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Dental General Manual, Covered Services and Bulletins


Dental Manuals

Dental Manual (Updated 4.1.17)
Dental Manual (Updated_1.1.17)
Dental Fee Schedule Updated 2.6.17
Dental Fee Schedule Effective Until 11.13.16
Provider Medicaid and State Health Care Benefit Plan 10.1.16
Dental Manual Q3 2016 (Valid 7/1/16 - 9/30/16)
Dental Manual Q2 2016 (Valid 4/1/16 - 6/30/16)
Dental Manual Q1 2016 (Valid 1/1/16 - 3/31/16)

To search for specific information within the PDF document, select Ctrl F on your keyboard and type your keyword in the find box.

Dental Provider Workshop/Visits

Dental Billing Presentation 2016
Dental Policy Presentation 2016

Important Dental Information


Medicaid will hold Medicaid dental workshops this year for all dentists and staff. Workshop dates are listed below.  We encourage all offices to send at least one staff member to the workshop in your local area. Light refreshments will be provided.  All providers are required to complete the Survey Monkey at the below link to confirm receipt of this notification.


May 3, 2017 - Sheridan 9:30 - 12:30  Library
June 21, 2017 - Thermopolis 9:30 - 12:30 Library
July 12, 2017 -  Evanston 9:30 - 12:30 Library
August 1, 2017 -  Casper 9:30 - 12:30 Library
September 6, 2017 - Laramie 9:30 - 12:30 Library


Severe Crippling Malocclusion Program

SM Presentation 8.26.14
Interceptive Program 2.10.15
Web Portal Billing Presentation

Dental Bulletins and Forms

Additional Links

Medicaid and State Healthcare Benefit Plans: Provides client benefit plan names, descriptions, eligibility limitations, coverage types and coverage limitations. This information is useful when determining if a client is eligible for services.
Carrier Code List: List of Insurance Carrier Codes and Names