programs (SGP) documents. For your convenience, we have provided a complete list for your viewing and/or downloading needs.

Health tips for your patients
Effective tips for good dental health
Download oral heath education brochures

Consejos de salud
Vea nuestros efectivos consejos para una buena salud dental
Descargue folletos educativos sobre salud oral

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Select a form Direct deposit form Reorder forms Periodontal evaluation chart - GP-07 Billing provider information Rendering provider information add/change/termination Language Capabilities Disclosure form Provider dispute Provider handbook Member Grievance form - GP-11 - English Member Grievance form - GP-11 - Spanish Member Grievance form - GP-11 - Chinese Member Grievance form - GP-11 - Vietnamese

Provider bulletins

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Select one Summer 2010 Spring 2010 Fourth Quarter 2009 Third Quarter 2009 Second Quarter 2009 First Quarter 2009 Fourth Quarter 2008 Third Quarter 2008 Second Quarter 2008 First Quarter 2008

Contact information
Check here for whom to contact with questions